Abstract
Background
Tongue lacerations provide a challenge for emergency physicians, especially in the
case of pediatric patients. Traditional wound closure typically involves local anesthesia
or procedural sedation in children, which is time consuming and often anxiety provoking
for providers, patients, and parents. 2-Octyl cyanoacrylate (Dermabond®; Ethicon, Inc., Sommerville, NJ) has been used in the context of the emergency department
for successful repair of lacerations, however, is not marketed for use on mucosal
or intraoral surfaces. This case report describes an alternative manner of tongue
laceration repair by the use of 2-octyl cyanoacrylate.
Objective
2-Octyl cyanoacrylate is generally not indicated for intraoral use. Our case demonstrates
a situation in which it was used safely and effectively to repair a tongue laceration.
Case Report
A 7-year-old boy presented to the emergency department after sustaining a large tongue
laceration requiring repair. The boy's parent refused traditional wound repair with
suturing due to concerns regarding the pain of local anesthesia administration, as
well as risks posed by procedural sedation. The wound was repaired using the tissue
adhesive 2-octyl cyanoacrylate. The patient tolerated the procedure well and there
were no complications in the patient's course. Good cosmetic results were achieved
using this method.
Conclusions
Tongue lacerations and other intraoral lacerations are challenging to repair, especially
in pediatric patients. The use of tissue adhesives such as 2-octyl cyanoacrylate is
very likely safe and may provide an expedient manner in which to repair such lesions
with good cosmetic results.
Keywords
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References
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Article info
Publication history
Published online: July 08, 2013
Accepted:
May 1,
2013
Received in revised form:
January 24,
2013
Received:
April 12,
2012
Identification
Copyright
© 2013 Elsevier Inc. Published by Elsevier Inc. All rights reserved.
