The purpose of this study was to review the types of facial lacerations for which tissue glue
was used as a closure method and assess whether current evidence was being followed.
A retrospective analysis of facial lacerations presenting to an adult Accident and Emergency
Department was made over a 6-month period.
Out of 200 facial lacerations, 45 were closed using tissue glue
. The mean length of the wounds was 2.05 cm, with a range of 0.5–6 cm; 42 were linear and three were non-linear. Senior house officers closed 16 wounds, middle grade doctors closed 19, emergency
nurse practitioners closed seven, and consultants closed three. Six cases were closed against current evidence (13%). This included three lacerations that were non-linear and three lacerations greater than 4 cm in length. Four out of six of these cases were closed by senior house officer grades (80%).
The lack of clarity over the use of tissue glue
for facial wounds may be attributable to a lack of awareness and training, and the misinterpretation of randomized trials. Greater awareness is needed of the role of tissue glue
, especially among senior house officers.