Greenhill Gillian A, O'Regan Barry
Queen Margaret Hospital, Dunfermline, Fife, Scotland, United Kingdom.
Br J Oral Maxillofac Surg. 2009 Jun;47(4):290-3. doi: 10.1016/j.bjoms.2009.01.011. Epub 2009 Feb 26.
Suturing is the usual technique for cutaneous wound closure after parotidectomy and gives a satisfactory aesthetic appearance for most patients. Late complications include the development of hypertrophic and keloid scars, the incidence of which ranges from 5% to 16% in elective cases. We studied the use of N-butyl 2-cyanoacrylate (Indermil) for closure of parotid wounds in 100 consecutive patients over a period of 7 years, our main aim being to establish the incidence of hypertrophic and keloid scars after the use of Indermil. We also wanted to explore the potential advantages of this technique as an alternative method of wound closure. The incidence of hypertrophic and keloid scars was 8 and 9, respectively. The technique is simple and safe, and the incidence of hypertrophic and keloid scars within the accepted range for sutures.
腮腺切除术后，缝合是皮肤伤口闭合的常用技术，大多数患者的外观效果令人满意。晚期并发症包括增生性瘢痕和瘢痕疙瘩的形成，在择期手术病例中，其发生率为5%至16%。我们在7年时间里对100例连续患者使用2-氰基丙烯酸正丁酯（Indermil）闭合腮腺伤口进行了研究，主要目的是确定使用Indermil后增生性瘢痕和瘢痕疙瘩的发生率。我们还想探索该技术作为一种替代伤口闭合方法的潜在优势。增生性瘢痕和瘢痕疙瘩的发生率分别为8例和9例。该技术简单安全，增生性瘢痕和瘢痕疙瘩的发生率在缝合术可接受的范围内。
