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.
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.
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.
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.
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- Tissue adhesives for traumatic lacerations: a systematic review of randomized controlled trial.Acad Emerg Med. 2003; 10: 110-118
- Novel applications of Dermabond (2-octyl -cyanoacrylate) in cardiothoracic surgery.Surg Technol Int. 2007; 16: 46-51
- Randomized prospective study comparing conventional subcuticular skin closure with Dermabond skin glue after saphenous vein harvesting.Ann Thorac Surg. 2009; 88: 1445-1449
- Prospective randomised study to evaluate the use of Dermabond ProPen (2-octylcyanoacrylate) in the closure of abdominal wounds versus closure with skin staples in patients undergoing elective colectomy.Int J Colorectal Dis. 2010; 25: 899-905
- Histotoxicity of cyanoacrylate tissue adhesives: comparative study.Arch Otolaryngol Head Neck Surg. 1990; 116: 546-550
- Use of 2-octyl cyanoacrylate for the repair of a fractured molar tooth.Ann Emerg Med. 2006; 47: 424-426
- A comparison of Dermabond tissue adhesive and sutures in the primary repair of the congenital cleft lip.Ann Plast Surg. 2007; 58: 121-125
- Effectiveness and safety of tisuacryl in treating dentin hypersensitivity.MEDICC Rev. 2010; 12: 24-28
Published online: July 08, 2013
Accepted: May 1, 2013
Received in revised form: January 24, 2013
Received: April 12, 2012
© 2013 Elsevier Inc. Published by Elsevier Inc. All rights reserved.