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Bingol HB, Bender JC, Opsteen JA, Leeuwenburgh SC. Bone adhesive materials: From bench to bedside. Mater Today Bio 2023; 19:100599. [PMID: 37063249 PMCID: PMC10102013 DOI: 10.1016/j.mtbio.2023.100599] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 12/27/2022] [Revised: 02/24/2023] [Accepted: 03/01/2023] [Indexed: 03/06/2023] Open
Abstract
Biodegradable bone adhesives represent a highly sought-after type of biomaterial which would enable replacement of traditional metallic devices for fixation of bone. However, these biomaterials should fulfil an extremely large number of requirements. As a consequence, bone-adhesive biomaterials which meet all of these requirements are not yet commercially available. Therefore, this comprehensive review provides an extensive overview of the development of bone adhesives from a translational perspective. First, the definition, classification, and chemistry of various types of bone adhesives are highlighted to provide a detailed overview of this emerging class of biomaterials. In this review we particularly focused studies which describe the use of materials that are capable of gluing two pieces of bone together within a time frame of minutes to days. Second, this review critically reflects on i) the experimental conditions of commonly employed adhesion tests to assess bone adhesion and ii) the current state-of-the-art regarding their preclinical and clinical applicability.
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Affiliation(s)
- Hatice B. Bingol
- Department of Dentistry-Regenerative Biomaterials, Radboud Institute for Molecular Life Sciences, Radboud University Medical Center, Nijmegen, the Netherlands
- GATT Technologies BV, Nijmegen, the Netherlands
| | | | | | - Sander C.G. Leeuwenburgh
- Department of Dentistry-Regenerative Biomaterials, Radboud Institute for Molecular Life Sciences, Radboud University Medical Center, Nijmegen, the Netherlands
- Corresponding author.
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Lee CY, Kim CH. A vertically split fracture of the marginal tubercle of the zygoma in a 3-year-old boy: a case report. Arch Craniofac Surg 2022; 23:274-277. [PMID: 36596751 PMCID: PMC9816635 DOI: 10.7181/acfs.2022.00906] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 08/22/2022] [Accepted: 12/20/2022] [Indexed: 12/29/2022] Open
Abstract
Fractures of the zygoma are rarely encountered in pediatric patients. This report presents a case of a 3-year-old child who presented with a vertically split fracture of the marginal tubercle of the zygoma. The marginal tubercle, a bony portion present on the posterior border of the frontal process, assists in attaching the temporalis fascia. This patient was treated surgically with bony fixation using tissue glue. To the best of our knowledge, no cases of fracture of the marginal tubercle of the zygoma have been reported in the literature. Fractures of the marginal tubercle of the zygoma in pediatric patients may be overlooked because of their anatomic location and the musculoskeletal characteristics of these patients. Here, we discuss the clinical features of marginal tubercle fractures of the zygoma.
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Affiliation(s)
- Chan Yeong Lee
- Department of Plastic and Reconstructive Surgery, Soonchunhyang University College of Medicine, Seoul, Korea
| | - Chul Han Kim
- Department of Plastic and Reconstructive Surgery, Soonchunhyang University College of Medicine, Seoul, Korea
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Zhu GY, Lin CT, Chen JM, Lei DM, Zhu GX. The study of size and stability of n-butylcyanoacrylate nanocapsule suspensions encapsulating green grass fragrance. ACTA ACUST UNITED AC 2018. [DOI: 10.1088/1757-899x/292/1/012094] [Citation(s) in RCA: 2] [Impact Index Per Article: 0.3] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/11/2022]
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Method for Securing Methlymethacrylate Bone Cement Using Histoacryl Glue During Cranioplasty for Contour Deformities. J Craniofac Surg 2017; 29:202-203. [PMID: 29065050 DOI: 10.1097/scs.0000000000004069] [Citation(s) in RCA: 2] [Impact Index Per Article: 0.3] [Reference Citation Analysis] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/26/2022] Open
Abstract
Methylmethacrylate bone cement (MM-BC) is one of the reconstructive methods: during cranioplasty to correct cranial defects following trauma or cranial surgery. Perfect intraoperative immobilization of the MM-BC is crucial to ensure correct subsequent shaping to best improve contour defects. Current immobilization techniques reported are time-consuming and involve complex metalwork. The authors hereby present a technique that may simplify the immobilization process by using histoacryl glue to secure the MM-BC. This provides a quick, inexpensive, and readily available option providing fixation strong enough to withstand final shaping of the MM-BC.
