Publication date: Available online 12 November 2018
Source: Journal of Cranio-Maxillofacial Surgery
Author(s): Afisu A. Oladega, Olutayo James, Wasiu L. Adeyemo
Summary
Aim
The aim of the study was to compare postoperative sequelae and wound healing outcome following closure of surgical wound with either cyanoacrylate tissue adhesive or silk suture.
Methods
Subjects with mesio-angularly impacted mandibular third molar were allocated randomly into 2 equal groups. The control group had wound closure with silk suture and study group with cyanoacrylate tissue adhesive. Subjects were followed up for 7 postoperative days. Post-operative pain, swelling, trismus, bleeding, wound dehiscence and wound infection were evaluated.
Results
Sixty subjects in each group completed the study. No significant difference was observed in the mean post-operative pain, swelling, trismus, wound dehiscence and infection between the 2 groups. There was a statistically significant difference in post-operative bleeding between the 2 groups on post-operative day 1, with more bleeding in the control group.
Conclusions
This study shows that cyanoacrylate tissue adhesive compares favourably with silk suture as a wound closure material. In addition, cyanoacrylate tissue adhesive seems to have beneficial haemostatic effect on post-operative bleeding.
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