Abstract：
Objetive. During the last few years, cyanoacrylate has been used for wound closure in oral and maxillofacial surgery with growing frequency. When comparing cyanoacrylate with sutures, some authors report similar experiences, while others have found differences. Some agree on the similar outcomes obtained between cyanoacrylate and sutures, others have registered better effects with cyanoacrylate, and others with sutures. Therefore, the aim of this systematic review (SR) was to evaluate postoperative parameters - pain, swelling, trismus, healing and complications (bleeding and infection) - after lower third molar (LTM) removal using cyanoacrylate compared with sutures. Materials and methods. Electronic and manual literature searches were conducted independently by two reviewers up to March 2022. Results. Four studies met the pre-established inclusion criteria and were included for descriptive analysis. These were controlled clinical trials comparing the effects of cyanoacrylate with sutures in 116 patients and 232 split-mouth cases. Pain and haemostasis were significantly reduced on the cyanoacrylate group, swelling showed the same results on two of the studies analysed, trismus and healing had no significant differences between both groups. Conclusions. Both techniques were found to be effective in terms of wound closure, proposing cyanoacrylate as an effective resource that should be investigated in future research. Nevertheless, the literature on cyanoacrylate is scarce and lacks comparative studies of its outcomes and effects.
摘要：
强迫症.在过去的几年里，氰基丙烯酸酯在口腔颌面外科中用于伤口闭合的频率越来越高。当比较氰基丙烯酸酯与缝线时，一些作者报告了类似的经历，而其他人发现了差异。有些人同意在氰基丙烯酸酯和缝合线之间获得的类似结果，其他人使用氰基丙烯酸酯注册了更好的效果，和其他有缝线的。因此,这项系统评价（SR）的目的是评估术后参数-疼痛，肿胀,刺耳,愈合和并发症（出血和感染）-与缝合线相比，使用氰基丙烯酸酯去除下第三磨牙（LTM）后。材料和方法。截至2022年3月，电子和手动文献检索由两名审稿人独立进行。结果。四项研究符合预先建立的纳入标准，并被纳入描述性分析。这些是对照临床试验，比较了116例患者和232例裂口病例中氰基丙烯酸酯与缝合线的效果。氰基丙烯酸酯组的疼痛和止血明显减少，肿胀在所分析的两项研究中显示出相同的结果，两组之间的牙关紧闭和愈合没有显着差异。Conclusions.两种技术都被发现在伤口闭合方面是有效的，提出氰基丙烯酸酯作为一种有效的资源，应该在未来的研究中进行研究。然而，关于氰基丙烯酸酯的文献很少，缺乏对其结果和影响的比较研究。