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Liu BM, Li M, Yin BS, Zou JY, Zhang WG, Wang SY. Effects of Incorporating Carboxymethyl Chitosan into PMMA Bone Cement Containing Methotrexate. PLoS One 2015; 10:e0144407. [PMID: 26657526 PMCID: PMC4690603 DOI: 10.1371/journal.pone.0144407] [Citation(s) in RCA: 11] [Impact Index Per Article: 1.2] [Reference Citation Analysis] [Abstract] [MESH Headings] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 03/02/2015] [Accepted: 11/18/2015] [Indexed: 11/18/2022] Open
Abstract
Treatment of bone metastases usually includes surgical resection with local filling of methotrexate (MTX) in polymethyl methacrylate (PMMA) cement. We investigated whether incorporating carboxymethyl chitosan (CMCS) in MTX-PMMA cement might overcome disadvantages associated with MTX. To determine the optimal CMCS+MTX concentration to suppress the viability of cancer cells, an integrated microfluidic chip culturing highly metastatic lung cancer cells (H460) was employed. The mechanical properties, microstructure, and MTX release of (CMCS+MTX)-PMMA cement were evaluated respectively by universal mechanical testing machine, scanning electron microscopy (SEM), and incubation in simulated body fluid with subsequent HPLC-MS. Implants of MTX-PMMA and (CMCS+MTX)-PMMA cement were evaluated in vivo in guinea pig femurs over time using spiral computed tomography with three-dimensional image reconstruction, and SEM at 6 months. Viability of H460 cells was significantly lowest after treatment with 57 μg/mL CMCS + 21 μg/mL MTX, which was thus used in subsequent experiments. Incorporation of 1.6% (w/w) CMCS to MTX-PMMA significantly increased the bending modulus, bending strength, and compressive strength by 5, 2.8, and 5.2%, respectively, confirmed by improved microstructural homogeneity. Incorporation of CMCS delayed the time-to-plateau of MTX release by 2 days, but increased the fraction released at the plateau from 3.24% (MTX-PMMA) to 5.34%. Relative to the controls, the (CMCS+MTX)-PMMA implants integrated better with the host bone. SEM revealed pores in the cement of the (CMCS+MTX)-PMMA implants that were not obvious in the controls. In conclusion, incorporation of CMCS in MTX-PMMA appears a feasible and effective modification for improving the anti-tumor properties of MTX-PMMA cement.
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Affiliation(s)
- Bo-Ming Liu
- Department of Orthopedics, First Affiliated Hospital of Dalian Medical University, Dalian, Liaoning, 116044, China
- Dalian Medical University, Dalian, Liaoning, 116044, China
| | - Ming Li
- Department of Orthopedics, First Affiliated Hospital of Dalian Medical University, Dalian, Liaoning, 116044, China
- Dalian Medical University, Dalian, Liaoning, 116044, China
| | - Bao-Sheng Yin
- Department of Orthopedics, First Affiliated Hospital of Dalian Medical University, Dalian, Liaoning, 116044, China
- Dalian Medical University, Dalian, Liaoning, 116044, China
| | - Ji-Yang Zou
- Department of Orthopedics, First Affiliated Hospital of Dalian Medical University, Dalian, Liaoning, 116044, China
- Dalian Medical University, Dalian, Liaoning, 116044, China
| | - Wei-Guo Zhang
- Department of Orthopedics, First Affiliated Hospital of Dalian Medical University, Dalian, Liaoning, 116044, China
- Dalian Medical University, Dalian, Liaoning, 116044, China
- * E-mail: (WGZ); (SYW)
| | - Shou-Yu Wang
- Department of Orthopedics, First Affiliated Hospital of Dalian Medical University, Dalian, Liaoning, 116044, China
- Dalian Medical University, Dalian, Liaoning, 116044, China
- * E-mail: (WGZ); (SYW)
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6
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Bicer YO, Koybasi S, Kazaz H, Seyhan S. Effect of n-butyl-2-cyanoacrylate on the tensile strength and pressure resistance of tracheal anastomoses ex vivo. Otolaryngol Head Neck Surg 2014; 152:297-301. [PMID: 25505258 DOI: 10.1177/0194599814560140] [Citation(s) in RCA: 3] [Impact Index Per Article: 0.3] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/15/2022]
