The Efficiency of Fibrin Glue at Bicoronary Approach in Facial Surgery

Ha, Jae Seong; Lee, Keun Cheol; Park, Jung Min; Kim, Ju Heon; Kim, Seok Kwun

Abstract

Fibrin glue has been widely used as an adhesive in plastic and reconstructive surgery. It is effective in hemostasis, sealing anastomosis sites, promoting wound healing and tissue adhesion. The aim of this study is to establish that fibrin glue is effective at bicoronary approach in facial surgery in direction of hemostasis and wound healing. We reviewed the data from 40 consecutive patients with medial orbital wall fracture who were operated by bicoronary approach in Dong-A University Hospital from May 2001 to August 2002. We used Fibrin glue(Tisseel(R)) in 20 patients and the others were control. We analized the data from the view point of operation time, amount of Hemo-vac(R) count duration until removal of Hemo-vac(R), facial edema status, duration of admission. Statistical analysis was done with student's t-test(p <0.05). The results were as follow; Operation time was reduced by average 15 minutes in group using fibrin glue. Amount of Hemo-vac(R) at postoperative 1st day was reduced by average 31cc in group using fibrin glue significantly. Duration until removal of Hemo-vac(R) was reduced by average 2.7 day in group using fibrin glue significantly. Facial edema status from the viewpoint of patient & third party was recovered by average 1.7 day earlier in group using fibrin glue. Duration of admission was reduced by average 4 day in group using fibrin glue significantly. In conclusion, our clinical experience demonstrates several advantages of fibrin glue; Hemostasis, early adherence and wound healing are improved. The comfort of the patients is remarkably increased over the healing period. The comparatively small additional costs incurred seem very much worthwhile for these operation, because the duration of admission was reduced.