Tissue Adhesives and Alternative Wound Closure

2012 ◽  
pp. 192-205 ◽  
Author(s):  
Alexander T. Trott
2021 ◽  
Vol 12 (1) ◽  
Author(s):  
Shanshan Hu ◽  
Xibo Pei ◽  
Lunliang Duan ◽  
Zhou Zhu ◽  
Yanhua Liu ◽  
...  

AbstractAdministration of drugs via the buccal route has attracted much attention in recent years. However, developing systems with satisfactory adhesion under wet conditions and adequate drug bioavailability still remains a challenge. Here, we propose a mussel-inspired mucoadhesive film. Ex vivo models show that this film can achieve strong adhesion to wet buccal tissues (up to 38.72 ± 10.94 kPa). We also demonstrate that the adhesion mechanism of this film relies on both physical association and covalent bonding between the film and mucus. Additionally, the film with incorporated polydopamine nanoparticles shows superior advantages for transport across the mucosal barrier, with improved drug bioavailability (~3.5-fold greater than observed with oral delivery) and therapeutic efficacy in oral mucositis models (~6.0-fold improvement in wound closure at day 5 compared with that observed with no treatment). We anticipate that this platform might aid the development of tissue adhesives and inspire the design of nanoparticle-based buccal delivery systems.


2020 ◽  
Vol 4 (2) ◽  
pp. 32
Author(s):  
Amal Narayanan ◽  
Ying Xu ◽  
Ali Dhinojwala ◽  
Abraham Joy

To stop blood loss and accelerate wound healing, conventional wound closure techniques such as sutures and staples are currently used in the clinic. These tissue-piercing wound closure techniques have several disadvantages such as the potential for causing inflammation, infections, and scar formation. Surgical sealants and tissue adhesives can address some of the disadvantages of current sutures and staples. An ideal tissue adhesive will demonstrate strong interfacial adhesion and cohesive strength to wet tissue surfaces. Most reported studies rely on the liquid-to-solid transition of organic molecules by taking advantage of polymerization and crosslinking reactions for improving the cohesive strength of the adhesives. Crosslinking reactions triggered using light are commonly used for increasing tissue adhesive strength since the reactions can be controlled spatially and temporally, providing the on-demand curing of the adhesives with minimum misplacements. In this review, we describe the recent advances in the field of naturally derived tissue adhesives and sealants in which the adhesive and cohesive strengths are modulated using photochemical reactions.


2019 ◽  
pp. 12-17
Author(s):  
Aditi Mahajani ◽  
Menaka K.B ◽  
Sayed Asem Ahmed Jagirdar ◽  
Manjula Vagrali ◽  
Renuka Metgud ◽  
...  

Surgical pocket therapy entails raising a mucoperiosteal flap in order to carry out effective debridement so as to eliminate periodontal pockets and result in a healthy periodontium. Braided silk is the most commonly used suture material following periodontal flap surgery. Cyanoacrylate tissue adhesives are slowly gaining popularity as wound closure agents. OBJECTIVES: To evaluate the antibacterial and healing properties of cyanoacrylate tissue adhesives following periodontal flap surgery. METHODS: Patients undergoing full mouth periodontal flap surgery were randomly selected for placement of cyanoacrylates or silk sutures using split mouth study design. Wound healing was evaluated at 1 week using Early Wound Healing Index. Supragingival pooled plaque samples were collected for analysis of total bacterial count at 1week follow up using lawn cultures in blood agar. Pain and burning sensation with cyanoacrylates during and post surgery was recorded using a questionnaire. RESULTS: Silk sutures showed improved wound healing when compared with cyanoacrylates. However, use of cyanoacrylates resulted in reduced bacterial colony counts thereby exhibiting antibacterial properties. Enhanced patient compliance was noted with cyanoacrylate tissue adhesives. SIGNIFICANCE: Cyanoacrylates can be used as an alternative to silk sutures for periodontal wound closure. KEY WORDS: Cyanoacrylate tissue adhesive, silk sutures, antibacterial efficacy, wound healing


RSC Advances ◽  
2017 ◽  
Vol 7 (75) ◽  
pp. 47380-47396 ◽  
Author(s):  
Maedeh Rahimnejad ◽  
Wen Zhong

Tissue adhesives have been introduced as a promising alternative for the traditional wound closure method of suturing.


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