|LETTER TO EDITOR
|Year : 2020 | Volume
| Issue : 4 | Page : 206-207
Contact dermatitis secondary to tegaderm application in a case of cochlear implant
Ravi Shankar Sharma1, Hariprasad Ramalingam2, Manoj Kamal2, Nilay Pal2, Suyashi3
1 Division on Pain Medicine, Department of Anaesthesiology, AIIMS, Rishikesh, India
2 Department of Anaesthesiology and Critical Care, AIIMS, Jodhpur, Rajasthan, India
3 Department of Anatomy, AIIMS, Jodhpur, Rajasthan, India
|Date of Submission||01-May-2020|
|Date of Decision||12-Jun-2020|
|Date of Acceptance||18-Jun-2020|
|Date of Web Publication||23-Jul-2020|
Dr. Ravi Shankar Sharma
Acad S. R.(DM Pain Medicine), Department of Anaesthesiology, AIIMS, Rishikesh - 249 203, Uttarakhand
Source of Support: None, Conflict of Interest: None
|How to cite this article:|
Sharma RS, Ramalingam H, Kamal M, Pal N, Suyashi. Contact dermatitis secondary to tegaderm application in a case of cochlear implant. Bali J Anaesthesiol 2020;4:206-7
|How to cite this URL:|
Sharma RS, Ramalingam H, Kamal M, Pal N, Suyashi. Contact dermatitis secondary to tegaderm application in a case of cochlear implant. Bali J Anaesthesiol [serial online] 2020 [cited 2020 Nov 24];4:206-7. Available from: https://www.bjoaonline.com/text.asp?2020/4/4/206/299875
We report a case of irritant contact dermatitis following application of transparent medical dressing (Tegaderm™) for ocular protection during a case of cochlear implant placement. At our institution, Tegaderm™ is routinely applied for ocular protection during general anesthesia. In this case, a 4-year-old male underwent cochlear implant placement under general anesthesia. The child presented with bilateral sensorineural hearing loss. Preoperative evaluation revealed a healthy child without any other congenital anomaly.
Following induction of general anesthesia and airway securing, two cut halves of intravenous Tegaderm™ (6 cm × 7 cm) were applied on both eyes [Figure 1]. Immediately just before extubation, Tegaderm™ was removed. The entire perioperative period was uneventful. Following the recovery of consciousness, the patient complained of periorbital itching. Four hours after the surgery was completed, the patient developed redness around both eyelids and periorbital region. The area of redness gradually increased on the next day and was associated with small vesicles.
The dermatologist diagnosed him as a case of irritant contact dermatitis [Figure 2]. Later on, a topical steroid was prescribed, which resulted in complete healing of the lesion. The patient was discharged on the 4th day after the surgery. Most corneal injuries during general anesthesia are thought to be secondary to incomplete closure of the eyelids. Adhesive tape or Tegaderm™ is routinely used to approximate the eyelids. We report this case because it is unique for a child to sustain periorbital contact dermatitis from an adhesive used for this purpose.
Declaration of patient consent
The authors certify that they have obtained all appropriate patient consent from the parents. They provided us with permission for his images and other clinical information for future publication. The parents understand that their names and initials will not be published and due efforts will be made to conceal their identity, but anonymity cannot be guaranteed.
Financial support and sponsorship
Conflicts of interest
There are no conflicts of interest.
| References|| |
White E, Crosse MM. The etiology and prevention of perioperative corneal abrasions. Anaesthesia 1998;53:157-61.
[Figure 1], [Figure 2]