Third-degree full-thickness burns as a complication of cervical radiofrequency ablation

2021 ◽  
Vol 14 (11) ◽  
pp. e245113
Author(s):  
Vinicius Tieppo Francio ◽  
Brandon Barndt ◽  
James Eubanks ◽  
McCasey Smith
Keyword(s):  
Radiofrequency Ablation ◽  
Solid Tumour ◽  
Chronic Neck Pain ◽  
Burn Injuries ◽  
Lumbar Region ◽  
Full Thickness ◽  
Skin Burn ◽  
Severe Burns ◽  
First Case ◽  
Thickness Skin

A 46-year-old woman underwent a cervical radiofrequency ablation (RFA) for chronic neck pain. Following the procedure, two areas surrounding the grounding pad in the lumbar region developed full thickness third-degree burns. Burn injuries following cervical RFA are rarely reported and are most often associated with cardiac and solid tumour RFA. Only one other case has been reported in literature with a similar outcome following a thoracic facet RFA. In our case, the lesion was directly from the ground pad and not from the radiofrequency electrode, which is more often the culprit. This is the first case reported in the literature of a full-thickness skin burn from a cervical RFA. Physicians should be aware of the potential for severe burns around the RF probe and ground pad as sequelae of RFA, and we caution the use of sedation during the procedure, as patients will unlikely be able to report any unusual sensation.

scholarly journals Full-Thickness Skin Burn Caused by Radiofrequency Ablation of a Benign Thyroid Nodule

Thyroid ◽  
2016 ◽  
Vol 26 (1) ◽  
pp. 183-184 ◽  
Author(s):  
Stella Bernardi ◽  
Valentina Lanzilotti ◽  
Giovanni Papa ◽  
Nicola Panizzo ◽  
Chiara Dobrinja ◽  
...  
Keyword(s):  
Radiofrequency Ablation ◽  
Thyroid Nodule ◽  
Full Thickness ◽  
Skin Burn ◽  
Benign Thyroid Nodule ◽  
Full Thickness Skin ◽  
Thickness Skin ◽  
Benign Thyroid

Successful Use of Extracorporeal Membrane Oxygenation Therapy in Patients With 80% Full Thickness Burns

2020 ◽  
Author(s):  
Jack Rasmussen ◽  
Mete Erdogan ◽  
Osama Loubani ◽  
Robert S Green
Keyword(s):  
Extracorporeal Membrane Oxygenation ◽  
Prone Position ◽  
Full Thickness ◽  
Burn Care ◽  
Membrane Oxygenation ◽  
Severe Burns ◽  
First Case ◽  
Major Burn ◽  
Ecmo Therapy ◽  
Burn Patient

Abstract Despite advances in burn care, mortality in adult patients with extensive burn injuries remains a concern, particularly in those who develop concurrent acute respiratory distress syndrome (ARDS). In cases of ARDS refractory to conventional treatments, venovenous extracorporeal membrane oxygenation (ECMO) may represent a viable salvage therapy, even in the major burn population. We present the case of a 38-year-old man with full thickness burns to over 80% of his body, who developed severe ARDS 4 days postburn. After failing to respond to deep sedation, paralysis, and proning, ECMO therapy was initiated to maintain oxygenation and ventilation. Over the next 14 days, while the patient was treated with ECMO, he successfully underwent three major operations to debride and allograft approximately 65% of his body surface area, including one in the prone position. ECMO therapy was discontinued on postburn day 18, and the patient had his wounds reconstructed and survived his injuries. To the best of our knowledge, this is the first report of a burn patient with such severe burns requiring surgical intervention that has been treated with ECMO and survived, and the first case of a burn patient on ECMO having surgery in the prone position. They conclude this case serves as a “proof of concept” that ECMO is a potential treatment for appropriately selected major burn patients with ARDS who fail to respond to other therapies.

scholarly journals Development of A Framework for Managing Severe Burns Through A 17-Year Retrospective Analysis of Burn Epidemiology and Outcomes

2021 ◽  
Author(s):  
ling chen ◽  
xiaochong he ◽  
jishu xian ◽  
jianmei liao ◽  
yue luo ◽  
...  
Keyword(s):  
Retrospective Analysis ◽  
Medical Cost ◽  
Total Body Surface Area ◽  
Older Age ◽  
Burn Injuries ◽  
Burn Severity ◽  
Age Difference ◽  
Burn Patients ◽  
Full Thickness ◽  
Severe Burns

