Conclusion
In conclusion, there appears to be no significant short-term difference in cosmetic outcomes between sutures, staples and tissue adhesives in head and neck incisions. However, the results of this review should be interpreted with caution owing to the poor quality of relevant trials. Further trials with more robust methodology may be required to ascertain the true cosmetic and QOL value of these wound closure techniques, in particular tissue adhesives, subcuticular sutures and steri-strips, which have been under-explored in the literature.