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Butylcyanoacrylate tissue adhesive for columellar incision closure

Published online by Cambridge University Press:  08 March 2006

Orhan Ozturan
Affiliation:
Department of Otorhinolaryngology, Inonu University, Medical Faculty, Malatya, Turkey
Murat Cem Miman
Affiliation:
Department of Otorhinolaryngology, Inonu University, Medical Faculty, Malatya, Turkey
Davut Aktas
Affiliation:
Department of Otorhinolaryngology, Inonu University, Medical Faculty, Malatya, Turkey
Semih Oncel
Affiliation:
Department of Otorhinolaryngology, Inonu University, Medical Faculty, Malatya, Turkey

Abstract

Cosmetic outcome of the columellar incision closure in external rhinoplasty patients has been a subject of discussion. This study was conducted to assess whether tissue adhesives provide an alternative option for sutureless closure of columellar skin incisions for cases utilizing open technique rhinoplastic surgery. One hundred and one patients undergoing external rhinoplasty were randomized to either topical application of butylcyanoacrylate or polypropylene sutures for columellar skin closure. The majority of tension on the wound edges was taken up using 5-0 chromic catgut. Cosmetic outcomes were evaluated by two otolaryngologists independently using visual analogue and Hollander wound evaluation scales in a blinded manner. There was no statistically significant difference in cosmesis between the surgeons’ evaluation scores for either type or repair of the columellar incision. Since the tissue adhesive forms its own protective barrier, post-operative care is simplified. Closure with adhesives eliminates the need for post-operative suture removal requiring an extra visit that should lead to more efficient use of physician and patient time. Butylcyanoacrylate performs cosmetically as well as standard suture closure of columellar skin incision used for external rhinoplasty.

Type
Research Article
Copyright
© Royal Society of Medicine Press Limited 2001

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