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Cleft lip repair without suture removal.

T W Collin¹, K Blyth, P D Hodgkinson

¹Department of Plastic and Reconstructive Surgery, Royal Victoria Infirmary, Newcastle upon Tyne, UK. tomcollin72@googlemail.com

Journal of Plastic, Reconstructive & Aesthetic Surgery : JPRAS

|November 26, 2008

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This study found that using cyanoacrylate adhesive (Dermabond) alongside dissolvable sutures for cleft lip repair significantly reduces the need for suture removal and patient distress. This innovative technique offers a less invasive and more comfortable alternative for pediatric patients undergoing cleft lip surgery.

Area of Science:

Plastic Surgery
Pediatric Surgery
Wound Healing

Background:

Non-absorbable sutures in cleft lip repair necessitate additional dressings and painful removal procedures.
These traditional methods can cause significant distress to pediatric patients and risk disrupting the surgical repair.
Modern medical adhesives offer a potential alternative for skin closure in pediatric surgical procedures.

Purpose of the Study:

To evaluate the efficacy and outcomes of using cyanoacrylate adhesive as an adjunctive technique for skin closure in cleft lip repair.
To compare the results of cleft lip repairs using a combination of dissolvable sutures and medical adhesives versus traditional suture methods.
To provide data supporting the continued use of this modified technique in a specialized cleft lip and palate unit.

Main Methods:

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An audit was conducted on cleft lip repairs performed after the adoption of a new closure technique in 2005.
The technique involved using a few interrupted sutures of 7/0 Vicryl Rapide followed by layers of cyanoacrylate adhesive (Dermabond).
Subjective and objective data were collected to assess the outcomes of the surgical repairs.

Main Results:

The use of cyanoacrylate adhesive alongside dissolvable sutures reduced the need for suture removal procedures.
This approach minimized patient distress associated with traditional suture removal under sedation or general anesthesia.
The technique demonstrated favorable subjective and objective outcomes in cleft lip repair.

Conclusions:

The combined use of dissolvable sutures and cyanoacrylate adhesive (Dermabond) is a viable and beneficial alternative for cleft lip repair.
This technique offers advantages over non-absorbable sutures by reducing patient discomfort and the need for secondary procedures.
The Newcastle Cleft Lip and Palate Unit recommends the continued use of this innovative approach for improved pediatric surgical outcomes.