J Dent Anesth Pain Med.  2018 Oct;18(5):305-308. 10.17245/jdapm.2018.18.5.305.

Medical adhesive related skin injury after dental surgery

• Kim TH
• Lee JS
• Ahn JH
• Kim CH
• Yoon JU
• Kim EJ

• KMID: 2424372
• DOI: http://doi.org/10.17245/jdapm.2018.18.5.305

Abstract

An 87-year-old woman was referred for the extraction of residual teeth and removal of tori prior to prosthetic treatment. After surgery under general anesthesia, the surgical tape was removed to detach the bispectral index sensor and the hair cover. After the surgical tape was removed, skin injury occurred on the left side of her face. After epidermis repositioning and ointment application, a dressing was placed over the injury. Her wound was found to have healed completely on follow-up examination. Medical adhesive related skin injury (MARSI) is a complication that can occur after surgery and subjects at the extremes of age with fragile skin are at a higher risk for such injuries. Careful assessment of the risk factors associated with MARSI is an absolute necessity.

Keyword

Medical Adhesive; Skin Injury; Surgical Tape

MeSH Terms

Adhesives*
Aged, 80 and over
Anesthesia, General
Bandages
Epidermis
Female
Follow-Up Studies
Hair
Humans
Risk Factors
Skin*
Surgical Tape
Tooth
Wounds and Injuries
Adhesives

Figure

• 

  Fig. 1 Tape was removed and the skin peeled off.

• 

  Fig. 2 After 5 days, bruising is worsened, but secondary healing is occurring.

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  Fig. 3 After 12 days, bruising was fairly reduced.

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