Department of Plastic Surgery, Helsinki University Hospital, Helsinki, Finland.
The Journal of trauma (Impact Factor: 2.96). 01/2005; 57(6):1315-20. DOI: 10.1097/01.TA.0000151258.06910.83
BACKGROUND: : Exposure to cold results in frostbite, superficial or deeper tissue damage. In severe frostbites, amputations are life-saving but diminish quality of life (QOL). METHODS: : Retrospective study was performed. RAND 36- questionnaire was administered to assess QOL. Our aim was to investigate risk factors and adjustment to everyday life of hospitalized patients. RESULTS: : 92 frostbites in 42 patients were recorded. One third of the patients were chronic alcoholics. Age and temperature were statistically significant factors for unfavorable outcome. 20% of patients required secondary reconstructive procedures. One-third reported their emotional well-being very poor. Half had limitations in social life. CONCLUSIONS: : Hospitalized cases of frostbite are rare. Anti-social behavior increases the risk in general, and patients present with complicated problems similar to those encountered in burns victims. We recommend that frostbite patients requiring hospital attendance are treated in specialized units, where sufficient expertise for acute as well as reconstructive surgery is available.
"Contact frostbites are common in young workers and typically involve the hands.3,4 The upper extremities, the fingers in particular, are more susceptible to cryogenic gas exposure because the vascular structures are smaller and narrower and the tissue coverage is thinner in the upper extremities than in the lower extremities.5 "
[Show abstract][Hide abstract] ABSTRACT: Objective: The aim of this study was to present a case report of a patient with hand frostbite injury sustained by helium vapor and discuss the circumstances of this injury, treatment, and preventive measures. Methods: A case report of the incident was drafted and the relevant literatures were reviewed. The patient was treated with antiedema therapy, extremity elevation, high-molecular-weight dextran, heparin infusion, and hyperbaric oxygen therapy. Results: The frostbite injury healed with spontaneous epithelization. At his last follow-up at the eighth month, he had a good range of movement of his hand. Conclusion: Frostbite injuries are relatively uncommon and have various etiologies. The adjunctive hyperbaric oxygen therapy is an alternative treatment of frostbite injuries, although it is still considered investigational.
[Show abstract][Hide abstract] ABSTRACT: AKATEEMINEN VÄITÖSKIRJA Esitetään Tampereen yliopiston lääketieteellisen tiedekunnan suostumuksella julkisesti tarkastettavaksi lääketieteen laitoksen B-rakennuksen pienessä luentosalissa, Medisiinarinkatu 3, Tampere, toukokuun 12. päivänä 2006 kello 12.
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