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Evaluating the use of octyl-2-cyanoacrylate in unilateral cleft lip repair

BACKGROUND: Facial cosmetic results are one of the most concerning issues for the parents who get their children operated for cleft lip. Moreover, the postoperative care of the surgical site, the discomfort associated with the suture removal, and additional visit for suture removal are other reasons...

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Autores principales: Malhotra, Vijaylaxmy, Dayashankara Rao, J. K., Arya, Varun, Sharma, Shalender, Singh, Sushil, Luthra, Payal
Formato: Online Artículo Texto
Lenguaje:English
Publicado: Medknow Publications & Media Pvt Ltd 2016
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC5357920/
https://www.ncbi.nlm.nih.gov/pubmed/28356686
http://dx.doi.org/10.4103/0975-5950.201364
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author Malhotra, Vijaylaxmy
Dayashankara Rao, J. K.
Arya, Varun
Sharma, Shalender
Singh, Sushil
Luthra, Payal
author_facet Malhotra, Vijaylaxmy
Dayashankara Rao, J. K.
Arya, Varun
Sharma, Shalender
Singh, Sushil
Luthra, Payal
author_sort Malhotra, Vijaylaxmy
collection PubMed
description BACKGROUND: Facial cosmetic results are one of the most concerning issues for the parents who get their children operated for cleft lip. Moreover, the postoperative care of the surgical site, the discomfort associated with the suture removal, and additional visit for suture removal are other reasons which encourages one to use any new technologies that may replace the need for suture placement. In this study, we used octyl-2-cyanoacrylate, a tissue adhesive which offers a viable alternative to traditional techniques without compromising optimal wound closure. OBJECTIVE: To perform a comprehensive comparison of the outcomes from the use of Dermabond in patients undergoing primary repair of congenital cleft lip ± palate anomalies. MATERIALS AND METHODS: Twenty patients, in the age group of 3–18 months were treated surgically for unilateral cleft lip deformity using Millard rotation-advancement flap. Pre- and post-operative photographs of the patients were taken at 1 week, 2 week, 1 month, 6 months, and 1 year postoperatively and were evaluated using Vancouver scar scale which was given by Sullivan in 1990. Paired t-test was used for statistical analysis. RESULTS: Increased vascularity (hyperemia) was seen in the 1(st) and 2(nd) week in 35% and 30% patients, respectively which gradually reduced to normal in subsequent follow-ups. The scar was flat in 85% of patients in 1(st) week, and the number decreased to 10% at the end of 1 year. No wound dehiscence was found in any patients. Statistical analysis showed that among all the follow-ups, only the difference between the first and second follow-ups. Comparison of the results of 1 week with all other follow-ups yielded no significant results. CONCLUSION: Octyl-2-cyanoacrylate can be used for cleft lip closure effectively. The procedure is relatively painless and quick. Added to this are benefits of protection from wound infection since the material is bacteriostatic.
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spelling pubmed-53579202017-03-29 Evaluating the use of octyl-2-cyanoacrylate in unilateral cleft lip repair Malhotra, Vijaylaxmy Dayashankara Rao, J. K. Arya, Varun Sharma, Shalender Singh, Sushil Luthra, Payal Natl J Maxillofac Surg Original Article BACKGROUND: Facial cosmetic results are one of the most concerning issues for the parents who get their children operated for cleft lip. Moreover, the postoperative care of the surgical site, the discomfort associated with the suture removal, and additional visit for suture removal are other reasons which encourages one to use any new technologies that may replace the need for suture placement. In this study, we used octyl-2-cyanoacrylate, a tissue adhesive which offers a viable alternative to traditional techniques without compromising optimal wound closure. OBJECTIVE: To perform a comprehensive comparison of the outcomes from the use of Dermabond in patients undergoing primary repair of congenital cleft lip ± palate anomalies. MATERIALS AND METHODS: Twenty patients, in the age group of 3–18 months were treated surgically for unilateral cleft lip deformity using Millard rotation-advancement flap. Pre- and post-operative photographs of the patients were taken at 1 week, 2 week, 1 month, 6 months, and 1 year postoperatively and were evaluated using Vancouver scar scale which was given by Sullivan in 1990. Paired t-test was used for statistical analysis. RESULTS: Increased vascularity (hyperemia) was seen in the 1(st) and 2(nd) week in 35% and 30% patients, respectively which gradually reduced to normal in subsequent follow-ups. The scar was flat in 85% of patients in 1(st) week, and the number decreased to 10% at the end of 1 year. No wound dehiscence was found in any patients. Statistical analysis showed that among all the follow-ups, only the difference between the first and second follow-ups. Comparison of the results of 1 week with all other follow-ups yielded no significant results. CONCLUSION: Octyl-2-cyanoacrylate can be used for cleft lip closure effectively. The procedure is relatively painless and quick. Added to this are benefits of protection from wound infection since the material is bacteriostatic. Medknow Publications & Media Pvt Ltd 2016 /pmc/articles/PMC5357920/ /pubmed/28356686 http://dx.doi.org/10.4103/0975-5950.201364 Text en Copyright: © 2017 National Journal of Maxillofacial Surgery http://creativecommons.org/licenses/by-nc-sa/3.0 This is an open access article distributed under the terms of the Creative Commons Attribution-NonCommercial-ShareAlike 3.0 License, which allows others to remix, tweak, and build upon the work non-commercially, as long as the author is credited and the new creations are licensed under the identical terms.
spellingShingle Original Article
Malhotra, Vijaylaxmy
Dayashankara Rao, J. K.
Arya, Varun
Sharma, Shalender
Singh, Sushil
Luthra, Payal
Evaluating the use of octyl-2-cyanoacrylate in unilateral cleft lip repair
title Evaluating the use of octyl-2-cyanoacrylate in unilateral cleft lip repair
title_full Evaluating the use of octyl-2-cyanoacrylate in unilateral cleft lip repair
title_fullStr Evaluating the use of octyl-2-cyanoacrylate in unilateral cleft lip repair
title_full_unstemmed Evaluating the use of octyl-2-cyanoacrylate in unilateral cleft lip repair
title_short Evaluating the use of octyl-2-cyanoacrylate in unilateral cleft lip repair
title_sort evaluating the use of octyl-2-cyanoacrylate in unilateral cleft lip repair
topic Original Article
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC5357920/
https://www.ncbi.nlm.nih.gov/pubmed/28356686
http://dx.doi.org/10.4103/0975-5950.201364
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