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LETTER TO EDITOR Table of Contents  
Ahead of print publication
Contact dermatitis secondary to tegaderm application in a case of cochlear implant


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

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Date of Submission01-May-2020
Date of Decision12-Jun-2020
Date of Acceptance18-Jun-2020
Date of Web Publication23-Jul-2020
 


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 [Epub ahead of print] [cited 2021 Apr 22]. Available from: https://www.bjoaonline.com/preprintarticle.asp?id=290532




Sir,

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.
Figure 1: Cut-halves of Tegaderm™ for application

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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.[1] 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.
Figure 2: Periorbital lesion on 1st and 2nd postoperative days

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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

Nil.

Conflicts of interest

There are no conflicts of interest.



 
  References Top

1.
White E, Crosse MM. The etiology and prevention of perioperative corneal abrasions. Anaesthesia 1998;53:157-61.  Back to cited text no. 1
    

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Correspondence Address:
Ravi Shankar Sharma,
Acad S. R.(DM Pain Medicine), Department of Anaesthesiology, AIIMS, Rishikesh - 249 203, Uttarakhand
India
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Source of Support: None, Conflict of Interest: None

DOI: 10.4103/BJOA.BJOA_69_20



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