Abstract
OBJECTIVES To investigate the effects of n-butyl-2-cyanoacrylate on tracheal anastomoses in terms of increased tension and intraluminal pressure ex vivo. STUDY DESIGN Ex vivo experimental study. SETTING Tertiary referral center (Department of Otolaryngology). SUBJECTS AND METHODS Thirty sheep tracheas were used. Four cartilage rings were resected from the tracheas that were 20 cm in length. End-to-end anastomoses were performed by using Vicryl only (group 1), Vicryl and n-butyl-2-cyanoacrylate (group 2), and n-butyl-2-cyanoacrylate only (group 3). The amount of force to break off the anastomosis and the amount of intraluminal pressure to arouse air leakage through the anastomosis were measured. RESULTS The mean force required to break off was 171.9 ± 29.7 N in group 1, 164.8 ± 26 N in group 2, and 13.52 ± 2 N in group 3. The mean force required to break off in group 3 was significantly lower than those in groups 1 and 2 (P = .008 and P = .008, respectively). The mean pressure required to cause air leakage was 49.6 ± 9.1 mm Hg in group 1, 113 ± 14.4 mm Hg in group 2, and 15 ± 4.2 mm Hg in group 3. Group 2 was found to be more resistant to intraluminal pressure than groups 1 and 3 (P = .008 and P = .008, respectively). CONCLUSION n-Butyl-2-cyanoacrylate had no significant effect on tensile strength. However, its application on the suture line provided extra pressure resistance ex vivo. We believe that further studies need to be conducted to investigate its long-term effects and histological impact on tracheal anastomoses in vivo.
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Affiliation(s)
- Yusuf Ozgur Bicer
- Department of Otolaryngology, Faculty of Medicine, Abant Izzet Baysal University, Bolu, Turkey
| | - Serap Koybasi
- Department of Otolaryngology, Faculty of Medicine, Abant Izzet Baysal University, Bolu, Turkey
| | - Hasan Kazaz
- Department of Otolaryngology, Faculty of Medicine, Abant Izzet Baysal University, Bolu, Turkey
| | - Sinan Seyhan
- Department of Otolaryngology, Faculty of Medicine, Abant Izzet Baysal University, Bolu, Turkey
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Kim JH, Marques DR, Faller GJ, Collares MV, Rodriguez R, Santos LAD, Dias DDS. Experimental comparative study of the histotoxicity of poly(lactic-co-glycolic acid) copolymer and poly(lactic-co-glycolic acid)-poly(isoprene) blend. POLIMEROS 2014. [DOI: 10.1590/0104-1428.1490] [Citation(s) in RCA: 7] [Impact Index Per Article: 0.7] [Reference Citation Analysis] [Track Full Text] [Subscribe] [Scholar Register] [Indexed: 11/21/2022]
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Esteves JC, Monteiro JM, Aranega AM, Betoni Junior W, Sonoda CK. Utilization of Ethyl Cyanoacrylate and 2-Octyl Cyanoacrylate Adhesives for Autogenous Bone Graft Fixation: Histomorphometric Study in Rats. J ORAL IMPLANTOL 2014; 40:411-7. [DOI: 10.1563/aaid-joi-d-12-00063] [Citation(s) in RCA: 7] [Impact Index Per Article: 0.7] [Reference Citation Analysis] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/22/2022]
Abstract
The present study analyzes the repair process of autogenous bone graft in a block fixed with ethyl cyanoacrylate and 2-octyl cyanoacrylate adhesives in rat calvaria. Forty-eight rats, divided into 3 groups, received round osteotomies at the right parietal bone for the attainment of autogenous bone graft fragment, which was fixed at the opposite side to the donor site with ethyl cyanoacrylate (ethyl group) and 2-octyl cyanoacrylate (octyl group) adhesives. In the control group, bone fragment was only juxtaposed at the parietal bone surface without any fixation material. The animals were euthanized after 10 and 60 postoperative days. The calvariae