2-Octyl-Cyanoacrylate Skin Adhesive Used as a Splinting Material in Auricular Surgery

Abstract

In cases of auricular surgery, postoperative dressings are thought to be important for keeping auricular contour and in helping to prevent from dressing failures due to edema or subcutaneous hematoma, which may result in fibrous or cartilaginous proliferation. However, it is often difficult to achieve success with standard dressings because of the complicated shape of the auricle. We used 2-octyl-cyanoacrylate skin adhesive to dress the auricle after different types of auricular procedures (five cases of cryptotia, two of prominent ear, two of severe auricular laceration, two of skin grafting and one of flap repair of the partial auricle defect). The 2-octyl-cyanoacrlaate skin adhesive was applied to the suture line and the operated and peripheral areas for wider coverage. No dressing materials were placed over the surface. In all cases, the desired outcome was achieved, without subcutaneous hematoma, wound dehiscence, and wound infection. Contact dermatitis caused by the skin adhesive was not observed in any of the cases. Dressing and splinting after auricular surgery can be simply and successfully achieved using 2-octyl-cyanoacrylate skin adhesive. There is no need for more complicated dressings and post-surgical dressing changes, resulting in higher patient satisfaction.

(Y)ears of Freedom? Customized Splints in Microtia Reconstruction to Maintain Cephloauricular Angle

“…2-Octyl-cyanoacrylate skin adhesive has been used as an auricular splint 12 after prominent ear surgery, but its use after microtia reconstruction is not described yet.…”

Eyelid Reconstruction Using Oral Mucosa and Ear Cartilage Strips as Sandwich Grafting

“…3 The length of the cartilage graft is fit to the defect width. The ear cartilage graft does not need to entirely cover the defect; it is sufficient to only interpose the defect.…”

“…The suture line and the outer and posterior sides of the ear harvest site are widely coated with 2-octyl-cyanoacrylate skin adhesive to splint the shape and prevent subcutaneous hematoma. 3 The length of the cartilage graft is fit to the defect width. The ear cartilage graft does not need to entirely cover the defect; it is sufficient to only interpose the defect.…”