Skip to main page content
U.S. flag

An official website of the United States government

Dot gov

The .gov means it’s official.
Federal government websites often end in .gov or .mil. Before sharing sensitive information, make sure you’re on a federal government site.

Https

The site is secure.
The https:// ensures that you are connecting to the official website and that any information you provide is encrypted and transmitted securely.

Access keys NCBI Homepage MyNCBI Homepage Main Content Main Navigation
. 2023 Aug 31;13(9):1350.
doi: 10.3390/jpm13091350.

Comparative Evaluation of Tissue Adhesives and Sutures in the Management of Facial Laceration Wounds in Children

Yu-Chi Tsai  1   2 , Dun-Wei Huang  1 , Yu-Yu Chou  1 , Yu-Chin An  3 , Yung-Sheng Cheng  4 , Po-Huang Chen  5 , Yuan-Sheng Tzeng  1   6
Affiliations

Comparative Evaluation of Tissue Adhesives and Sutures in the Management of Facial Laceration Wounds in Children

Yu-Chi Tsai et al. J Pers Med. .

Abstract

Background: This study evaluated tissue adhesives in comparison to sutures for treating facial lacerations in children.

Methods: We retrospectively analyzed data from September 2017 to August 2022 involving pediatric facial lacerations managed with either tissue adhesives or sutures.

Results: Among 50 children, 20 received tissue adhesives, and 30 received sutures. Both methods showed comparable outcomes in terms of wound complications such as dehiscence (adjusted odds ratio = 1.56, 95% CI = 0.08-31.25) and infection (adjusted odds ratio = 2.17, 95% CI = 0.08-58.80). The cosmetic outcomes, assessed using the Hollander Wound Evaluation Score, were also consistent between groups (adjusted beta = -0.55, 95% CI = -1.15-0.05). Notably, those treated with tissue adhesives reported greater satisfaction (adjusted beta = 1.13, 95% CI = 0.63 -1.63) and experienced significantly less pain (adjusted beta = -3.03, 95% CI = -4.15--1.90).

Conclusions: Both techniques displayed similar rates of infection, dehiscence, and cosmetic outcomes. However, tissue adhesives were associated with increased patient comfort, especially in terms of reduced pain and greater satisfaction.

Keywords: child; laceration; suture; tissue adhesives; wound.

PubMed Disclaimer

Conflict of interest statement

The authors declare no conflict of interest.

Figures

Figure 1
Figure 1
Flow diagram of patient selections.
Figure 2
Figure 2
Tissue adhesive treatment in a 4-year-old girl’s facial laceration. (A) Initial 2 cm facial laceration (white arrow). (B) Wound status at 7-day follow-up, showing significant healing. (C) Three months post-treatment, with a Hollander Wound Evaluation Score (HWES) of 0, indicating near-perfect recovery.
See this image and copyright information in PMC

References

    1. Lawton B., Hadj A. Laceration repair in children. Aust. Fam. Physician. 2014;43:600–602. - PubMed
    1. Singer A.J., Hollander J.E., Valentine S.M., Thode H.C., Jr., Henry M.C. Association of training level and short-term cosmetic appearance of repaired lacerations. Acad. Emerg. Med. 1996;3:378–383. doi: 10.1111/j.1553-2712.1996.tb03454.x. - DOI - PubMed
    1. Singer A.J., Hollander J.E., Quinn J.V. Evaluation and management of traumatic lacerations. N. Engl. J. Med. 1997;337:1142–1148. doi: 10.1056/NEJM199710163371607. - DOI - PubMed
    1. McLenon J., Rogers M.A.M. The fear of needles: A systematic review and meta-analysis. J. Adv. Nurs. 2019;75:30–42. doi: 10.1111/jan.13818. - DOI - PubMed
    1. Shivamurthy D.M., Singh S., Reddy S. Comparison of octyl-2-cyanoacrylate and conventional sutures in facial skin closure. Natl. J. Maxillofac. Surg. 2010;1:15–19. doi: 10.4103/0975-5950.69151. - DOI - PMC - PubMed

LinkOut - more resources