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Pressure ulcer following circumferential head dressing.

Mohsen Bahmani Kashkouli1, Behzad Khademi1, Reza Erfanian-Salim2

  • 1Eye Research Center, The Five Senses Institute, Iran University of Medical Sciences , Tehran, Iran.

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Summary
This summary is machine-generated.

Encircling head dressings can cause forehead pressure ulcers (PUs) and scarring in patients. Avoiding these dressings when possible and performing frequent skin checks can prevent PUs.

Keywords:
Dermoidendoscopic liftforehead necrosispressure ulcer

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Area of Science:

  • Plastic Surgery
  • Dermatology
  • Wound Care

Background:

  • Forehead pressure ulcers (PUs) are a potential complication following surgical procedures.
  • Encircling head dressings are commonly used postoperatively for head and facial surgeries.

Observation:

  • Four patients developed forehead and eyebrow PUs 16-72 hours after removing encircling head dressings.
  • The PUs were attributed to external pressure and shearing forces, with possible contribution from reperfusion injury.

Findings:

  • Patients were otherwise healthy and experienced no significant pain or burning.
  • Management involved pressure release, debridement, topical medications, and anti-scar cream, resulting in atrophic scarring in most cases.

Implications:

  • Encircling head dressings should be avoided in patients with a low risk of postoperative hematoma.
  • Early loosening of dressings and frequent skin examinations are crucial for prevention and early diagnosis.
  • Prompt treatment of PUs includes pressure removal, debridement, and appropriate topical therapies to minimize scarring.