{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,11,4]],"date-time":"2026-11-04T22:40:32Z","timestamp":1793832032663,"version":"4.6.1"},"reference-count":11,"publisher":"Ovid Technologies (Wolters Kluwer Health)","issue":"Suppl 5","content-domain":{"domain":["lww.com","ovid.com"],"crossmark-restriction":true},"short-container-title":[],"published-print":{"date-parts":[[2024,11]]},"abstract":"\n Purpose:<\/jats:title>\n In this study, we aimed to compare closure of the incision for external dacryocystorhinostomy (ext-DCR) by suturing with 6-0 Prolene versus closure with 2-octyl cyanoacrylate and assess the results in terms of the aesthetic and functional aspects of the scar, operating time, postoperative symptoms and complications, and the economic cost of the two techniques.<\/jats:p>\n <\/jats:sec>\n \n Methods:<\/jats:title>\n Sixty-three patients with distal lacrimal obstruction and indication of ext-DCR were initially enrolled in a longitudinal prospective cohort study. Patients underwent ophthalmologic evaluations including lacrimal probing, external examination with photograph, measurement of the surgical wound, timing the cutaneous closure phase of the surgery, recording postoperative wound pain using visual analog scale (VAS), and recording the patient\u2019s and clinician\u2019s subjective satisfaction with the scar using Patient and Observer Scar Assessment Scale (POSAS) at 6 months postsurgery. The 63 eyes were divided into two groups: the wounds in group 1 were closed with 6-0 Prolene using continuous locking suture and the wounds in group 2 were closed with 2-octyl cyanoacrylate.<\/jats:p>\n <\/jats:sec>\n \n Results:<\/jats:title>\n There was no difference in baseline characteristics (age, sex, and race), and no statistically significant differences were found in wound length, POSAS score, VAS score, or serious complications of the wound between the two groups. There were differences in surgery time and economic cost for group 2 compared to group 1 of -2.39 min and -\u20ac5.37\/operation, respectively.<\/jats:p>\n <\/jats:sec>\n \n Conclusion:<\/jats:title>\n \n This is the first study in the literature that compares 6-0 Prolene versus Dermabond\n \u00ae<\/jats:sup>\n . The latter one presents advantages compared to Prolene, given that it reduces the length of surgery, reduces costs, and allows for greater flexibility in postoperative follow-up visits.\n <\/jats:p>\n <\/jats:sec>","DOI":"10.4103\/ijo.ijo_538_24","type":"journal-article","created":{"date-parts":[[2024,9,19]],"date-time":"2024-09-19T08:00:20Z","timestamp":1726732820000},"page":"S858-S862","update-policy":"https:\/\/doi.org\/10.1097\/lww.0000000000001000","source":"Crossref","is-referenced-by-count":1,"title":["Comparative study of the direct closure of surgical incision for external dacryocystorhinostomy using 6-0 Prolene versus Dermabond\u00ae"],"prefix":"10.4103","volume":"72","author":[{"given":"Leticia","family":"Ortega-Evangelio","sequence":"first","affiliation":[{"name":"Department of Ophthalmology, Fundaci\u00f3n de Oftalmolog\u00eda M\u00e9dica de la Comunidad Valenciana, Valencia, Spain"},{"name":"Cl\u00ednica Baviera, Valencia, Spain"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Cristina","family":"Peris-Mart\u00ednez","sequence":"additional","affiliation":[{"name":"Department of Ophthalmology, Fundaci\u00f3n de Oftalmolog\u00eda M\u00e9dica de la Comunidad Valenciana, Valencia, Spain"},{"name":"Universitat de Val\u00e8ncia, Valencia, Spain"},{"name":"Avi\u00f1\u00f3. Peris Cl\u00ednica Ocular, Valencia, Spain"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"276","published-online":{"date-parts":[[2024,9,19]]},"reference":[{"key":"R1-20260426","doi-asserted-by":"crossref","first-page":"359","DOI":"10.1016\/j.ajo.2005.04.039","article-title":"Evaluation