Os Styloideum Resection Complicated by Severe Contact Dermatitis to 2-Octyl Cyanoacrylate: A Case Study
| Autor: | Carolyn Cushing, Benjamin Googe, Bobby May |
|---|---|
| Rok vydání: | 2020 |
| Předmět: |
Adult
Male medicine.medical_specialty medicine.medical_treatment Osteoarthritis Dermatitis Contact law.invention chemistry.chemical_compound law medicine Humans Cyanoacrylates Debridement business.industry Chronic pain General Medicine Wrist medicine.disease Tendon Surgery 2-Octyl cyanoacrylate Treatment Outcome medicine.anatomical_structure chemistry Cyanoacrylate Tissue Adhesives Splint (medicine) business Contact dermatitis |
| Zdroj: | Wound Management & Prevention. 66:33-38 |
| ISSN: | 2640-5245 2640-5237 |
| Popis: | Os styloideum is an accessory wrist bone at the base of the second and third metacarpals. Similar to metacarpal bossing, chronic pain secondary to the development of osteoarthritis and tendon irritation is common. Conservative management consists of splinting and steroid injections, with surgical resection being the definitive treatment. 2-Octyl cyanoacrylate adhesive glue is commonly used to close these and other types of wounds. PURPOSE We report the case of a 29-year-old man who developed severe dermatitis following surgical removal of a right dorsal hand mass at the base of the third metacarpal, which had been slowly enlarging and causing pain for 18 months. METHODS After unsuccessful conservative management, the mass was resected and the incision was closed with buried monofilament suture and 2-octyl cyanoacrylate skin glue. Upon splint removal due to pain, 6 days postoperatively, severe contact dermatitis resulting in scattered partial- and full-thickness skin necrosis was observed. Local wound care, systemic corticosteroids, and a secondary surgical closure were required for resolution of the skin breakdown. CONCLUSION This case demonstrates 2 uncommon occurrences: a rare hand mass and severe contact dermatitis to 2-octyl cyanoacrylate with resultant tissue necrosis. Mass resection is commonly reserved for symptomatic os styloideum. Caution should be used when applying 2-octyl cyanoacrylate under a splint. Removal of glue and steroids provides effective treatment for severe contact dermatitis, but full-thickness injuries may require debridement and secondary closure. |
| Databáze: | OpenAIRE |
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