were processed in a laboratory for the attainment of slides stained through the hematoxylin and eosin technique for histological and histometric analysis. The qualitative analysis showed a discrete inflammatory infiltrate in the control group and moderate inflammatory infiltrate in the ethyl and octyl groups at the 10-day period, which remained at the 60-day period, mainly in the octyl group. The bone fragment remained bonded to the recipient site through the adhesive, but graft incorporation was not observed in any of the specimens. Resorption was higher in the octyl group followed by the ethyl and control groups, both at the 10- and 60-day periods, but with no statistical significance (P < .05). Although promoting graft fixation and its maintenance at the recipient site, both studied adhesives did not allow the graft incorporation, producing a localized and discrete inflammatory reaction, which persisted at 60 days, being more intense in the octyl cyanoacrylate group.
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Affiliation(s)
- Jônatas Caldeira Esteves
- Department of Diagnosis and Surgery, Division of Periodontology, Universidade Estadual Paulista, School of Dentistry, Araraquara, Brazil
| | | | - Alessandra Marcondes Aranega
- Department of Surgery and Integrated Clinic, Universidade Estadual Paulista, School of Dentistry, Araçatuba, Brazil
| | | | - Celso Koogi Sonoda
- Department of Surgery and Integrated Clinic, Universidade Estadual Paulista, School of Dentistry, Araçatuba, Brazil
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9
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Carriles YR, Brito RA, Sánchez RM, Acevedo ES, Domínguez PR, Mueller WD. n-Butyl cyanoacrylate synthesis. A new quality step using microwaves. Molecules 2014; 19:6220-7. [PMID: 24838075 PMCID: PMC6271461 DOI: 10.3390/molecules19056220] [Citation(s) in RCA: 4] [Impact Index Per Article: 0.4] [Reference Citation Analysis] [Abstract] [MESH Headings] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 04/04/2014] [Revised: 05/05/2014] [Accepted: 05/13/2014] [Indexed: 11/28/2022] Open
Abstract
Alkyl cyanoacrylates are interesting products for use in industry because of their properties enabling them to stick together a wide range of substrates. n-Butyl cyanoacrylate is one of the most successfully used tissue adhesives in the field of medicine because it exhibits bacteriostatic and haemostatic characteristics, in addition to its adhesive properties. At present, its synthesis is performed with good yields via Knoevenagel condensation using conventional sources of heating, but this requires a long processing time. The aim of this work was to look for a new way of synthesising n-butyl cyanoacrylate using microwave irradiation as the source of heating. This non-conventional source of heating most likely reduces the process time of the synthesis. In comparison with a conventional heating source, such as an oil bath, the results showed the advantages of this method whereby the n-butyl cyanoacrylate gave the same yield and quality with a reduction in the reaction time by a factor of 3-5-fold.
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Affiliation(s)
- Yaquelin Ramos Carriles
- Chemistry-Physics Department, Faculty of Chemistry, University of Havana, Zapata and G, Vedado, Havana 10400, Cuba.
| | - Rubén Alvarez Brito
- Chemistry-Physics Department, Faculty of Chemistry, University of Havana, Zapata and G, Vedado, Havana 10400, Cuba.
| | | | - Elayma Sánchez Acevedo
- Chemistry-Physics Department, Faculty of Chemistry, University of Havana, Zapata and G, Vedado, Havana 10400, Cuba.
| | - Paola Rodríguez Domínguez
- Chemistry-Physics Department, Faculty of Chemistry, University of Havana, Zapata and G, Vedado, Havana 10400, Cuba.
| | - Wolf-Dieter Mueller
- Charité-Universitaetsmedizin Berlin, Assmannshauser Str.4-6, Berlin 14197, Germany.
