Versatility of n-butyl-2-Cyanoacrylate for the Reconstruction of Frontal Sinus Comminuted Fracture in Children.
- Author:
Yong Seok LEE
1
;
Sang Gue KANG
;
Nam Joo CHUN
;
Cheol Hann KIM
;
Min Seong TARK
Author Information
1. Department of Plastic and Reconstructive Surgery, College of Medicine, Soonchunhyang University, Seoul, Korea. ksps1108@hanmail.net
- Publication Type:Case Report
- Keywords:
Comminuted fracture;
Histoacryl(R)
- MeSH:
Child;
Enbucrilate;
Facial Bones;
Foreign Bodies;
Fractures, Comminuted;
Frontal Sinus;
Humans;
Reoperation;
Tissue Adhesives
- From:Journal of the Korean Society of Plastic and Reconstructive Surgeons
2011;38(1):96-101
- CountryRepublic of Korea
- Language:Korean
-
Abstract:
PURPOSE: In treatment of facial bone fracture, occurred in children, we generally use wires, miniplate, absorbable plate or their combination. These foreign bodies can be palpable, and sometimes may cause infections, and need reoperation for removing. When bone fragments are multiple, small or thin, they are hard to handle and make accurate reduction of all fragments. In these cases, a biodegradable tissue adhesive, Histoacryl(R) (n-butyl-2-cyanoacrylate), can be used as fixation technique for small, multiple, and thin fracture fragments. METHODS: 3 years old and 6 years old children, who has comminuted fracture on frontal sinus, we used Histoacryl(R) for fixation of multiple bone fragments. After approaching by coronal incision, we pulled out all bone fragments and reconstructed bone fragments by Histoacryl(R) and fixed those on frontal sinus by absorbable plates. RESULTS: Photographs and 3-dimensional CT obtained preoperatively and postoperatively. And we compared them each other in terms of accuracy of reconstructed bony contour. We could reconstruct almost all bone fragments easily along 3-dimensional structure and get excellent aesthetic results. There was no complication such as infection. CONCLUSION: In treatment of comminuted facial bone fracture, occurred in children, Histoacryl(R) is an excellent method for accurate reconstruction in small and thin bone fragments which cannot be fixed by wire, miniplate or absorbable plate without complication.
