Clayman Eric, Billington Alicia, Cruse Carl Wayne
Department of Plastic Surgery, University of South Florida, Morsani College of Medicine, Tampa, Florida, USA.
J Cutan Aesthet Surg. 2020 Jan-Mar;13(1):35-37. doi: 10.4103/JCAS.JCAS_64_19.
Cyanoacrylate is an acrylic resin that is used as an adhesive in acrylic nail glues and various other strong, rapidly acting adhesives, such as "Dermabond" and "Super Glue." This adhesive is very effective in a variety of settings; however, when cyanoacrylate comes into contact with cotton fibers, an exothermic reaction occurs that is severe enough to cause a full-thickness burn to the underlying skin. Full-thickness burns requiring excision and skin grafting can be psychologically devastating for patients, especially the pediatric population and their parents, who may believe they are to blame for their child's burn. We present the case of a 2-year-old boy who developed a full-thickness burn after spilling acrylic nail glue onto his cotton shirt. Fortunately, his burn was small enough that excision with primary closure was able to be performed. However, he unfortunately developed hypertrophic scarring postoperatively. Owing to the widespread use of cyanoacrylate adhesives in the general population, it is important to spread awareness of the potential dangers associated with these adhesives to prevent potential physical and psychological injuries related to improper use of these adhesives.
氰基丙烯酸酯是一种丙烯酸树脂，用作丙烯酸指甲胶和各种其他强力、速干型胶粘剂中的粘合剂，如“皮肤粘合剂”和“强力胶”。这种粘合剂在多种情况下都非常有效；然而，当氰基丙烯酸酯与棉纤维接触时，会发生放热反应，严重到足以导致皮肤下层全层烧伤。需要进行切除和植皮的全层烧伤对患者，尤其是儿童及其父母来说，可能会造成心理上的极大伤害，他们可能会认为孩子的烧伤是自己的责任。我们报告一例2岁男孩病例，他将丙烯酸指甲胶洒在棉质衬衫上后出现了全层烧伤。幸运的是，他的烧伤面积较小，能够进行一期缝合切除。然而，不幸的是，他术后出现了增生性瘢痕。由于氰基丙烯酸酯胶粘剂在普通人群中广泛使用，因此有必要提高对这些胶粘剂潜在危险的认识，以防止因不当使用这些胶粘剂而导致的潜在身体和心理伤害。
