5- Cyanoacrylate glue in tympanoplasty

Abstract

OBJECTIVES:

To present a case included the use of tissue glue composed of N-butil-2-cyanoacrylate during type 1 tympanoplasty and its impact on the surgical and functional results of the procedure. In addition, to recognize any local or systematic side effects from the use of this material locally in the ear during the surgery. A review of the published literature about the usage of the tissue adhesives in tympanoplasty to investigate its history, advantages, disadvantages and safety, would be performed.

METHODS:

A case with a dry central tympanic membrane perforation was operated upon with type 1 tympanoplasty using autogenous temporalis fascia graft and the glue to fix the graft to flaps and surroundings, with follow-up for six months post-operatively. The main outcome measure was a healed and intact tympanic membrane. The hearing results were obtained following the 1995 guidelines described by the American Academy of Otolaryngology Head and Neck Surgery Committee on Hearing and Equilibrium for evaluation of results of treatment of conductive hearing loss.

RESULTS:

A healed intact tympanic membrane without lateralization or anterior blunting and with near normal membrane translucency was achieved. The post-operative air-bone gap was less than 10dB. No significant complications were recorded.

CONCLUSIONS:

The tissue glue composed of N-butil-2- cyanoacrylate was used safely during type 1 tympanoplasty with successful closure of the perforation.