Shupak Raymond P, Blackmore Sid, Kim Roderick Y
Division of Maxillofacial Oncology and Reconstructive Surgery, John Peter Smith Health Network , Fort Worth , Texas.
Department of Oral and Maxillofacial Surgery, Naval Medical Center , San Diego , California.
Proc (Bayl Univ Med Cent). 2021 Jun 15;34(6):736-738. doi: 10.1080/08998280.2021.1935140. eCollection 2021.
Tissue adhesives are commonly used for skin closure in both surgical and nonsurgical specialties. Although they are very well tolerated, tissue adhesives can induce a localized allergic response in 0.5% to 14% of patients. Allergic response can result in wound dehiscence, patient discomfort, increased healing time, and suboptimal esthetic results. We present two cases of allergic reaction to anterior neck incisions following topical application of tissue adhesives. The patients were managed with local wound care, steroid administration, and one with subsequent revision surgery. Clinicians who routinely use tissue adhesives should understand the incidence, risk factors, and management of allergic reaction to these products.
组织粘合剂常用于外科和非外科专业的皮肤缝合。尽管它们耐受性良好，但在0.5%至14%的患者中，组织粘合剂可引发局部过敏反应。过敏反应可导致伤口裂开、患者不适、愈合时间延长以及美学效果欠佳。我们报告两例在前颈部切口局部应用组织粘合剂后发生过敏反应的病例。患者接受了局部伤口护理、类固醇给药治疗，其中一例随后接受了修复手术。经常使用组织粘合剂的临床医生应了解这些产品过敏反应的发生率、危险因素及处理方法。
