PDF(Pubmed)
Abstract：
UNASSIGNED: Traditionally, sutures have been widely used to close intraoral wounds. Various alternatives have been developed amongst which newer tissue adhesives such as N-butyl-2-cyanoacrylate having accepted clinical properties are gaining popularity. The primary purpose of the present study is to evaluate the efficacy of N-butyl-2-cyanoacrylate for intraoral attached mucosal wound closure following alveoloplasty.
UNASSIGNED: In this prospective split-mouth study, 25 patients requiring alveoloplasty in either maxillary or mandibular arch bilaterally with a total of 50 sites were divided into two equal groups, namely silk suture (Group 1) and cyanoacrylate (Group 2). Each patient was evaluated on the first, third, seventh, 14th and 21st post-operative days. Parameters evaluated were time taken to close incision and to achieve haemostasis, pain, oedema, post-operative wound healing, patient discomfort and possible complications.
UNASSIGNED: Time taken to close incision, time taken to achieve haemostasis, post-operative pain and oedema were found to be less in Group 2. Wound healing too was found to be better in Group 2. There was one case of adhesive peel off on the first post-operative day which was managed by reapplying the tissue adhesive. The incidence of wound dehiscence and wound infection was observed more in Group 1 on the third post-operative day. Suture breakage (16%) and adhesive dislodgement (8%) were reported on the seventh post-operative day.
UNASSIGNED: The use of cyanoacrylates\' inherent benefits, such as improved wound seal off in attached mucosa, quick polymerisation and bacteriostatic characteristics can be beneficial when performing minor oral surgical procedures on elderly, young and mentally challenged patients.
UNASSIGNED: In this prospective split-mouth study, 25 patients requiring alveoloplasty in either maxillary or mandibular arch bilaterally with a total of 50 sites were divided into two equal groups, namely silk suture (Group 1) and cyanoacrylate (Group 2). Each patient was evaluated on the first, third, seventh, 14th and 21st post-operative days. Parameters evaluated were time taken to close incision and to achieve haemostasis, pain, oedema, post-operative wound healing, patient discomfort and possible complications.
UNASSIGNED: Time taken to close incision, time taken to achieve haemostasis, post-operative pain and oedema were found to be less in Group 2. Wound healing too was found to be better in Group 2. There was one case of adhesive peel off on the first post-operative day which was managed by reapplying the tissue adhesive. The incidence of wound dehiscence and wound infection was observed more in Group 1 on the third post-operative day. Suture breakage (16%) and adhesive dislodgement (8%) were reported on the seventh post-operative day.
UNASSIGNED: The use of cyanoacrylates\' inherent benefits, such as improved wound seal off in attached mucosa, quick polymerisation and bacteriostatic characteristics can be beneficial when performing minor oral surgical procedures on elderly, young and mentally challenged patients.
摘要：
■传统上，缝合线已广泛用于闭合口内伤口。已经开发了各种替代方案,其中较新的组织粘合剂例如具有公认的临床性质的N-丁基-2-氰基丙烯酸酯越来越受欢迎。本研究的主要目的是评估N-丁基-2-氰基丙烯酸酯对肺泡成形术后口内附着的粘膜伤口闭合的功效。
■在这项前瞻性口裂研究中，25例需要在上颌或下颌弓两侧进行肺泡成形术的患者，共50个部位，分为两组。即丝线(组1)和氰基丙烯酸酯(组2)。每个病人都在第一次评估，第三,第七,术后第14天和第21天。评估的参数是闭合切口和达到止血所需的时间，疼痛,水肿,术后伤口愈合,患者不适和可能的并发症。
■闭合切口所需的时间，止血所需的时间，发现第2组术后疼痛和水肿较少。发现在第2组中伤口愈合也更好。术后第一天有一例粘合剂剥离，这是通过重新施加组织粘合剂来管理的。在术后第三天，第1组中观察到伤口裂开和伤口感染的发生率更高。术后第七天报告了缝合线断裂（16％）和粘合剂脱落（8％）。
■使用氰基丙烯酸酯的固有好处，如改善附着粘膜的伤口密封，快速聚合和抑菌特性可以是有益的，当执行小型口腔外科手术对老年人，年轻和智障患者。
■在这项前瞻性口裂研究中，25例需要在上颌或下颌弓两侧进行肺泡成形术的患者，共50个部位，分为两组。即丝线(组1)和氰基丙烯酸酯(组2)。每个病人都在第一次评估，第三,第七,术后第14天和第21天。评估的参数是闭合切口和达到止血所需的时间，疼痛,水肿,术后伤口愈合,患者不适和可能的并发症。
■闭合切口所需的时间，止血所需的时间，发现第2组术后疼痛和水肿较少。发现在第2组中伤口愈合也更好。术后第一天有一例粘合剂剥离，这是通过重新施加组织粘合剂来管理的。在术后第三天，第1组中观察到伤口裂开和伤口感染的发生率更高。术后第七天报告了缝合线断裂（16％）和粘合剂脱落（8％）。
■使用氰基丙烯酸酯的固有好处，如改善附着粘膜的伤口密封，快速聚合和抑菌特性可以是有益的，当执行小型口腔外科手术对老年人，年轻和智障患者。
