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A pressure prevention device for burned ears.

M H Jordan1, J M Gallagher, R R Allely

  • 1Burn Center, Washington Hospital Center, Washington, DC 20010.

The Journal of Burn Care & Rehabilitation
|November 1, 1992
PubMed
Summary
This summary is machine-generated.

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Burned ear deformities are a risk for intubated patients. A novel headgear device effectively prevented ear tissue damage, including pressure necrosis, in critically burned patients needing ventilation.

Area of Science:

  • Burn surgery
  • Trauma care
  • Plastic and reconstructive surgery

Background:

  • Full-thickness burns to the external ear can lead to significant skin and cartilage loss, resulting in severe cosmetic deformities.
  • Partial-thickness burns pose a risk of tissue loss, particularly to the ear helix, due to pressure from medical devices.
  • Reconstructing the external ear after burns is challenging, necessitating preventative strategies.

Purpose of the Study:

  • To evaluate the efficacy of a newly designed bilateral ear protection device (headgear) in preventing ear tissue damage in critically burned patients.

Main Methods:

  • A bilateral ear protection device, termed "headgear", was fitted to all burn center patients requiring intubation for inhalation injury.
  • The headgear was worn continuously until extubation.

Related Experiment Videos

  • The device was applied to 39 consecutive critically burned patients over a 15-month period.

    • Main Results:

    • Pressure necrosis of ear tissue was successfully prevented in all 33 surviving patients who used the headgear.
    • The device was utilized for patients requiring ventilator support and/or protection of burned ears.

    Conclusions:

    • The designed ear protection headgear is effective in preventing pressure necrosis and subsequent tissue loss in critically burned, intubated patients.
    • This device offers a viable solution to mitigate the risk of ear deformities in a vulnerable patient population.