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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...
Autores principales: | , , , , , |
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Formato: | Online Artículo Texto |
Lenguaje: | English |
Publicado: |
Medknow Publications & Media Pvt Ltd
2016
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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. |
format | Online Article Text |
id | pubmed-5357920 |
institution | National Center for Biotechnology Information |
language | English |
publishDate | 2016 |
publisher | Medknow Publications & Media Pvt Ltd |
record_format | MEDLINE/PubMed |
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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