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Fadaie P, Atai M, Imani M, Karkhaneh A, Ghasaban S. Cyanoacrylate–POSS nanocomposites: Novel adhesives with improved properties for dental applications. Dent Mater 2013; 29:e61-9. [DOI: 10.1016/j.dental.2013.03.003] [Citation(s) in RCA: 30] [Impact Index Per Article: 2.7] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 12/05/2012] [Revised: 01/31/2013] [Accepted: 03/04/2013] [Indexed: 01/17/2023]
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Trajkovski B, Petersen A, Perka C, Scharnagl N, Wischke C, Wagermaier W, Lendlein A, Duda GN. Local drug delivery by personalized, intraoperative custom-made implant coating. J Biomed Mater Res B Appl Biomater 2013; 101:950-63. [PMID: 23529921 DOI: 10.1002/jbm.b.32900] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 07/06/2012] [Revised: 10/18/2012] [Accepted: 12/20/2012] [Indexed: 11/06/2022]
Abstract
Local administration of drugs can enhance regeneration, prevent infection, or treat postsurgical pain. If used in conjunction with implants, coating strategies should allow the choice of a drug or combination of drugs, their doses, localization, and release due to intraoperative considerations. Current coating technologies lack the ability for personalized medicine strategies. Here, we describe a new intraoperative strategy for drug delivery that allows a personalized approach as local drug delivery by implant coating. A polyvinylalcohol (PVA) patch provides rapid attachment to implant surfaces by cyanoacrylate (CA) adhesives. The CA polymerization was initiated by water uptake of the patch due to exposure to a humid environment. The coating strength depended on the type of the CA, the time of external pressing load and humidification, the properties of the patch and the implant surface. The CA adhesive penetrated and polymerized within the patch without impeding the bioactivity of the embedded molecules or strongly altering the protein release pattern after attachment to the implant surface. The use of CA in combination with the PVA patch proved to be noncytotoxic in vitro. This technology platform opens the possibility for personalized medicine to locally administer drugs due to intraoperative requirements.
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Affiliation(s)
- B Trajkovski
- Julius Wolff Institute, Charité - Universitätsmedizin Berlin, Augustenburger Platz 1, 13353 Berlin, Germany
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Baş B, Özden B, Bekçioğlu B, Sanal K, Gülbahar M, Kabak Y. Screw fixation is superior to N-butyl-2-cyanoacrylate in onlay grafting procedure: a histomorphologic study. Int J Oral Maxillofac Surg 2012; 41:537-43. [DOI: 10.1016/j.ijom.2011.10.025] [Citation(s) in RCA: 11] [Impact Index Per Article: 0.9] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 04/27/2011] [Revised: 09/05/2011] [Accepted: 10/24/2011] [Indexed: 10/15/2022]
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13
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Esteves JC, Borrasca AG, Aranega AM, Garcia Junior IR, Magro Filho O. Histomorphometric analysis of the repair process of autogenous bone grafts fixed at rat calvaria with cyanoacrylate. J Appl Oral Sci 2012; 19:529-34. [PMID: 21986659 PMCID: PMC3984202 DOI: 10.1590/s1678-77572011000500016] [Citation(s) in RCA: 5] [Impact Index Per Article: 0.4] [Reference Citation Analysis] [Abstract] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 10/26/2009] [Accepted: 10/26/2010] [Indexed: 11/22/2022] Open
Abstract
Objective The purpose of this study was to perform histological and histometric analyses of
the repair process of autogenous bone grafts fixed at rat calvaria with
ethyl-cyanoacrylate adhesive. Material and Methods Thirty-two rats were divided into two groups (n=16), Group I - Control and Group
II - Adhesive. Osteotomies were made at the right parietal bone for graft
obtainment using a 4-mm-diameter trephine drill. Then, the bone segments were
fixed with the adhesive in the parietal region of the opposite side to the donor
site. After 10 and 30 days, 8 animals of each group were euthanized and the
calvarias were laboratorially processed for obtaining hematoxylin and
eosin-stained slides for histological and histometric analyses. Results An intense inflammatory reaction was observed at the 10-day period. At 30 days,
this reaction was less intense, despite the presence of adhesive at the
recipient-site/graft interface. Graft incorporation to the recipient site was
observed only at the control group, which maintained the highest graft size at 10
and 30 days. Conclusions Although the fragment was stable, the presence of adhesive in Group II did not
allow graft incorporation to the recipient site, determining a localized, discrete
and persistent inflammatory reaction.
