Batten Stitch: A Tissue-Sparing Technique for Correction of an Inverted Dog-Ear

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During linear closure of a cutaneous defect, a small area of tissue inversion can occur occasionally at the apex despite one's best effort to remove a dog-ear (standing cone) (Figure 1). Inversion of the epidermal edges, if left uncorrected, can result in an atrophic scar.1 Simply excising the inverted tissue lengthens the incision and is not preferred on cosmetically sensitive areas such as the nasal dorsum. Alternative solutions include correction with a tied interrupted stitch, which often makes the inversion worse, or everting stitches such as a vertical or horizontal stitch.2 The latter 2 stitches can crimp tissue, are difficult to do, difficult to remove, and may not always work.
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