Use of fibrin glue in lower blepharoplasties.
This prospective study investigates the long-term appearance of the scar following closure of lower blepharoplasty incisions with the fibrin adhesive Tissucol compared with the usual subciliary suturing. Eighteen eyelids closed with fibrin adhesive were compared with 12 eyelids where a 5-0 running suture was used for closure and to 10 eyelids that did not undergo surgery. The measurement team consisted of a panel, blind to patients and technique, that scored the scar morphology on a scale of 1-4. The Dunn test showed no difference between the group treated with the tissue adhesive and the group with conventional subciliary closure. There was a difference between the Tissucol treated group and the control group (P < 0.01). The surgical technique and the advantages in lower lid incision closure are discussed.
Mommaerts
M Y
MY
Division of Maxillo-Facial Surgery, General Hospital St-John, Bruges, Belgium.
Beirne
J C
JC
Jacobs
W I
WI
Abeloos
J S
JS
De Clercq
C A
CA
Neyt
L F
LF
D000273:Adipose Tissue / Q000601:surgery; D000328:Adult; D001458:Bandages; D002921:Cicatrix / Q000209:etiology / Q000473:pathology; D062109:Dermatologic Surgical Procedures; D005143:Eyelids / Q000473:pathology / Q000601:surgery*; D005152:Facial Muscles / Q000601:surgery; D005260:Female; D015718:Fibrin Tissue Adhesive / Q000627:therapeutic use*; D005500:Follow-Up Studies; D006801:Humans; D008137:Longitudinal Studies; D008297:Male; D009757:Nylons; D011098:Polyglactin 910; D011446:Prospective Studies; D016037:Single-Blind Method; D013518:Surgery, Plastic / Q000379:methods; D013524:Surgical Flaps / Q000379:methods; D013537:Sutures; D014014:Tissue Adhesives / Q000627:therapeutic use*
D015718:Fibrin Tissue Adhesive; D009757:Nylons; D014014:Tissue Adhesives; D011098:Polyglactin 910