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14
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Abou Neel EA, Salih V, Revell PA, Young AM. Viscoelastic and biological performance of low-modulus, reactive calcium phosphate-filled, degradable, polymeric bone adhesives. Acta Biomater 2012; 8:313-20. [PMID: 21884829 PMCID: PMC3657135 DOI: 10.1016/j.actbio.2011.08.008] [Citation(s) in RCA: 16] [Impact Index Per Article: 1.3] [Reference Citation Analysis] [Abstract] [Track Full Text] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 04/08/2011] [Revised: 07/12/2011] [Accepted: 08/10/2011] [Indexed: 11/06/2022]
Abstract
The aim of this study was to investigate the effect of reactive mono- and tricalcium phosphate addition on the mechanical, surface free energy, degradation and cell compatibility properties of poly(lactide-co-propylene glycol-co-lactide) dimethacrylate (PPGLDMA) thin films. Dry composites containing up to 70 wt.% filler were in a flexible rubber state at body temperature. Filler addition increased the initial strength and Young’s modulus and reduced the elastic and permanent deformation under load. The polymer had high polar surface free energy, which might enable greater spread upon bone. This was significantly reduced by filler addition but not by water immersion for 7 days. The samples exhibited reduced water sorption and associated bulk degradation when compared with previous work with thicker samples. Their cell compatibility was also improved. Filler raised water sorption and degradation but improved cell proliferation. The materials are promising bone adhesive candidates for low-load-bearing areas.
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Schneider G, Otto K. In vitro and in vivo studies on the use of Histoacryl(®) as a soft tissue glue. Eur Arch Otorhinolaryngol 2011; 269:1783-9. [PMID: 22159965 DOI: 10.1007/s00405-011-1868-4] [Citation(s) in RCA: 15] [Impact Index Per Article: 1.2] [Reference Citation Analysis] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 09/27/2011] [Accepted: 11/24/2011] [Indexed: 12/20/2022]
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.
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Affiliation(s)
- G Schneider
- Department of Otorhinolaryngology, Jena University Hospital - Friedrich Schiller University Jena, Lessingstraße 2, 07743 Jena, Germany.
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16
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Ghasaban S, Atai M, Imani M, Zandi M, Shokrgozar MA. Photo-crosslinkable cyanoacrylate bioadhesive: Shrinkage kinetics, dynamic mechanical properties, and biocompatibility of adhesives containing TMPTMA and POSS nanostructures as crosslinking agents. J Biomed Mater Res A 2011; 99:240-8. [DOI: 10.1002/jbm.a.33181] [Citation(s) in RCA: 11] [Impact Index Per Article: 0.8] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 01/25/2011] [Revised: 05/01/2011] [Accepted: 05/20/2011] [Indexed: 11/11/2022]
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17
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Schneider G. Tissue adhesives in otorhinolaryngology. GMS CURRENT TOPICS IN OTORHINOLARYNGOLOGY, HEAD AND NECK SURGERY 2011; 8:Doc01. [PMID: 22073094 PMCID: PMC3199812] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Download PDF] [Figures] [Subscribe] [Scholar Register] [Indexed: 12/03/2022]
Abstract
The development of medical tissue adhesives has a long history without finding an all-purpose tissue adhesive for clinical daily routine. This is caused by the specific demands which are made on a tissue adhesive, and the different areas of application. In otorhinolaryngology, on the one hand, this is the mucosal environment as well as the application on bones, cartilage and periphery nerves. On the other hand, there are stressed regions (skin, oral cavity, pharynx, oesophagus, trachea) and unstressed regions (middle ear, nose and paranasal sinuses, cranial bones). But due to the facts that adhesives can have considerable advantages in assuring surgery results, prevention of complications and so reduction of medical costs/treatment expenses, the search for new adhesives for use in otorhinolaryngology will be continued intensively. In parallel, appropriate application systems have to be developed for microscopic and endoscopic use.
