Abstract

SURIANO, M.M.; STIRBU, O.; PEREZ M., D.  and  SERRA SEGARRA, M.. Blepharoplasty: to suture or to use cyanoacrylate?. Arch Soc Esp Oftalmol [online]. 2011, vol.86, n.3, pp.81-84. ISSN 0365-6691.

Objective: To study the safety and surgical time required when using the tissue adhesive 2-ethyl-cyanoacrylate compared with conventional suture in upper lid blepharoplasty. Method: A retrospective study was performed on 40 eyes of 20 patients who underwent bilateral upper lid blepharoplasty. In 7 patients, continuous non-absorbable suture (6-0 nylon monofilament Ethilon^®, Ethicon Inc., Somerville, NJ) was used for closure of the incision and in 13 patients 2-ethyl-cyanoacrylate (Epiglue^®, Meyer -Haake, Germany) was used. The variables studied were intraoperative time required to close the incision, the cost of the material used and the incidence of infections and suture dehiscence. Results: The average time taken to close the incision was 6.069 minutes with cyanoacrylate and 11.914 minutes with conventional suture (P<.05). The price of surgical material used was practically similar. No cases of infection or wound dehiscence were found. Conclusion: The closure of the incision in upper lid blepharoplasty using 2-ethyl-cyanoacrylate is a safe, effective, and faster, but not less expensive method than conventional suture.

Keywords : Suture; Cyanoacrylate; Blepharoplasty.

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