Which is a management option for suture granulomas?

• A. Remove suturing material
• B. Chemical cauterization
• C. Antibiotics
• D. Antifungal cream

Answer: (A)

Suture granulomas are a localized inflammatory reaction to a foreign body—the suture material itself. The best way to resolve this is to remove the irritant, so taking out the suturing material directly eliminates the stimulus driving the granuloma and allows healing to proceed.

Other options don’t address the root cause. Chemical cauterization can treat surface lesions but doesn’t remove the embedded suture and may irritate surrounding skin. Antibiotics or antifungal creams target infection or colonization, not the granulomatous reaction to the foreign material, so they wouldn’t fully resolve the lesion unless there’s a concurrent infection. If needed, alternatives like switching to absorbable sutures or revision can help prevent recurrence, but removing the offending suture remains the most effective first step.