Skip to main content
Top
Published in: European Archives of Oto-Rhino-Laryngology 7/2012

01-07-2012 | Rhinology

In vitro and in vivo studies on the use of Histoacryl® as a soft tissue glue

Authors: G. Schneider, K. Otto

Published in: European Archives of Oto-Rhino-Laryngology | Issue 7/2012

Login to get access

Abstract

The skin adhesive Histoacryl® consists of n-butyl-2-cyanoacrylate which polymerises in contact with moisture. It is not fully biodegradable, produces heat during polymerisation and releases products which are toxic and inhibit cell growth. Clinical application is exclusively approved to glue skin. However, there are also clinical studies and case reports in the scientific literature, which discuss the application of Histoacryl® as a soft tissue adhesive. In parallel to an analysis of the literature which discusses the usage of Histoacryl® in head and neck surgery, we performed in vitro and in vivo investigations with this adhesive. In vitro, the vitality of cultured cell lines which where treated with extracts of Histoacryl® was determined with a viability assay. In addition, Histoacryl® was examined by fixing defined mucous membrane of the nasal septum in an animal study in rabbits. The analysis of the literature shows both positive and negative results for the application of Histoacryl® as a soft tissue adhesive depending on the manner and place of the application as well as the applied amount of glue. Our own results confirm a negative influence of Histoacryl® on the viability of cultured cells and soft tissue. The histological examination showed that a better biocompatibility is achieved if the glue is used in small amounts. Both the literature study as well as the in vitro and in vivo examinations showed that the usage of Histoacryl® as a soft tissue glue may be arguable. Critical factors are the moisture at the application area and the applied amount of glue.
Literature
1.
2.
go back to reference Panis R, Scheele J (1981) Risk of hepatitis in fibrin adhesion. Laryngol Rhinol Otol 60:367–368CrossRef Panis R, Scheele J (1981) Risk of hepatitis in fibrin adhesion. Laryngol Rhinol Otol 60:367–368CrossRef
3.
go back to reference Petersen B, Barkun A, Carpenter S, Chotiprasidhi P, Chuttani R, Silverman W, Hussain N, Liu J, Taitelbaum G, Ginsberg GG (2004) Tissue adhesives and fibrin glues. Gastrointest Endosc 60:327–333PubMedCrossRef Petersen B, Barkun A, Carpenter S, Chotiprasidhi P, Chuttani R, Silverman W, Hussain N, Liu J, Taitelbaum G, Ginsberg GG (2004) Tissue adhesives and fibrin glues. Gastrointest Endosc 60:327–333PubMedCrossRef
4.
go back to reference Chao HH, Torchiana DF (2003) BioGlue: albumin/glutaraldehyde sealant in cardiac surgery. JCS 18:500–503 Chao HH, Torchiana DF (2003) BioGlue: albumin/glutaraldehyde sealant in cardiac surgery. JCS 18:500–503
5.
go back to reference Costa HJ, Pereira CS, Costa MP, Fabri FS, Lancellotti CL, Dolci JE (2006) Comparison of butyl-2-cyanoacrylate, gelatin-resorcin-formaldehyde (GRF) compound and suture in stabilization of cartilage grafts in rabbits. Braz J Otorhinolaryngol 72:61–71PubMed Costa HJ, Pereira CS, Costa MP, Fabri FS, Lancellotti CL, Dolci JE (2006) Comparison of butyl-2-cyanoacrylate, gelatin-resorcin-formaldehyde (GRF) compound and suture in stabilization of cartilage grafts in rabbits. Braz J Otorhinolaryngol 72:61–71PubMed
6.
go back to reference Friedman M, Schalch P (2008) Middle turbinate medialization with bovine serum albumin tissue adhesive (BioGlue). Laryngoscope 118:335–338PubMedCrossRef Friedman M, Schalch P (2008) Middle turbinate medialization with bovine serum albumin tissue adhesive (BioGlue). Laryngoscope 118:335–338PubMedCrossRef
