1/28. frostbite at the gym: a case report of an ice pack burn.The case is reported of a 59 year old woman who suffered a 1% total body surface area superficial partial thickness burn to her calf following the application of an ice pack. The cause, resulting injury, and subsequent management are discussed. It is possible that such injuries are common, but no similar reports were found in a literature search. awareness of the risk of this type of injury is important for all those entrusted with advising patients on the treatment of minor soft tissue injuries.- - - - - - - - - - ranking = 1keywords = ear (Clic here for more details about this article) |
2/28. Oral frostbite injury from intentional abuse of a fluorinated hydrocarbon.BACKGROUND: A serious but rarely reported complication of halogenated hydrocarbon inhalation abuse is severe mucosal frostbite. CASE REPORT: A 16-year-old male attempted to "get high" by inhaling airbrush propellant which contained 1,1-difluoroethane (CAS #75-376). The patient lost consciousness and upon awakening his lips and tongue were frozen. He suffered first- and second-degree burns of the larynx with vocal cord involvement and first-degree burns of the trachea, main stem bronchi, and esophagus. The oral cavity had second- and third-degree burns which required debridement. CONCLUSION: This case demonstrates the unusual but severe damage that can occur with the abuse of fluorinated hydrocarbons.- - - - - - - - - - ranking = 0.5keywords = ear (Clic here for more details about this article) |
3/28. Hyperbaric oxygen treatment in deep frostbite of both hands in a boy.An 11-year-old boy in good general health conditions suffered deep frostbite on six fingers while he was working without gloves as a beater during a hunt in poland at an outdoor temperature of -32 degrees C over a 4 h-period. Three days later he was first seen by a physician who planned to amputate the affected fingers. The patient was transferred by his family to our University Hospital in Aachen, germany. We found third degree frostbite on four fingers of the right and on two fingers of the left hand. Because of the late beginning of the therapy, the patient was treated by HBO(2) according to the Marx-schema for problem wounds (2,4 bar, total time at depth: 90 min, alternations of 100% O(2) and air breathing). HBO(2)-treatment was repeated daily for 14 days. No adverse events were recorded during the course of therapy. A total recovery of the severe frostbite was observed after 14 days of HBO(2)-treatment. Twenty-eight months after the injury the patient reports fully regained sensibility and no pain. The plain X-ray after this period showed no premature closure of the epiphyses or sclerosis of the metaphyses. Conclusions: Because of the low risk associated with HBO(2), and its potential therapeutic efficiency, HBO(2) should be recommended as adjunct therapy in the treatment of deep frostbite.- - - - - - - - - - ranking = 0.5keywords = ear (Clic here for more details about this article) |
4/28. Imaging of frostbite injury by technetium-99m-sestamibi scintigraphy: a case report.The appearance of superficial tissue is often an unreliable indicator of deep-tissue viability in cases of frostbite. We present a 34-year-old black man who was brought to the emergency department at fourth post-injury day with frostbite injury involving both lower extremities after prolonged exposure to subzero temperatures. In our previous experimental study, 99mTc sestamibi scintigraphy has been employed for evaluating frostbite injuries in rabbit hindlegs. In the case presented, 99mTc sestamibi scintigraphy, as a new diagnostic tool, was performed for detection of skeletal muscle perfusion on the fourth post-injury day. The scintigraphic images show diffusely reduced uptake in soft tissues of both calves and feet. It was thought that this hypoperfusion was due to viable but ischemic tissue. Five days after medical therapy, 99mTc sestamibi scan showed prominently increased uptake in both calves and feet and skin necrosis was observed. debridement of necrotic skin and subcutaneous tissue was performed, and split-thickness skin graft was applied for coverage of the skin defect. Healing was good 15 days after grafting. We think 99mTc sestamibi scan can be used for assessment of soft-tissue perfusion and evaluation of treatment in frostbite injury.- - - - - - - - - - ranking = 1keywords = ear (Clic here for more details about this article) |
