[期刊论文]

出版年：2019

Background

Facial laceration is one of the most common injuries encountered by plastic surgeons. The right material to be used for epidermal closure is a controversial topic with pros and cons of each. The aim of this study was to compare 2-octyl cyanoacrylate tissue adhesive and monofilament sutures for epidermal closure in facial lacerations considering closure time, wound morbidity, and cosmetic outcome.

Methods

In this study, 90 patients visiting St. John’s hospital, Bangalore, emergency department for facial lacerations were randomly allocated to 1 of 3 groups for the closure using octyl-2-cyanoacrylate–group 1, monofilament nylon 8/0 interrupted sutures–group 2, or monofilament nylon 5/0 subcuticular sutures–group 3 based on simple randomization by computer-generated sequence. All procedures were carried out in the operation theater under sterile precautions by plastic surgery residents. Post-operative follow-up was done on day 1, day 7, and at 3 months. Statistical analysis was done using the one-way ANOVA test and Student’s t test.

Results

Time taken for closure using 2-OCA was 4 times faster than the other 2 groups using monofilament sutures. There was no significant statistical difference among the 3 groups with respect to wound morbidity and cosmetic outcome at the end of 3 months.

Conclusions

Epidermal closure with tissue adhesive for facial lacerations was faster compared to monofilament sutures with comparable cosmetic outcome at the end of 3 months.

2-OCA ; Tissue adhesive ; Facial laceration ; Suturing