The use of fibrin glue for fixation of acellular human dermal allograft in septal perforation repair.
OBJECTIVE
Acellular human dermal allograft used as an interpositional graft between mucoperichondrial flaps has been shown to be effective in the repair of septal perforations. The material is typically sutured to the septum, but this can be technically difficult. We describe a technique in which fibrin glue is used to secure the acellular human dermal allograft for septal perforation repair.


METHODS
A retrospective case series of 5 patients who underwent this procedure are reviewed.


METHODS
Five patients with preexisting septal perforations underwent septal repair using fibrin glue to secure the interpositional acellular human dermal allograft. The graft was first placed between the mucoperichondrial flaps, and 1/3 cm(3) of fibrin glue was applied to both sides. One side was then covered with a bipedicled mucosal flap and compressed for 5 minutes to allow for fixation.


RESULTS
The use of fibrin glue compared with conventional suturing decreased the length of the procedure by approximately 30 minutes. At the 3-month postoperative examination, all 5 patients were found to have successful outcomes.


CONCLUSIONS
The use of fibrin glue for fixation of the acellular human dermal allograft in septal perforation repair is technically less difficult and reduces the length of the procedure, and we believe it reduces graft migration when compared with conventional suturing techniques.
Parry
James R
JR
Department of Otolaryngology and Communication Sciences, Upstate Medical University, Syracuse, NY 13210, USA. jimparry@earthlink.net
Minton
Timothy J
TJ
Suryadevara
Amar C
AC
Halliday
Douglas
D
D000328:Adult; D000368:Aged; D005260:Female; D015718:Fibrin Tissue Adhesive / Q000627:therapeutic use*; D005500:Follow-Up Studies; D006085:Graft Survival; D006801:Humans; D008297:Male; D008875:Middle Aged; D009300:Nasal Septum / Q000293:injuries / Q000601:surgery*; D012189:Retrospective Studies; D012225:Rhinoplasty / Q000379:methods; D012494:Sampling Studies; D016038:Skin Transplantation / Q000379:methods* / Q000473:pathology; D014184:Transplantation, Homologous; D016896:Treatment Outcome
D015718:Fibrin Tissue Adhesive