7.
go back to reference Bernard L, Doyle J, Friedlander SF, Eichenfield LF, Gibbs NF, Cunningham BB (2001) A prospective comparison of octyl cyanoacrylate tissue adhesive (dermabond) and suture for the closure of excisional wounds in children and adolescents. Arch Dermatol 137:1177–1180PubMed Bernard L, Doyle J, Friedlander SF, Eichenfield LF, Gibbs NF, Cunningham BB (2001) A prospective comparison of octyl cyanoacrylate tissue adhesive (dermabond) and suture for the closure of excisional wounds in children and adolescents. Arch Dermatol 137:1177–1180PubMed
8.
go back to reference Leggat PA, Smith DR, Kedjarune U (2007) Surgical applications of cyanoacrylate adhesives: a review of toxicity. ANZ J Surg 77:209–213PubMedCrossRef Leggat PA, Smith DR, Kedjarune U (2007) Surgical applications of cyanoacrylate adhesives: a review of toxicity. ANZ J Surg 77:209–213PubMedCrossRef
9.
go back to reference Graefe H, Wollenberg B, Brocks C (2008) Einsatz von Hautklebern in der Kopf-Hals-Chirurgie. HNO 56:947–954PubMedCrossRef Graefe H, Wollenberg B, Brocks C (2008) Einsatz von Hautklebern in der Kopf-Hals-Chirurgie. HNO 56:947–954PubMedCrossRef
10.
go back to reference Battaglia G, Morbin T, Patarnello E, Merkel C, Corona MC, Ancona E (2000) Visceral fistula as a complication of endoscopic treatment of esophageal and gastric varices using isobutyl-2-cyanoacrylate: report of two cases. Gastrointest Endosc 52:267–270PubMedCrossRef Battaglia G, Morbin T, Patarnello E, Merkel C, Corona MC, Ancona E (2000) Visceral fistula as a complication of endoscopic treatment of esophageal and gastric varices using isobutyl-2-cyanoacrylate: report of two cases. Gastrointest Endosc 52:267–270PubMedCrossRef
11.
go back to reference Dadaş B, Alkan S, Cifci M, Başak T (2007) Treatment of tripod fracture of zygomatic bone by N-2-butyl cyanoacrylate glue fixation, and its effects on the tissues. Eur Arch Otorhinolaryngol 264:539–544PubMedCrossRef Dadaş B, Alkan S, Cifci M, Başak T (2007) Treatment of tripod fracture of zygomatic bone by N-2-butyl cyanoacrylate glue fixation, and its effects on the tissues. Eur Arch Otorhinolaryngol 264:539–544PubMedCrossRef
12.
go back to reference Pérez M, Fernández I, Márquez D, Bretaña RMG (2000) Use of N-butyl-2-cyanoacrylate in oral surgery: biological and clinical evaluation. Artif Organs 24:241–243PubMedCrossRef Pérez M, Fernández I, Márquez D, Bretaña RMG (2000) Use of N-butyl-2-cyanoacrylate in oral surgery: biological and clinical evaluation. Artif Organs 24:241–243PubMedCrossRef
13.
go back to reference Choi BH, Kim BY, Huh JY, Lee SH, Zhu SJ, Jung JH, Li J (2006) Cyanoacrylate adhesive for closing sinus membrane perforations during sinus lifts. J Craniomaxillofac Surg 34:505–509PubMedCrossRef Choi BH, Kim BY, Huh JY, Lee SH, Zhu SJ, Jung JH, Li J (2006) Cyanoacrylate adhesive for closing sinus membrane perforations during sinus lifts. J Craniomaxillofac Surg 34:505–509PubMedCrossRef
14.
go back to reference Costa HJ, Pereira CS, Costa MP, Fabri FS, Lancellotti CL, Dolci JE (2007) Experimental comparative study in rabbits of three different ways of cartilage graft fixation: suture, gelatin-resorcin-formaldehyde and butyl-2-cyanoacrylate. Acta Otolaryngol 127:947–951PubMedCrossRef Costa HJ, Pereira CS, Costa MP, Fabri FS, Lancellotti CL, Dolci JE (2007) Experimental comparative study in rabbits of three different ways of cartilage graft fixation: suture, gelatin-resorcin-formaldehyde and butyl-2-cyanoacrylate. Acta Otolaryngol 127:947–951PubMedCrossRef