5/28. Simultaneous fracture of every cervical vertebra: a case study.STUDY DESIGN: The case of a 14-year-old boy who sustained simultaneous fractures of every cervical vertebra in a high-energy snowmobile accident is reported. OBJECTIVE: To describe a case of multiple cervical spine fractures and their management. SUMMARY OF BACKGROUND DATA: Injuries from all-terrain vehicles and off-road vehicles, including snowmobiles, are increasing in severity and frequency. The reported case illustrates a result of high-impact loading in which the driver struck his head after being thrown from a snowmobile at high speed. methods: The 14-year-old boy in the reported case fractured C1-C7, but had no neurologic sequelae. RESULTS: The fractures were treated with a halo vest after traction and reduction of the displaced odontoid fracture. All the fractures healed with no residual cervical instability. CONCLUSIONS: This case report is the first to describe a patient of any age who sustained simultaneous fractures of every cervical vertebra. Treatment with a halo vest was successful in protecting the cervical spine until healing was complete.- - - - - - - - - - ranking = 1keywords = ear (Clic here for more details about this article) |
6/28. Auricular ossificans (ectopic ossification of the auricle).The petrified auricle is an unusual clinical entity in which the ear becomes partially or totally rigid, which may result from local trauma, inflammation, or systemic diseases. This process is most commonly secondary to ectopic calcification, but rarely ossification is responsible. Severe hypothermia (frostbite) is the most common cause of auricular ossificans. Only 9 cases of histologically proven ossification of the ear have been reported in the English-language literature. Because of its rarity, there is a paucity of articles addressing its treatment. We report a case of unilateral auricular ossificans believed to be secondary to cold injury. Ectopic ossification was detected on both radiologic and histologic examination. The previously reported cases are reviewed and possible causative factors are discussed.- - - - - - - - - - ranking = 340.15485340024keywords = auricular, ear (Clic here for more details about this article) |
7/28. Coverage of widely separate defects of the lower extremity: application of cluster analysis.A patient with lower extremity reconstruction is presented with a radial forearm free flap designed using the cluster analysis method of cutaneous perforators. The cutaneous vascular anatomy of fasciocutaneous flaps is discussed as well as the application of the mathematical model of analysis of the vascular territories within specific flaps to assist in "custom" flap design. The ultimate goal of this technique is the creation of flaps that provide a more precise and anatomical reconstruction of the proposed defect.- - - - - - - - - - ranking = 0.5keywords = ear (Clic here for more details about this article) |
8/28. Calcification of the auricular cartilage: a case report and literature review.We report a case of auricular calcification in an elderly man with a history of frostbite and normal serum calcium levels. The causes of calcification of the cartilage of the external ear are discussed.- - - - - - - - - - ranking = 848.3871335006keywords = auricular, ear (Clic here for more details about this article) |
9/28. frostbite in a mountaineer.Cold injury is an objective danger in mountain climbing as well as in many outdoor sports. With increasing number of people practising so-called extreme tourisms physicians can be confronted with frostbite. Thus we present a case of frostbite in a 35 year-old female mountaineer. She took part at a demanding high alpine trekking tour in the Himalayan-area requesting well trained mountaineers experienced in ice- and securing-techniques and good physical condition. At day 12, when the group reached the top of the Parchamo (nepal, 6273 m), she developed frostbite at all toes leading to amputation finally. risk factors, prognosis and options for initial treatment are discussed.- - - - - - - - - - ranking = 0.5keywords = ear (Clic here for more details about this article) |
10/28. One night in a snowbank: a case report of severe hypothermia and cardiac arrest.hypothermia < 28 degrees C is rarely compatible with life, with only a few cases described surviving such low temperatures. We present a case of a man who survived with a core body temperature below 21.0 degrees C after spending a night in a snowbank with an ambient temperatures as low as -20.0 degrees C. Prolonged CPR and early initiation of extracorporeal membrane oxygenation enabled survival without neurological deficit at hospital discharge. frostbite was limited to both hands and all toes only; although the entire upper and lower extremity appeared to be deeply frozen on admission, amputation of both hands was inevitable and resulted in permanent disability.- - - - - - - - - - ranking = 1keywords = ear (Clic here for more details about this article) |
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