Name:
Kantor Atlas 2e- Video 4-27 - 18489881
Description:
Kantor Atlas 2e- Video 4-27 - 18489881
Thumbnail URL:
https://cadmoremediastorage.blob.core.windows.net/dd7a339b-5376-42af-b2d8-593b7bcb8390/thumbnails/dd7a339b-5376-42af-b2d8-593b7bcb8390.jpg?sv=2019-02-02&sr=c&sig=Z8uw2fHIDmP2wWHjkDaHTdFzc1UlKuvJoCiz9XAdQ7E%3D&st=2025-05-13T11%3A02%3A40Z&se=2025-05-13T15%3A07%3A40Z&sp=r
Duration:
T00H02M34S
Embed URL:
https://stream.cadmore.media/player/dd7a339b-5376-42af-b2d8-593b7bcb8390
Content URL:
https://cadmoreoriginalmedia.blob.core.windows.net/dd7a339b-5376-42af-b2d8-593b7bcb8390/KantorAtlas 4-24.mov?sv=2019-02-02&sr=c&sig=rTlNndcAGnaNbXlLCzO0%2BJr%2BAFzB0Oq2xb4d%2Fn137NE%3D&st=2025-05-13T11%3A02%3A40Z&se=2025-05-13T13%3A07%3A40Z&sp=r
Upload Date:
2022-04-01T00:00:00.0000000
Transcript:
Language: EN.
Segment:0 .
The tie-over suture is a niche technique used when working over natural grooves, such as the nasofacial sulcus or the nasolabial folds. Suture material is inserted, as it would be with a buried vertical mattress suture, first on one side, and then on the contralateral side.
Suture material, of course, is pulled through, and an instrument tie is performed. At this point, you will notice that the wound edges are everting, as is typically seen when placing a buried vertical mattress suture. Suture material is tied off, and the needle is then reloaded.
At this point, rather than inserting the needle through the skin, the needle is inserted instead through the incised wound edge around the location where the recently placed suture is placed. The needle is designed to penetrate through the deep margin of the wound, grasping periosteum, if possible, and exiting on the contralateral side of the previously placed suture. This is, therefore, a suture-to-suture technique rather than a suture-to-skin technique.
We're passing deep here, grasping periosteum, and then exiting on the contralateral side of the previously placed buried vertical mattress suture. Suture material is pulled through. Some stray suture material is gently removed, and an instrument tie is performed. Notice that after placing the second suture, the wound now inverts, rather than everts, helping to recreate a natural sulcus.