We present 2 cases of combined burn-blast tattoo management following dynamite explosion. The aims of these case reports were to clarify the clinical characteristic of the dynamite explosion burn-blast facial injuries and discuss the correct management of these patients. Case-1, is a 42 year- old man brought to hospital 48 hours after facial burn-blast injury due to dynamite explosion during road construction.
He had traumatic tattoo and grade 2 facial burns Figure 1. After primary stabilization of the patient, silver sulfadiazine cream was applied to facial burns with dressing for 12 hours before surgical intervention.
He had multiple deep lacerations on face with dynamite particles in subcutaneous tissues and the maxillary sinus; also he had blindness of left eye due to dynamite particles. In addition, he had diffuse burns of his face Fig. In the operating room, during surgery his wounds were explored and cleaned with vigorous saline solution irrigation and brushing and particles were meticulously removed from his wounds Figure 1 and simultaneous repair of defects were done with nylon sutures.
Case-2, was a 50 year- old man brought to hospital 6 hours after facial burn-blast due to dynamite explosion in an accident. He had traumatic tattoos with dynamite particles and multiple glass particles in facial subcutaneous tissues and grade 2 patchy burns. After primary stabilization, we brought him to the operating room, and under general anesthesia his wounds were explored and cleaned with vigorous saline solution irrigation and brushing. Particles glass and dynamite were meticulously removed from his wounds Figure 2 , and simultaneous repairs of defects were done with nylon sutures.
In both cases, after primary stabilization of the patient we applied silver sulfadiazine cream to the facial burns with dressings for 12 hours before surgical intervention. The first patient had facial burn and blindness of left eye due to dynamite particles; also he had defects of nasal dorsum and a 1. A large dynamite particle was seen in the floor of the maxillary sinus. He also had diffuse dynamite particles in subcutaneous tissues of face.
We applied silver sulfadiazine cream to the face before operation as this topical antimicrobial cream is widely used in burn patients. In the operation room vigorous washing and brushing of wounds were done and particles were removed by forceps. Simultaneous repair of wounds was then carried out after refreshing of edges and debridement. Defects of the nasal dorsum were reconstructed by mucosal turndown flaps and a simultaneous skin graft from the supraclavicle area.
Because of different degrees of burns of facial skin, flap elevation from adjacent tissues was not possible. Six-month post operation evaluation photography Figure 1 demonstrated acceptable results following early surgical intervention and removal of traumatic debris.
In our second case a similar approach was applied and a 3-month post -operation photograp demonstrated an acceptable result. We conclude that the application of silver sulfadiazine cream on wounds 12 hours before surgical removal of particles is highly efficacious for aiding surgical intervention in such cases.
Additionally, primary repair of facial defects is an ideal. We removed all sutures on the fifth day post operation. After tattoo removal, silicone sheets were put on suture lines for the prevention of scar formation. We performed similar management in all 6 of our cases with good results in long-term follow-ups. You are commenting using your Twitter account.
You are commenting using your Facebook account. Notify me of new comments via email. Notify me of new posts via email. What a difference!! See a dermatologist! See update today! Share this: Twitter Facebook. Like this: Like Loading A simple visit to the derm for an itchy tattoo may have saved my life from skin cancer!
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Name required. Follow Following. New tattoo care? I have this cream because I burned two of my fingers a few weeks ago and I know how much it helped it not only heal my burns, but made my fingers feel better.
I also have Rheumatoid Arthritis so I have some concerns with getting an infection. This cream eliminates bacteria and yeast that cause skin infections during the healing process.
A layer of the cream is typically kept on wounds continuously, with cleansing of …. In fact, each studio has its own best practices for healing body art. Some tattoo aftercare sheets recommended washing with an antibacterial soap, treating with antibacterial ointment for three to five days, and then following it up with a moisturizing body lotion.
I usually tell my clients to use an antiseptic and disinfectant soap Chlorhexidine digluconate that is used at the surgical level.
After washing it should always be dried with disposable paper napkins, tapping. Do not use towels, gauze or cotton, as they can leave residue or lint that would facilitate the development of bacteria. After washing, another important step is to keep the area hydrated and provide some tools to make healing faster and more effective.
Creams for cosmetic use should never be applied to freshly tattooed skin as they contain excess alcohol and fragrances. Imagine what a doctor would say if we treated a burn with Nivea. It is correct to use creams such as Dermaglos with vitamin A.
If it is in its emulsion version much better, as it helps the skin absorb the cream more easily. For more sensitive skin, or who have difficulty healing like mine I have discovered that the best option to treat them are creams with silver sulfadiazine antibacterial.
In my case I prefer Denver Pharma, since it also contains lidocaine, which helps reduce discomfort in the area and also has vitamin A, which is the ingredient that will help us regenerate tissue.
It is always advisable to have the opinion of our doctor, since we can have allergic reactions to some components of certain creams. The cream should always be applied after washing and drying the area properly, in thin layers until completely absorbed. It is very important to keep the skin hydrated but not moist, in order to avoid the risk of getting infections. As I clarified before, we all have different skins, so some people will need to hydrate their tattoo more times than others.
We must learn to know our own skin. That's how you take care of your sculpted nails at home.
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