15.
go back to reference Alkan S, Dadaş B, Çelik D, Coskun B, Yılmaz F, Başak T (2007) The efficacy of N-2-butyl cyanoacrylate in the fixation of nasal septum to the anterior nasal spine in rabbits: experimental study. Eur Arch Otorhinolaryngol 264:1425–1430PubMedCrossRef Alkan S, Dadaş B, Çelik D, Coskun B, Yılmaz F, Başak T (2007) The efficacy of N-2-butyl cyanoacrylate in the fixation of nasal septum to the anterior nasal spine in rabbits: experimental study. Eur Arch Otorhinolaryngol 264:1425–1430PubMedCrossRef
16.
go back to reference Aksoy F, Yilmaz F, Yildirim Y, Gideroglu K, Tatar Z (2010) Use of N-butyl cyanoacrylate in nasal septoplasty: histopathological evaluation using rabbit nasal septum model. J Laryngol Otol 124:753–758PubMedCrossRef Aksoy F, Yilmaz F, Yildirim Y, Gideroglu K, Tatar Z (2010) Use of N-butyl cyanoacrylate in nasal septoplasty: histopathological evaluation using rabbit nasal septum model. J Laryngol Otol 124:753–758PubMedCrossRef
17.
go back to reference Saska S, Gaspar AMM, Hochuli-Vieira E (2009) Cyanoacrylate adhesives for the synthesis of soft tissue. An Bras Dermatol 84:585–592PubMedCrossRef Saska S, Gaspar AMM, Hochuli-Vieira E (2009) Cyanoacrylate adhesives for the synthesis of soft tissue. An Bras Dermatol 84:585–592PubMedCrossRef
18.
go back to reference Tzifa KT, Maxwell EL, Chait P, James AL, Forte V, Ein SH, Friedburg J (2006) Endoscopic treatment of congenital H-type and recurrent tracheoesophageal fistula with electrocautery and Histoacryl glue. Int J Pediatr Otorhinolaryngol 70:925–930PubMedCrossRef Tzifa KT, Maxwell EL, Chait P, James AL, Forte V, Ein SH, Friedburg J (2006) Endoscopic treatment of congenital H-type and recurrent tracheoesophageal fistula with electrocautery and Histoacryl glue. Int J Pediatr Otorhinolaryngol 70:925–930PubMedCrossRef
19.
go back to reference Bhalla RK, Lesser TH (2003) Simple, painless, cosmetic closure of endaural incisions. J Laryngol Otol 117:67–68PubMedCrossRef Bhalla RK, Lesser TH (2003) Simple, painless, cosmetic closure of endaural incisions. J Laryngol Otol 117:67–68PubMedCrossRef
20.
go back to reference Adamson RM, Jeannon JP, Stafford F (2000) A traumatic ossicular disruption successfully repaired with n-butyl cyanoacrylate tissue adhesive. J Laryngol Otol 114:130–131PubMedCrossRef Adamson RM, Jeannon JP, Stafford F (2000) A traumatic ossicular disruption successfully repaired with n-butyl cyanoacrylate tissue adhesive. J Laryngol Otol 114:130–131PubMedCrossRef
21.
go back to reference Remonda L, Schroth G, Caversaccio M, Ladrach K, Lovblad KO, Zbaren P, Raveh J (2000) Endovascular treatment of acute and subacute hemorrhage in the head and neck. Arch Otolaryngol Head Neck Surg 126:1255–1262PubMed Remonda L, Schroth G, Caversaccio M, Ladrach K, Lovblad KO, Zbaren P, Raveh J (2000) Endovascular treatment of acute and subacute hemorrhage in the head and neck. Arch Otolaryngol Head Neck Surg 126:1255–1262PubMed
22.
go back to reference Abdullah A, Sachithanandan S, Tan O, Chan Y, Khoo D, Mohamed ZF, Omar H, Tan S, Oemar H (2009) Cerebral embolism following N-butyl-2-cyanoacrylate injection for esophageal postbanding ulcer bleed: a case report. Hepatol Int 3:504–508PubMedCrossRef Abdullah A, Sachithanandan S, Tan O, Chan Y, Khoo D, Mohamed ZF, Omar H, Tan S, Oemar H (2009) Cerebral embolism following N-butyl-2-cyanoacrylate injection for esophageal postbanding ulcer bleed: a case report. Hepatol Int 3:504–508PubMedCrossRef
