J Korean Assoc Maxillofac Plast Reconstr Surg.  1999 Feb;21(1):81-88.

FREE SKIN GRAFTING WITH FIBRIN ABHESIVE: CLNICAL AND HISTOPATHOLOGIC REVIEWS

• Min SK
• Jin KB
• Kang MJ

Abstract

A fibrin adhesive have been widely used oral and maxillofacial surgery for microvascular anastomosis, autogenous chip bone grafts, many kinds of soft tissue surgery(vestibuloplasty, bleeding control after extraction, primary healing by covering of suture of a gum after the extirpation of large cysts). There are two principal components in adhesive systems biologically : lyophilized human fibrinogen and bovine thrombin. The fibrinogen components in contains coagulation factor XIII and enhance the initial wound healing, which polymerizes soluble fibrin monomers into an insoluble clot. The thrombin is dissolved in a solution of calcium chloride to provide the second component. We applied fibrin adhesive, Beriplast(Behring, Behringwerke AG, D-3350, Marburg, FRD), to 4 patients for fixation of free skin grafting donors who had facial scar around eye, nose, mouth cormer which received from accidents, or burn. We have experienced initial accelerated graft fixation between donor and recipient sites with no additional fixation. And It's made easy bleeding control and easy manipulation during operation. But two cases showed partial hypertrophic scar engrowth in above 3 months follow up, but no significant. Histopathological reviews in general were showed similar scar findings such as abundant collagen bundles in H&E, M/T stain, but slight positive signs in elastic and collagen antibody immunopathologic findings in hypertrophic scar cases.

MeSH Terms

Adhesives
Burns
Calcium Chloride
Cicatrix
Cicatrix, Hypertrophic
Collagen
Factor XIII
Fibrin Tissue Adhesive
Fibrin*
Fibrinogen
Follow-Up Studies
Gingiva
Hemorrhage
Humans
Mouth
Nose
Polymers
Skin Transplantation*
Skin*
Surgery, Oral
Sutures
Thrombin
Tissue Donors
Transplants
Wound Healing
Adhesives
Calcium Chloride
Collagen
Factor XIII
Fibrin
Fibrin Tissue Adhesive
Fibrinogen
Polymers
Thrombin