Abstract Background Burns are one of the most common injuries in daily life for all ages of population. This study was to investigate the epidemiology and outcomes among burn patients in one of the largest burn centers in the southwest of China. Methods The study was performed at the Institute of Burn Research in the first affiliated with the Army Medical University (AMU). A total of 17939 burn patients were included in this retrospective study. Information regarding demographic, burn characteristics, and the burn severity of ABSI were collected, calculated and compared. Results The age ranged from 257 days to 95 years old. Scalding and flame were the two most common causes to burn injuries, comprising of 91.96% in total. Limbs, head/face/neck, and trunk were the most frequently occurred burn sites, with the number and the percent of 12324 (68.70%), 7989 (44.53%), and 7771 (43.32%), respectively. The average total body surface area (TBSA) was 13.64 ± 16.83% (median 8%) with a range of 0.1 ~ 100%. A total of 874 (4.9%) patients had TBSA > 50%. The presence of a burn with an inhalation injury was confirmed in 543 patients (3.03%). The average LOS was 32.11 ± 65.72 days (median: 17days). The gender of male, the older age and the full-thickness burns were significant contributors to high medical cost. The gender of male, the older age and the full-thickness burns were significantly associated with high medical cost and were contributors to the mortality. Eventually, the retrospective analysis resulted in the development of a framework of burn management continuum used for developing strategies to prevent and manage severe burns. Conclusion The annual number of burn injuries has kept decreasing while the cure rates of severe burns have improved; However, the burn severity and the economic burden were still in a high level. The gender difference and age difference should be considered when making individualized interventions and rehabilitative treatments.

scholarly journals Hyperdry human amniotic membrane application as a wound dressing for a full-thickness skin excision after a third-degree burn injury

2020 ◽  
Vol 8 ◽  
Author(s):  
Jiro Oba ◽  
Motonori Okabe ◽  
Toshiko Yoshida ◽  
Chika Soko ◽  
Moustafa Fathy ◽  
...  
Keyword(s):  
Granulation Tissue ◽  
Burn Injury ◽  
Burn Injuries ◽  
Full Thickness ◽  
Severe Burn ◽  
Full Thickness Skin ◽  
Thickness Skin ◽  
Degree Burn ◽  
Skin Excision ◽  
Severe Burn Injuries

Abstract Background Severe burn injuries create large skin defects that render the host susceptible to bacterial infections. Burn wound infection often causes systemic sepsis and severe septicemia, resulting in an increase in the mortality of patients with severe burn injuries. Therefore, appropriate wound care is important to prevent infection and improve patient outcomes. However, it is difficult to heal a third-degree burn injury. The aim of this study was to investigate whether hyperdry human amniotic membrane (HD-AM) could promote early granulation tissue formation after full-thickness skin excision in third-degree burn injury sites in mice. Methods After the development of HD-AM and creation of a third-degree burn injury model, the HD-AM was either placed or not placed on the wound area in the HD-AM group or HD-AM group, respectively. The groups were prepared for evaluation on postoperative days 1, 4 and 7. Azan staining was used for granulation tissue evaluation, and estimation of CD163, transforming growth factor beta-1 (TGF-β1), vascular endothelial growth factor (VEGF), CD31, alpha-smooth muscle actin (α-SMA) and Iba1 expression was performed by immunohistochemical staining. Quantitative reverse-transcription polymerase chain reaction (PCR) was used to investigate gene expression of growth factors, cell migration chemokines and angiogenic and inflammatory markers. Results The HD-AM group showed significant early and qualitatively good growth of granulation tissue on the full-thickness skin excision site. HD-AM promoted early-phase inflammatory cell infiltration, fibroblast migration and angiogenesis in the granulation tissue. Additionally, the early infiltration of cells of the immune system was observed. Conclusions HD-AM may be useful as a new wound dressing material for full-thickness skin excision sites after third-degree burn injuries, and may be a new therapeutic technique for improving the survival rate of patients with severe burn injuries.

scholarly journals Pretibial Full Thickness Skin Burn following Indirect Contact from Bone-Cement Use in a Giant Cell Tumour

Sarcoma ◽  
2007 ◽  
Vol 2007 ◽  
pp. 1-4 ◽  
Author(s):  
Buchi Rajendra Babu Arumilli ◽  
Ashok Samuel Paul
Keyword(s):  
Bone Cement ◽  
Giant Cell ◽  
Direct Contact ◽  
Giant Cell Tumour ◽  
Cell Tumour ◽  
Full Thickness ◽  
Skin Damage ◽  
Skin Burn ◽  
Indirect Contact ◽  
Thickness Skin