23.
go back to reference Wai CT, Sutedja DS, Khor CJL, Teoh KF, Yeoh KG (2005) Esophageal sinus formation as a complication of cyanoacrylate injection. Gastrointest Endosc 61:773–775PubMedCrossRef Wai CT, Sutedja DS, Khor CJL, Teoh KF, Yeoh KG (2005) Esophageal sinus formation as a complication of cyanoacrylate injection. Gastrointest Endosc 61:773–775PubMedCrossRef
24.
go back to reference Kabbani A, Al Ashgar H, Al Kadhi Y (2006) N-butyl-2-cyanoacrylate (Histoacryl) complication: a case report. ANN Saudi Med 26:71–72 Kabbani A, Al Ashgar H, Al Kadhi Y (2006) N-butyl-2-cyanoacrylate (Histoacryl) complication: a case report. ANN Saudi Med 26:71–72
25.
go back to reference Ciapetti G, Cenni E, Sudanese A, Marraro D, Toni A, Pizzoferrato A (1994) Cytotoxicity testing of cyanoacrylates using direct contact assay on cell cultures. Biomaterials 15:63–67PubMedCrossRef Ciapetti G, Cenni E, Sudanese A, Marraro D, Toni A, Pizzoferrato A (1994) Cytotoxicity testing of cyanoacrylates using direct contact assay on cell cultures. Biomaterials 15:63–67PubMedCrossRef
26.
go back to reference Wilkinson JN, Chikhani M, Mortimer K, Gill SJ (2008) The antimicrobial effect of Histoacryl skin adhesive. Anaesthesia 63:1372–1386 Wilkinson JN, Chikhani M, Mortimer K, Gill SJ (2008) The antimicrobial effect of Histoacryl skin adhesive. Anaesthesia 63:1372–1386
27.
go back to reference Kaplan M, Baysal K (2005) In vitro toxicity test of ethyl 2-cyanoacrylate, a tissue adhesive used in cardiovascular surgery, by fibroblast cell culture method. Heart Surg Forum 8:E169–E172PubMedCrossRef Kaplan M, Baysal K (2005) In vitro toxicity test of ethyl 2-cyanoacrylate, a tissue adhesive used in cardiovascular surgery, by fibroblast cell culture method. Heart Surg Forum 8:E169–E172PubMedCrossRef
28.
go back to reference Ciapetti G, Stea S, Cenni E, Sudanese A, Marraro D, Toni A, Pizzoferrato A (1994) Toxicity of cyanoacrylates in vitro using extract dilution assay on cell cultures. Biomaterials 15:92–96PubMedCrossRef Ciapetti G, Stea S, Cenni E, Sudanese A, Marraro D, Toni A, Pizzoferrato A (1994) Toxicity of cyanoacrylates in vitro using extract dilution assay on cell cultures. Biomaterials 15:92–96PubMedCrossRef
29.
go back to reference Montanaro L, Cenni E, Ciapetti G, Savioli F, Filippini F, Barsanti LA (2001) Cytotoxicity, blood compatibility and antimicrobial activity of two cyanoacrylate glues for surgical use. Biomaterials 22:59–66PubMedCrossRef Montanaro L, Cenni E, Ciapetti G, Savioli F, Filippini F, Barsanti LA (2001) Cytotoxicity, blood compatibility and antimicrobial activity of two cyanoacrylate glues for surgical use. Biomaterials 22:59–66PubMedCrossRef
30.
go back to reference Thumwanit V (1999) Cytotoxicity of polymerized commercial cyanoacrylate adhesive on cultured human oral fibroblasts. Aust Dent J 44:248–252PubMedCrossRef Thumwanit V (1999) Cytotoxicity of polymerized commercial cyanoacrylate adhesive on cultured human oral fibroblasts. Aust Dent J 44:248–252PubMedCrossRef
Metadata
Title
In vitro and in vivo studies on the use of Histoacryl® as a soft tissue glue
Authors
G. Schneider
K. Otto
Publication date
01-07-2012
Publisher
Springer-Verlag
Published in
European Archives of Oto-Rhino-Laryngology / Issue 7/2012
Print ISSN: 0937-4477
Electronic ISSN: 1434-4726
DOI
https://doi.org/10.1007/s00405-011-1868-4

Other articles of this Issue 7/2012

European Archives of Oto-Rhino-Laryngology 7/2012 Go to the issue