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Affiliation(s)
- Gerlind Schneider
- Department of Otorhinolaryngology, Friedrich Schiller University Jena, Germany,*To whom correspondence should be addressed: Gerlind Schneider, Department of Otorhinolaryngology, Friedrich Schiller University Jena, Lessingstrasse 2, 07743 Jena, Germany, Telephone 03641/935015, Fax 03641/935129, E-mail:
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18
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Xie X, Bai Y, Lv Y, Gao W. A study on orthodontic bone-bonding anchorage. Angle Orthod 2010; 80:828-34. [DOI: 10.2319/120609-700.1] [Citation(s) in RCA: 2] [Impact Index Per Article: 0.1] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/23/2022] Open
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Use of N-butyl cyanoacrylate in nasal septoplasty: histopathological evaluation using rabbit nasal septum model. The Journal of Laryngology & Otology 2010; 124:753-8. [PMID: 20193100 DOI: 10.1017/s0022215110000095] [Citation(s) in RCA: 5] [Impact Index Per Article: 0.4] [Reference Citation Analysis] [Abstract] [Track Full Text] [Subscribe] [Scholar Register] [Indexed: 11/07/2022]
Abstract
OBJECTIVES This study was designed to investigate the effects of the tissue adhesive N-butyl cyanoacrylate on nasal septal tissues after septal surgery in a rabbit model. METHODS Forty-two adult New Zealand rabbits were randomly divided into three groups (14 in each group): septoplasty alone, septoplasty plus N-butyl cyanoacrylate, and controls. The open approach was used to explore the nasal septum. After raising mucoperichondrial and mucoperiosteal flaps on both sides of the septum, the septum was detached from the nasal floor in the septoplasty alone and septoplasty plus N-butyl cyanoacrylate groups. In the septoplasty plus N-butyl cyanoacrylate group, the mucoperichondrial and mucoperiosteal flaps were fixed to the septum and the septum was fixed lateral to the nasal spine using N-butyl cyanoacrylate; in the septoplasty alone group, the septum was packed with Merocel. In the control group, no further septal surgery was performed after flap elevation. Animals were observed for bleeding and haematoma formation over the first 24 hours. Seven animals in each group were used to evaluate early histopathological effects on the septal tissues, at four weeks post-operatively; the other seven in each group were used to evaluate late effects, at 12 weeks. RESULTS Haematoma formation was observed in 10 animals in the septoplasty alone group, in four animals in the control group, and in only one animal in the septoplasty plus N-butyl cyanoacrylate group. The difference in haematoma incidence between the septoplasty alone and the septoplasty plus N-butyl cyanoacrylate groups was significant (p = 0.000). Histopathological evaluation revealed no significant difference between the groups as regards granulation tissue formation at week four versus week 12; however, there was a significant difference between the septoplasty plus N-butyl cyanoacrylate group and the control groups as regards inflammation at week 12 (p = 0.038). There was a significant difference between the septoplasty plus N-butyl cyanoacrylate group and the septoplasty alone group as regards the composition of the bone-cartilage junction zone at week four (p = 0.001). There was also a significant difference between the septoplasty plus N-butyl cyanoacrylate group and the control group as regards the cellular structure of new cartilage formation at week 12 (p = 0.004). CONCLUSIONS In this rabbit septoplasty model, N-butyl cyanoacrylate appeared to be an effective nasal tissue adhesive, with a low complication rate.
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Is Transfacial Kirschner Wire Fixation Still Indicated in Isolated Zygomaticomaxillary Complex Fractures? J Craniofac Surg 2009; 20:1231-9. [DOI: 10.1097/scs.0b013e3181acde63] [Citation(s) in RCA: 12] [Impact Index Per Article: 0.8] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/26/2022] Open
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