Bone cement reaches significant temperatures and is known to cause thermal and chemical damage to various tissues. All the reports of such damage occurred following a direct contact of the tissue or structure with cement. We report the case of a patient with a giant cell tumour of the proximal tibia who underwent curettage and bone cement application through a posterior approach and subsequently developed full thickness pretibial skin damage despite showing no evidence of any direct contact of the involved skin with bone cement. This is the first report of its kind and though anecdotal is a serious complication that surgeons should be aware of.

scholarly journals Effect of Silver Nanoparticles on Healing of Third-Degree Burns Infected with Pseudomonas aeruginosa in Laboratory Mice

2020 ◽  
Vol 0 (0) ◽  
Author(s):  
Mukhallad Abdul Kareem Ramadhan ◽  
Abbas Najee Balasm ◽  
Sanaa Basher Kadhm ◽  
Haider Faleh Al-Saedi
Keyword(s):  
Pseudomonas Aeruginosa ◽  
Silver Nanoparticles ◽  
Castor Oil ◽  
Treated Group ◽  
Positive Control ◽  
Petroleum Jelly ◽  
Full Thickness ◽  
Laboratory Mice ◽  
Skin Burn ◽  
Thickness Skin

AbstractThe treatment of full-thickness skin burn using nanomaterials is promising as a medical application reducing the risk of infection and severe dermal scarring. Therefore, this study aims to evaluate the effectiveness of nanomaterials, particularly 3% silver nanoparticles containing ointment (3% SNO), on the full-thickness skin burn of laboratory mice. A total number of 36 male mice were used, equally divided into three groups: negative control (not burned and not treated); positive control (+ve) (burned and treated with castor oil and white petroleum jelly); and SNO-treated group (burned and treated with 3% SNO). The skin of the animals’ back was shaved. A 2x0.5 cm metal plate was heated on a burner to burn the skin of the animals of positive control and SNO-treated groups. Pseudomonas aeruginosa bacterial suspension was applied to the burnt area. The application of SNO, as well as the mixture of white petroleum jelly and castor oil, was started after 6 hours of inducing burns and continued for 14 days (three times daily) in the respected groups. The SNO-treated group showed accelerated healing within 14 days demonstrated by re-epithelialization of the epidermal layer and proliferation of the fibroblasts in the dermal layer. Less healing evidence was observed in the +ve control group in the same period. In conclusion, to our knowledge, this is the first study that uses a 3% SNO formula and has found that it has a promising impact on the treatment of infected skin burns.

scholarly journals Reconstruction of post burns facial contractures and deformities: an Indian perspective

2018 ◽  
Vol 5 (6) ◽  
pp. 2170 ◽  
Author(s):  
Niyati Lakhani ◽  
Ashwin Lakhani
Keyword(s):  
Skin Grafting ◽  
Burn Injuries ◽  
Treatment Modalities ◽  
Skin Grafts ◽  
Full Thickness ◽  
Full Thickness Skin ◽  
Thickness Skin ◽  
Fitting In ◽  
Orbital Region ◽  
Oral Commissure

Background: Reconstruction of facial burns contracture is one of the most important surgeries in cosmetic and reconstructive surgery. This study was aimed to assess the different modalities used in facial reconstruction and their outcome.Methods: This retrospective study involved 20 patients with extensive burning facial scars. Patients were treated with different reconstructive modalities like split/full thickness skin grafts or flaps etc. Outcome of different modalities as per the area of face involved, graft taken up and complications were analyzed.Results: Majority patients were of age between 20-30 years. 72.22% patients had other associated burn injuries with facial involvement. Most patients (18, 90%) were treated after 9 months post burns duration. All patients had multiregional involvement on face but cheek being the largest unit, was most commonly involved (18, 90%) followed by involvement of oral commissure and lips in 8 (40%) and orbital region in 7 (35%) patients. Full thickness skin graft (FTSG) and split thickness skin grafts (STSG) were most commonly performed procedures. Patient with forehead scarring was treated with abdominal tube transferred in stages. Two patients with eyelid ectropion treated with release and STSG. Gillies up and down forehead flap were used for nose reconstruction due to non-availability of tissue expanders. Linear scars on chick not fitting in relaxed skin tension line were treated with excision and primary “z” plasty. Hypertrophic scar of ear was excised and STSG was applied. Common complications included hyperpigmentation and hypopigmentation, contour distortion and obliteration of labiomental sulcus.Conclusions: Facial reconstructive procedure for burns scars should be selected based on region of face involved. Skin grafting is an effective method for reconstruction especially in areas with non-availability of advanced treatment modalities.

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