Butylcyanoacrylate tissue adhesive for columellar incision closure

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.

A Prospective Randomized Controlled Trial Comparing N-butyl-2 Cyanoacrylate (Histoacryl), Octyl Cyanoacrylate (Dermabond), and Subcuticular Suture for Closure of Surgical Incisions

“…Most of the prior studies looked at relatively small incisions such as trocar insertion sites, phlebectomies, and facial plastic surgery. 10,12Y14, 17 The results have been equivocal. The difference between different tissue adhesives has also been under evaluated.…”

Skin Closure in Laparoscopic Living Donor Nephrectomy: Modern Tissue Adhesive versus Conventional Intracutaneous Suture—A Randomized Study

“…The time sparing advantage is definitely most pronounced with the small, trocar incisions-where intracutaneous sutureis particularly slow, when regarding "time per size of incision" (Figure 1). Even though the time sparing aspect of tissue adhesives has not been very well documented in previous papers we will argue that gluing seems perfect for the small, laparoscopic/trocar incisions [1,9,11,14].…”

Meta-analysis of skin adhesives versus sutures in closure of laparoscopic port-site wounds

“…The studies in this review did not demonstrate any statistically significant difference in patient satisfaction. Wound closure time was reported in all included [11,[14][15][16], excluded [17][18][19], and few other trials [26][27][28]. This was one of the outcomes of interest in this review.…”