ABSTRACT

In 1983, experience in the use of fibrin glue was presented to the French Society of Plastic and Reconstructive Surgery. At that time, Fibrin glue was used mainly for application of full-thickness skin grafts of the face. It was learned rapidly that one has to apply a very thin layer to avoid creating a barrier. The percentage of full-take skin grafts seemed to improve. Fibrin glue was also tried for facelifts. The early follow-up was very satisfactory; a greater number of patients, where fibrin glue was used, had limited edema and bruising in comparison to patients without Fibrin glue. There are three major uses for fibrin glue in craniofacial surgery: to glue patches or small bone fragments on the dura; to mix with bone dust in order to occlude bony defects or irregularities; to occlude dead spaces when replacing the skin. The adherence was good and satisfactory results with a small number of patients were obtained.