2011 Volume 57 Issue 7 Pages 394-400
Various biomaterials, as well as autologous mucosal or skin grafts, have been applied to open wounds after partial glossectomy. We clinically evaluated postoperative pain and scar contracture in 37 patients who underwent partial glossectomy followed by covering with a polyglycolic acid （PGA） sheet and fibrin glue spray, as compared with 31 patients in whom an artificial dermis was used.
NSAIDs were administered for an average of 7.2 days postoperatively in the artificial dermis group and 5.9 days in the PGA sheet group. Scar contracture in patients with tongue cancer was milder in the PGA sheet group than in the artificial dermis group, although those with intraepithelial lesions showed minimal scar contracture in both groups.
These findings showed that the application of a PGA sheet and fibrin glue for open wounds of partial glossectomy was useful for promoting early oral feeding, rapid relief from postoperative pain, and prevention of scar contracture.
