背景:耳鼻喉科的皮肤闭合技术因外科医生的偏好和伤口部位而异。2-氰基丙烯酸辛酯可能是安全的,快速,和成本效益高的选择后关闭现场。
目的:这项随机对照试验研究旨在比较2-氰基丙烯酸辛酯和常规表皮下缝线在耳部手术中的应用,评估病例组和对照组的伤口闭合结果。
方法:这种前瞻性,随机化,控制,单盲研究于2021年5月至2022年5月在Ohud医院进行.对患者进行耳部手术和人工耳蜗植入检查,每组随机分配接受DermabondTM和深层表皮下缝合。在不同的时间点评估切口,包括3周,6周,6个月,术后1年。使用患者和观察者疤痕评估量表,两名独立的耳外科医生使用StonyBrook疤痕评估量表进行初始疤痕评估。
结果:这项研究涉及126名耳部手术和耳蜗植入患者,随机使用氰基丙烯酸酯组织粘合剂或表皮下缝合线进行端口部位闭合。研究发现,组织粘合剂(OCA)比标准缝线更快,更有效,每只耳朵每个切口平均节省12分钟。切开美容显示出即时结果和显着差异,患者对OCA伤口闭合的满意度高于标准缝线。
结论:研究结果证实,氰基丙烯酸酯组织粘合剂显著缩短了耳部手术期间皮肤闭合所需的时间,并显示出立即的美容改善,没有任何出血的情况。血肿,感染,或伤口分离。
方法:这是一项随机对照试验,它遵循二级证据。具有戏剧性效果的喉镜随机试验或观察性研究,2024.
BACKGROUND: Skin closure techniques in otolaryngology vary based on surgeon preference and wound site. Octyl-2-Cyanoacrylate may be a safe, rapid, and cost-effective option for post-site closure.
OBJECTIVE: This randomized controlled trial study aimed to compare Octyl-2-Cyanoacrylate and conventional subcuticular sutures in ear surgeries, assessing wound closure results in both case and control groups.
METHODS: This prospective, randomized, controlled, single-blind study was conducted at Ohud Hospital from May 2021 to May 2022. Ear surgery and cochlear implantation in patients were examined, and each group was randomly assigned to receive Dermabond TM and deep layer subcuticular sutures closure. Incisions were assessed at various time points, including 3 weeks, 6 weeks, 6 months, and 1 year post-surgery. The patient and observer Scar Assessment Scale was used, and two independent ear surgeons used the Stony Brook Scar Evaluation Scale for initial scar assessment.
RESULTS: This study involved 126 ear surgery and cochlear implantation patients randomized to use cyanoacrylate tissue adhesive or subcuticular suture for port site closure. The study found that tissue adhesive (OCA) was faster and more efficient than standard sutures, saving an average of 12 min per incision in each ear. Incision cosmesis showed immediate results and significant differences, and patient satisfaction with OCA wound closure was higher than standard sutures.
CONCLUSIONS: The findings confirmed that cyanoacrylate tissue adhesive significantly reduced the time needed for skin closure during ear surgery and showed immediate cosmetic improvements without any documented instances of bleeding, hematoma, infection, or wound separation.
METHODS: This is a randomized controlled trial, it follows Level 2 of evidence. Randomized trial or observational study with dramatic effects Laryngoscope, 134:4036-4041, 2024.