title: A comparison of dermabond tissue adhesive and sutures in the primary repair of the congenital cleft lip.
abstract: OBJECTIVE
  To compare the long-term cosmesis of Dermabond (octyl-2-cyanoacrylate) and traditional skin sutures among patients undergoing primary cleft lip +/- palate repair.
  
  
  METHODS
  Eleven patients underwent photographic analysis following primary cleft lip +/- palate repair, including the use of Dermabond. Eleven age-matched controls who underwent cleft lip +/- palate repair with traditional suture closure served as controls. Cosmesis was assessed by 3 blinded plastic surgeons using a visual analogue scale (VAS) and the Hollander Wound Evaluation Scale (HWES).
  
  
  RESULTS
  The overall mean VAS score for the patients treated with and without Dermabond was 70.0 (SD, 9.5) and 68.3 (SD, 13.4), respectively (P = 0.46). The overall mean HWES score for the patients treated with and without Dermabond was 1.7 (SD 1.7) (P = 0.92).
  
  
  CONCLUSIONS
  Dermabond tissue adhesive offers equivalent mature wound cosmesis as traditional suture closure in the repair of the congenital cleft lip +/- palate.
authors.affiliation: The Cleveland Clinic Head and Neck Institute, Cleveland, OH, USA.
authors.forename: P Daniel
authors.initials: PD
authors.lastname: Knott
authors.forename: James E
authors.initials: JE
authors.lastname: Zins
authors.forename: Jillian
authors.initials: J
authors.lastname: Banbury
authors.forename: Risal
authors.initials: R
authors.lastname: Djohan
authors.forename: Randall J
authors.initials: RJ
authors.lastname: Yetman
authors.forename: Francis
authors.initials: F
authors.lastname: Papay
mesh_terms: D002675:Child, Preschool; D002971:Cleft Lip / Q000601:surgery*; D002972:Cleft Palate / Q000601:surgery; D003487:Cyanoacrylates; D004146:Dioxanes; D004954:Esthetics; D005260:Female; D005500:Follow-Up Studies; D006801:Humans; D007223:Infant; D008297:Male; D010147:Pain Measurement; D011091:Polyesters; D011098:Polyglactin 910; D016037:Single-Blind Method; D013537:Sutures; D014014:Tissue Adhesives; D016896:Treatment Outcome; D014945:Wound Healing / Q000502:physiology
chemical_list: D003487:Cyanoacrylates; D004146:Dioxanes; D011091:Polyesters; D014014:Tissue Adhesives; D011098:Polyglactin 910; C095495:glycolide E-caprolactone copolymer; C100832:octyl 2-cyanoacrylate