Establishing nontension primary wound closure of various soft tissue flaps is paramount for optimal postsurgical wound healing. Surgical procedures that require clinical flap manipulation, such as those used with traditional periodontal therapy, periodontal plastic cosmetic surgery, hard and soft tissue regeneration, and the excision of pathologic tissue, also require excellence in execution. Also paramount to clinical success is a thorough understanding of the various techniques of surgery, suturing, and the materials currently available to ensure the desired clinical results. This article will discuss the rationale of specific suturing techniques and suture materials to help the clinician obtain optimal wound closure.

This article demonstrates the utilization of a preprosthetic extraoral verification template that could be used to ensure the accuracy of the master cast from which the laboratory working model is used as the in vitro foundation for the implant-supported prosthesis framework construction.

The intradermal depth of the pilosebaceous units of the vulvar skin was evaluated by light microscopy with respect to their geographical distribution in 305 histologie sections from four autopsy cases. The mean hair follicle extension was 1.2 mm (SD = 0.53), with 99.5% of all hair follicles extending no deeper than 2.6 mm into the dermis. The mean depth of sebaceous glands throughout the vulvar skin was 0.64 mm (SD = 0.24), with 99.5% of all sebaceous glands extending no deeper than 1.30 mm into the dermis. The mean depth of dermis-subcutaneous fat junction was 1.2 mm (SD = 0.39), with 95% of all measurements being 0.56 mm or more below the epidermal surface. The results provide baseline data for the appropriate treatment depth of intraepithelial neoplasia with possible extension into the pilosebaceous units of the vulvar skin and for the preservation of the latter's physiologic functions, particularly when using the C02 laser vaporization technique. (J GYNECOL SURG. 5:183, 1989) Address reprint requests to:

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