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. 2010 Jan 20;2010(1):CD006213. doi: 10.1002/14651858.CD006213.pub3

al‐Hassan 1990.

Methods RCT, unblinded.
Participants 96 participants. 68 men, 28 women. Mean age 23 years (range 13‐52). Both de novo and recurrent sinuses.
Interventions Midline closure (primary closure) vs. open healing.
Outcomes Healing time, recurrence, RTW, other complications, % initial healing.
Notes Complete follow up for at least one year; <80% drop out by 2 years.
Risk of bias
Bias Authors' judgement Support for judgement
Adequate sequence generation? Unclear risk Quote: "participants were randomised .... by taking a card from a sealed envelope". No information about the method of randomisation.
Allocation concealment? Unclear risk Quote: "...by taking a card from a sealed envelope". No information about whether envelopes were sealed or sequential.
Incomplete outcome data addressed? 
 All outcomes High risk After randomisation, 4 participants were excluded from the closure group as closure was not possible. No information about the method of analysis used (e.g. intention to treat analysis).
Free of selective reporting? High risk Element of selective under reporting. Not enough information provided to incorporate time to wound healing data.
Free of other bias? Low risk