The surgical outcome of sutureless skin closures using Octyl-2-cyanoacrylate (Dermabond™) versus Steri-Strip™.

National journal of maxillofacial surgery Pub Date : 2024-05-01 Epub Date: 2024-07-24 DOI:10.4103/njms.njms_102_22
Neha Sah, Rohit Punga, Ajay Kumar, Peeyush Shivhare, Akhilesh Kumar Singh, Sonam Sah, Amlendu Shekhar
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Abstract

Introduction: Cosmesis is the primary concern for the patient undergoing facial surgery and there are numbers of well proven materials that are available such as adhesive tapes, subcuticular suture, skin adhesive or glue to achieve better cosmesis. The objective of our study was to assess the surgical outcome of sutureless skin closures using Octyl-2-cyanoacrylate (Dermabond™) versus Steri-Strip™.

Method: The present prospective study was conducted in 20 patients. Patients were divided into two groups. After subcutaneous closure of wounds, either Dermabond™ or Steri-Strip™ was placed. The patients were assessed for wound complication (erythema, tenderness, dehiscence or any discharge), scar hypertrophy and cosmetic appearance also time consumed in surgical skin closure was evaluated. Wound assessment, scar hypertrophy and cosmetic appearance were assessed by using Chi-square test. Time closure was assessed by using Mann-whitney U test.

Result: Twenty patients belonging to all age group were included in study. Ten patients undergone closure with Dermabond™ and ten with Steri-Strips™. Assessment of wound complications, cosmetic appearance and scar hypertrophy was done. There was no significant difference found between both the groups, but 2 patients had fair cosmetic outcomes at one month and 1 patient had fair scar hypertrophy at 6 month. However, excellent cosmetic outcome in terms of scar hypertrophy at 6 month was significantly more among group II.

Conclusion: Octyl-2-cyanoacrylate (Dermabond™) and Steri-Strip™ provide similar outcomes in terms of wound complications. Cosmetic outcomes in terms of scar hypertrophy with steri-strip wound closure seem to be better and more economical.

使用辛基-2-氰基丙烯酸酯(Dermabond™)与 Steri-Strip™ 进行无缝合皮肤闭合的手术效果。
导言:美观是接受面部手术的患者最关心的问题,目前有许多经过充分验证的材料,如胶带、皮下缝合线、皮肤粘合剂或胶水,可以达到更好的美观效果。我们的研究旨在评估使用辛基-2-氰基丙烯酸酯(Dermabond™)和 Steri-Strip™ 进行无缝合皮肤闭合的手术效果:本前瞻性研究在 20 名患者中进行。患者分为两组。在皮下闭合伤口后,放置 Dermabond™ 或 Steri-Strip™ 。对患者的伤口并发症(红斑、触痛、开裂或任何分泌物)、疤痕肥大和外观进行评估,并对手术皮肤闭合所耗费的时间进行评估。伤口评估、疤痕肥大和外观评估采用卡方检验。闭合时间采用 Mann-whitney U 检验进行评估:研究共纳入了 20 名不同年龄段的患者。十名患者使用 Dermabond™ 缝合,十名使用 Steri-Strips™ 缝合。对伤口并发症、外观和疤痕肥大进行了评估。两组之间没有发现明显差异,但有两名患者在一个月后的外观效果一般,一名患者在六个月后的疤痕肥厚程度一般。然而,6 个月后疤痕肥大的美容效果极佳者明显多于第二组:结论:Octyl-2-cyanoacrylate(Dermabond™)和 Steri-Strip™ 在伤口并发症方面的效果相似。就疤痕肥大而言,Steri-Strip 伤口闭合的美容效果似乎更好,也更经济。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
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