J Korean Soc Plast Reconstr Surg.  2004 May;31(3):337-342.

Application of 2-Octylcyanoacrylate (Dermabond(R) for Laceration Repair in Emergency Department

• Kang SY
• Lee W
• Cho SH
• Lee JH
• Choi SW

Abstract

A retrospective, randomized controlled clinical trial to assess the effectiveness of Dermabond(r) for repair of traumatic laceration in 86 patients, who signed the informed consent, was studied. Patient selection was limited to facial laceration, less than 2cm in length, non-contaminated, non-bitten, and non-crushed lacerations. All of 86 patients were available for the primary follow-up within 7 to 10 days after Dermabond(r) application and the survey was carried out for outcomes of cosmesis, pain, complications and cost. 76 patients (88%) were satisfied and 10 patients(12%) were dissatisfied with Dermabond(r) application. All of 10 unsatisfied patients had complication, such as wound dehiscence in 6 patients, depressed scar in 2 patients, skin necrosis in 1 patient and wound infection in 1 patient. Among 86 patients, 80 patients(93%) pointed the painlessness as the best advantage of Dermabond(r). The cost was compared between Dermabond(r) and standard suture technique on similar facial laceration, resulted in 69,720 won vs. 43,747 won, which difference was not significant to most of the patients. Second follow-up evaluation was done 5 months after Dermabond(r) application. At this time, the quality of scar was compared by patients and two plastic surgeons. Among 63 patients included in second evaluation, 58 cases (92%) satisfied the scar qualities. Dermabond(r) is highly effective and satisfactory material for facial wound repair if the wound is properly selected.

Keyword

2-Octylcyanoacrylate(Dermabond(r)); Tissue adhesive; Emergency department

MeSH Terms

Cicatrix
Emergencies*
Emergency Service, Hospital*
Follow-Up Studies
Humans
Informed Consent
Lacerations*
Necrosis
Patient Selection
Retrospective Studies
Skin
Suture Techniques
Tissue Adhesives
Wound Infection
Wounds and Injuries
Tissue Adhesives