USEFULNESS OF FIBRIN GLUE IN TOTAL LARYNGECTOMY

Fibrin glue is a topical biological adhesive, which mimics the end product of the coagulation pathway. The haemostatic and adhesive properties of fibrin glue can be employed in cases where conventional suture methods are difficult to apply. It is formed from concentrated fibrinogen and thrombin. It is completely absorbed during wound healing without foreign body reaction or extensive fibrosis. Here we share our experience with biological tissue glue (tisseel) in the closure of pharyngeal mucosa during total laryngectomy and its effectiveness in preventing pharyngocutaneous fistula.