Novel protocol for greater palatine compression suture: Case report
Journal name: Journal of Indian Society of Periodontology
Original article title: A novel clinical protocol for the greater palatine compression suture: A case report
The Journal of Indian Society of Periodontology (JISP) publishes original scientific articles on periodontology (the study of supporting structures of teeth) and oral implantology. It is a bimonthly open-access journal with special issues for specific occasions.
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Mihir Raghavendra Kulkarni, Leena Gangadhar Shettar, Purva Vijay Bakshi, Srinath Lakshman Thakur
Journal of Indian Society of Periodontology:
(A bimonthly open-access journal)
Full text available for: A novel clinical protocol for the greater palatine compression suture: A case report
Year: 2018 | Doi: 10.4103/jisp.jisp_140
Copyright (license): CC BY-NC-SA
Summary of article contents:
Introduction
Intra- or postsurgical bleeding is a common complication associated with palatal soft tissue harvesting, which can cause significant anxiety for both patients and surgeons. Various methods have been proposed to manage palatal hemorrhage, including local hemostatic agents and suture techniques, but a standardized protocol for controlling bleeding has not been thoroughly established. This case report outlines the introduction of a technique known as the Greater Palatine Compression Suture (GPCS), aimed at providing a reliable method to manage severe bleeding from the palatal graft donor site, demonstrating its effectiveness through a series of clinical applications.
Greater Palatine Compression Suture (GPCS) Technique
The study involved five patients who experienced extensive bleeding from their palatal free gingival graft (FGG) donor sites. Despite initial interventions like local anesthesia and pressure application failing to stop the bleeding, the GPCS was successfully employed. The technique involves identifying the palatal midline, locating the greater palatine foramen, and precisely placing the suture to compress the vascular bundle. Blanching observed around the suture site affirmed successful hemostasis. Overall, the technique showcased its effectiveness in rapidly controlling hemorrhage and ensuring satisfactory healing of the surgical sites.
Conclusion
The proposed GPCS technique has proven to be a valuable addition to the surgical management toolkit for controlling palatal hemorrhage during graft harvesting procedures. Given its reproducibility and straightforward application, it can serve as an accessible option for clinicians facing significant bleeding challenges after surgical interventions. The findings encourage further clinical trials to evaluate its efficacy relative to existing methods, potentially reducing patient morbidity associated with palatal surgeries.
FAQ section (important questions/answers):
What is the greater palatine compression suture (GPCS)?
The GPCS is a surgical technique designed to control bleeding from the palatal donor site during free gingival graft harvesting. It involves placing a suture to compress the vascular bundle, effectively reducing and stopping hemorrhage.
What complications are associated with palatal soft tissue harvesting?
Bleeding from the palatal donor site is a significant complication, causing stress to the patient and surgeon alike. Implementing effective control methods, like GPCS, is crucial to alleviate this issue.
How effective is the GPCS technique for bleeding control?
In a study involving five patients, the GPCS demonstrated immediate bleeding reduction and hemostasis. All cases showed significant improvement, indicating its efficacy, especially when less invasive techniques fail.
What materials are used for the GPCS technique?
An 18 mm triangular body, half-circle needle is used with a 3�0 black braided silk suture. This material allows for effective knots under tension, ensuring compression of the palatal tissue.
What do the results of using GPCS show?
The GPCS technique provided reproducible results, leading to immediate hemostasis and satisfactory healing of both donor and recipient sites. Complete palatal wound healing was observed by the three-week follow-up.
Glossary definitions and references:
Scientific and Ayurvedic Glossary list for “Novel protocol for greater palatine compression suture: Case report�. This list explains important keywords that occur in this article and links it to the glossary for a better understanding of that concept in the context of Ayurveda and other topics.
1) Bleeding:
Bleeding refers to the loss of blood from the vascular system, which can occur during surgical procedures like palatal soft tissue harvesting. It can pose significant complications that require immediate attention from medical professionals. In the context of the presented case, controlling palatal bleeding is crucial for patient safety and effective surgical outcomes.
2) Table:
In medical literature, a 'table' usually refers to a structured representation of data, often summarizing findings, results, or comparisons among different variables or groups. Although not specifically used in the text, the concept underlines the importance of organizing information clearly to assist practitioners in decision-making and treatment planning.
