A Prospective Comparison of Octyl-2-Cyanoacrylate and Suture in Standardized Facial Incisions

ABSTRACT

Introduction: The cosmetic result is one key measure in theassessment of operation in the head and neck region. Theprinciple of wound closure, should be to achieve precisewound approximation, easy handling and working propertiesof wound closure materials and low infection rates. In ourstudy, we evaluated the efficiency of 2-OCA on extra oralincisions placed in the trauma patients.Material and Methods: A total of 20 patients were enrolledand treated for open reduction and internal fixation procedures.The extra oral incisions were placed in these patients. Thesepatients were categorized into 2 groups wherein the group Iunderwent suture closure with Ethilon 4-0 and group II, theincision closure done with 2-OCA. Wounds were evaluatedfor 24th hours, 1st week and 2ndweek post operatively for pain,inflammation, dehiscence, infection, and wound closure/wound seal. The scar and the surface texture were evaluatedonly after a minimum follow up of 1st month and 3rd monthpost operatively.Results: Clinical parameters such as pain and time taken forclosure techniques were significant difference when comparedto the sutured group, indicating the use of 2-OCA is beneficialin pain and application time taken for closure.Conclusion: 2-OCA is suitable for skin closure and easy touse alternative to conventional sutures. 2-OCA is associatedwith good esthetic and less post operative complication.