title: Evaluating the use of octyl-2-cyanoacrylate in unilateral cleft lip repair.
abstract: BACKGROUND
  Facial cosmetic results are one of the most concerning issues for the parents who get their children operated for cleft lip. Moreover, the postoperative care of the surgical site, the discomfort associated with the suture removal, and additional visit for suture removal are other reasons which encourages one to use any new technologies that may replace the need for suture placement. In this study, we used octyl-2-cyanoacrylate, a tissue adhesive which offers a viable alternative to traditional techniques without compromising optimal wound closure.
  
  
  OBJECTIVE
  To perform a comprehensive comparison of the outcomes from the use of Dermabond in patients undergoing primary repair of congenital cleft lip ± palate anomalies.
  
  
  METHODS
  Twenty patients, in the age group of 3-18 months were treated surgically for unilateral cleft lip deformity using Millard rotation-advancement flap. Pre- and post-operative photographs of the patients were taken at 1 week, 2 week, 1 month, 6 months, and 1 year postoperatively and were evaluated using Vancouver scar scale which was given by Sullivan in 1990. Pairedt-test was used for statistical analysis.
  
  
  RESULTS
  Increased vascularity (hyperemia) was seen in the 1stand 2ndweek in 35% and 30% patients, respectively which gradually reduced to normal in subsequent follow-ups. The scar was flat in 85% of patients in 1stweek, and the number decreased to 10% at the end of 1 year. No wound dehiscence was found in any patients. Statistical analysis showed that among all the follow-ups, only the difference between the first and second follow-ups. Comparison of the results of 1 week with all other follow-ups yielded no significant results.
  
  
  CONCLUSIONS
  Octyl-2-cyanoacrylate can be used for cleft lip closure effectively. The procedure is relatively painless and quick. Added to this are benefits of protection from wound infection since the material is bacteriostatic.
authors.affiliation: Department of Oral and Maxillofacial Surgery, S.H.K.M. Government Medical College, Nalhar, Haryana, India.
authors.forename: Vijaylaxmy
authors.initials: V
authors.lastname: Malhotra
authors.affiliation: Department of Oral and Maxillofacial Surgery, SGT Dental College, Gurgaon, Haryana, India.
authors.forename: J K
authors.initials: JK
authors.lastname: Dayashankara Rao
authors.affiliation: Department of Oral and Maxillofacial Surgery, SGT Dental College, Gurgaon, Haryana, India.
authors.forename: Varun
authors.initials: V
authors.lastname: Arya
authors.affiliation: Department of Oral and Maxillofacial Surgery, SGT Dental College, Gurgaon, Haryana, India.
authors.forename: Shalender
authors.initials: S
authors.lastname: Sharma
authors.affiliation: Department of Oral and Maxillofacial Surgery, SGT Dental College, Gurgaon, Haryana, India.
authors.forename: Sushil
authors.initials: S
authors.lastname: Singh
authors.affiliation: Department of Oral and Maxillofacial Surgery, SGT Dental College, Gurgaon, Haryana, India.
authors.forename: Payal
authors.initials: P
authors.lastname: Luthra
keywords: Congenital cleft lip; Dermabond; sutures; tissue adhesive