3) Harvesting (Harvest):
Harvesting in this context refers to the surgical procedure of obtaining soft tissue grafts from the palate. Palatal harvesting is essential for conditions such as gingival recession, but it can lead to complications such as significant bleeding. Many surgical techniques seek to optimize this process with minimal adverse effects.
4) Dressing:
Dressing refers to materials applied to wounds to promote healing, minimize infection, and manage bleeding. In the case report, various types of dressings were mentioned as potential aids for controlling palatal bleeding. However, their effectiveness in severe cases indicates that dressing alone might not suffice without additional intervention.
5) Gelatin:
Gelatin is a substance derived from collagen commonly used in medical settings, including as a hemostatic agent to control bleeding. Its properties allow it to conform to wound surfaces and promote clotting. The study references its use in palatal surgeries as one method among several for managing excessive bleeding.
6) Blood:
Blood is the bodily fluid critical for transporting nutrients, oxygen, and waste products. In the surgical context, maintaining appropriate blood levels and controlling excessive blood loss are vital. The presence of blood loss during palatal grafting procedures necessitates robust measures, like the greater palatine compression suture to ensure patient stability.
7) Study (Studying):
A study refers to a systematic investigation or examination aiming to establish facts or principles in a particular area, such as surgery or medicine. The text emphasizes the importance of evidence-based practices derived from medical studies to guide techniques, patient care, and the development of new protocols to manage complications.
8) Silk:
Silk, particularly in the context of suturing, refers to a natural, durable fiber used for stitching wounds. In this case report, 3�0 black braided silk sutures were used for the greater palatine compression suture, chosen for their strength and ability to hold tension, vital in controlling bleeding effectively.
9) Line:
A line often refers to a reference point or a direct path, which in this context helps in identifying anatomical features and landmarks during the surgical procedure. Recognizing critical lines, such as the palatal midline, assists surgeons in accurately locating structures to enhance the effectiveness of interventions.
10) Surrounding:
Surrounding refers to the area adjacent to a surgical site. In the context of palatal surgery, the surrounding tissues' condition can significantly affect bleeding control and healing. Understanding the properties of the surrounding tissues is essential for implementing effective surgical techniques to minimize complications and enhance recovery.
11) Measurement:
Measurement is the process of determining the dimensions, volume, or area of bodily structures or wounds. Accurate measurements are critical in surgical procedures to ensure correct placement of sutures and other interventions. In this study, measurements guide the surgical technique to control bleeding effectively with the compression suture.
12) Discussion:
Discussion refers to the section of a study where results are interpreted and contextualized within existing literature. This part critically analyzes the implications of findings, establishes relevance, and suggests next steps. Such discourse helps refine techniques and address challenges encountered in managing palatal bleeding during surgeries.
13) Grafting:
Grafting refers to the surgical technique of transplanting tissue to replace or augment damaged areas. In this report, free gingival grafting was performed to address gingival recession, which highlights the importance of effective grafting techniques and their associated complications, particularly regarding bleeding and proper healing.
14) Medium:
In a surgical or medical context, 'medium' often describes a substance that can facilitate or support processes, such as healing. It can refer to culture mediums in research or supportive materials in wound care. This notion is tied to the study's references about the environments affecting surgical outcomes.
15) Animal:
The term 'animal' typically refers to non-human species used in medical research trials. Their usage informs surgical techniques and healing processes. While not directly mentioned, the implication is that knowledge derived from animal studies underpins many surgical protocols, including those developed for controlling palatal hemorrhage.
16) Patel:
Patel is likely a reference to Dr. Vivek Patel, one of the contributors to the study. Acknowledging specific individuals in research highlights collaboration and shared expertise. Such contributions enrich the body of medical knowledge and clinical practices, enabling advancements in techniques like the greater palatine compression suture.
17) Rich (Rch):
In the context of medical procedures, 'rich' may refer to a higher concentration of specific substances, like platelets in platelet-rich fibrin. This richness can enhance healing and tissue regeneration. The use of 'rich' often signifies a technique that optimally supports the healing process, especially after surgical interventions.
Other Science Concepts:
Discover the significance of concepts within the article: �Novel protocol for greater palatine compression suture: Case report�. Further sources in the context of Science might help you critically compare this page with similair documents:
Informed consent, Significant benefit, Hemostatic agent, Clinical protocol, Profuse bleeding, Free gingival graft, Traditional technique, Satisfactory healing.