of the cosmetic significance of external dacryocystorhinostomy scars","volume":"140","author":"Sharma","year":"2005","journal-title":"Am J Ophthalmol"},{"key":"R2-20260426","doi-asserted-by":"crossref","first-page":"1362","DOI":"10.1097\/00005537-199710000-00013","article-title":"Translacrimal transnasal laser-assisted dacryocystorhinostomy","volume":"107","author":"Pearlman","year":"1997","journal-title":"Laryngoscope"},{"key":"R3-20260426","doi-asserted-by":"crossref","first-page":"50","DOI":"10.1097\/01.IOP.0000103006.49679.23","article-title":"Mechanical endonasal dacryo- cystorhinostomy versus external dacryocystorhinostomy","volume":"20","author":"Tsirbas","year":"2004","journal-title":"Ophthal Plast Reconstr Surg"},{"key":"R4-20260426","doi-asserted-by":"crossref","first-page":"261","DOI":"10.4103\/0301-4738.182933","article-title":"The cosmetic outcome of external dacryocystorhinostomy scar and factors affecting it","volume":"64","author":"Waly","year":"2016","journal-title":"Indian J Ophthalmol"},{"key":"R5-20260426","doi-asserted-by":"crossref","first-page":"358","DOI":"10.1097\/01.IOP.0000134274.46764.FC","article-title":"Postoperative evaluation of skin incision in external dacryocystorhinostomy","volume":"20","author":"Devoto","year":"2004","journal-title":"Ophthalmic Plast Reconstr Surg"},{"key":"R6-20260426","doi-asserted-by":"crossref","first-page":"755","DOI":"10.1080\/00016480802412821","article-title":"Prolene: A novel, cheap, and effective material in dacryocystorhinostomy","volume":"129","author":"Aslan","year":"2009","journal-title":"Acta Otolaryngol"},{"key":"R7-20260426","doi-asserted-by":"crossref","first-page":"197","DOI":"10.1097\/01.IOP.0000161715.69963.9C","article-title":"Octyl-2-cyanoacrylate tissue adhesive in external dacryocystorhinostomy","volume":"21","author":"McKinley","year":"2005","journal-title":"Ophthalmic Plast Reconstr Surg"},{"key":"R8-20260426","first-page":"e43.","article-title":"A review of scar scales and scar measuring devices","volume":"10","author":"Fearmonti","year":"2010","journal-title":"Eplasty"},{"key":"R9-20260426","doi-asserted-by":"crossref","first-page":"245","DOI":"10.1007\/BF01575298","article-title":"Suture materials for closing the skin and subcutaneous tissues","volume":"10","author":"Lober","year":"1986","journal-title":"Aesthetic Plast Surg"},{"key":"R10-20260426","doi-asserted-by":"crossref","first-page":"395","DOI":"10.32614\/RJ-2018-017","article-title":"Advanced Bayesian multilevel modeling with the R package brms","volume":"10","author":"B\u00fcrkner","year":"2018","journal-title":"The R Journal"},{"key":"R11-20260426","article-title":"Marginaleffects: Marginal effects, marginal means, predictions, and contrasts","author":"Arel-Bundock","year":"2022"}],"container-title":["Indian Journal of Ophthalmology"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/www.ovid.com\/10.4103\/IJO.IJO_538_24","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2026,8,26]],"date-time":"2026-08-26T19:42:18Z","timestamp":1787773338000},"score":1,"resource":{"primary":{"URL":"https:\/\/www.ovid.com\/10.4103\/IJO.IJO_538_24"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2024,9,19]]},"references-count":11,"journal-issue":{"issue":"Suppl 5","published-print":{"date-parts":[[2024]]}},"URL":"https:\/\/doi.org\/10.4103\/ijo.ijo_538_24","relation":{},"ISSN":["0301-4738","1998-3689"],"issn-type":[{"value":"0301-4738","type":"print"},{"value":"1998-3689","type":"electronic"}],"subject":[],"published":{"date-parts":[[2024,9,19]]},"assertion":[{"value":"2024-02-29","name":"received","label":"Received","group":{"name":"publication_history","label":"Publication History"}},{"value":"2024-08-01","name":"accepted","label":"Accepted","group":{"name":"publication_history","label":"Publication History"}}]}}