title: Combined use of scoring incisions and 2-octylcyanoacrylate adhesive during endonasal septoplasty to correct cartilaginous deviations.
abstract: BACKGROUND
  Applying 2-octylcyanoacrylate (2-OCA) tissue adhesive onto scoring incisions may increase efficacy and prevent concavity recurrence after septal deviation treatment. The present study evaluates the utility of 2-OCA adhesive application during endonasal septoplasty.
  
  
  METHODS
  The postoperative outcomes were compared between two consecutive periods in a single surgical department. Between March 2011 and March 2012, 23 consecutive patients underwent septoplasty using scoring incisions without 2-OCA application (scoring alone group), and between April 2012 and April 2013, the scoring incision gaps were filled with 2-OCA in 27 patients (scoring + CA group). The patients were followed up for more than six months.
  
  
  RESULTS
  A straight septum was achieved in 37.0% of patients in the scoring alone group versus 58.3% in the scoring + CA group. The postoperative symptom score for nasal obstruction was significantly improved in both groups. Persistent septal swelling developed in three (12.5%) patients in the scoring + CA group. Neither group experienced major complications such as septal hematoma, abscess, or septal perforation.
  
  
  CONCLUSIONS
  Application of 2-OCA adhesive onto scoring incisions appears to be a reliable and effective technique to correct deviated cartilage during endonasal septoplasty. However, the volume of 2-OCA applied onto the septum should be minimized to avoid potential foreign body reaction. A long-term follow-up study is warranted.
authors.affiliation: Department of Otorhinolaryngology, Konkuk University School of Medicine, Chungju, South Korea.
authors.forename: Bo-Hyung
authors.initials: BH
authors.lastname: Kim
authors.forename: Jong-Yeup
authors.initials: JY
authors.lastname: Kim
authors.forename: Jae Sung
authors.initials: JS
authors.lastname: Park
authors.forename: Sung-Ho
authors.initials: SH
authors.lastname: Kang
authors.forename: Dae Jun
authors.initials: DJ
authors.lastname: Lim
authors.forename: Myeong Sang
authors.initials: MS
authors.lastname: Yu
mesh_terms: D000328:Adult; D003487:Cyanoacrylates / Q000008:administration & dosage* / Q000009:adverse effects; D004724:Endoscopy; D005240:Feasibility Studies; D005260:Female; D005500:Follow-Up Studies; D006801:Humans; D008297:Male; D015508:Nasal Obstruction / Q000473:pathology / Q000601:surgery*; D009300:Nasal Septum / Q000187:drug effects* / Q000473:pathology / Q000601:surgery; D012225:Rhinoplasty; D014014:Tissue Adhesives / Q000008:administration & dosage* / Q000009:adverse effects; D016896:Treatment Outcome; D055815:Young Adult
chemical_list: D003487:Cyanoacrylates; D014014:Tissue Adhesives; C100832:octyl 2-cyanoacrylate