Monday, July 15, 2013

Dermabond ... The Tongue?

In an addition to the pages of possibly brilliant innovations, this is a case report of an attempt to use 2-octyl cyanoacrylate (Dermabond) on the tongue.  The authors document a gaping laceration to the tongue on a pediatric patient – and a family that refused consent for sedation and suture repair.  So, even though Dermabond is not recommended for use on mucosal surfaces – onward!

After extensive drying, the authors document secure and successful closure.  However, at the 24 hour wound check, the glue had begun to detach, requiring removal of the first application and a second treatment.  No further complications were encountered, and a 14-day revisit showed complete resolution of the injury.

I agree with these authors – the tongue is not a trivial repair, particularly in the unruly youth.  The risk is probably minimal – although, the tissue adhesive could be problematic if it comes detached.  The laceration itself is documented in images – and, while it's possible the still images don't tell the story, I'm not sure it necessitated any repair at all.

I appreciate the novel use, but it's unclear if this is a technique worth much enthusiasm in revisiting.

"Pediatric Tongue Laceration Repair Using 2-Octyl Cyanoacrylate (Dermabond)"

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