Clin Pain.  2018 Dec;17(2):115-118. 10.0000/cp.2018.17.2.115.

Successful Treatment of Burn-Induced Digital Ischemic Ulcer with Stellate Ganglion Block: Case Report

• Park SW
• Bae JS
• Jung KJ
• Kim JH

• KMID: 2439570
• DOI: http://doi.org/10.0000/cp.2018.17.2.115

Abstract

The Stellate ganglion block (SGB) could be used to treat sympathetic dependent circulatory insufficiency. We report a 36-year-old female patient with burn-induced refractory ischemic ulcer in distal phalanges. The patient admitted in department of plastic surgery for second degree burn wound in the right second through fifth fingertips. Continuous dressing treatment was conducted. However digital burn wounds were not healed but seems to be refractory. The upper extremity angiography revealed decreased perfusion and the fingertip wounds were diagnosed as ischemic ulcer. Despite of botulinum toxin injection into the perineural tissue and aspirin prescription, burn wounds showed ulcerative necrotic change. The SGBs were performed twice a week for 3 weeks to restore vasoconstriction of the upper extremity arteries. The follow-up angiography showed significant improvement of fingertip perfusion. Consequently, wounds were completely healed. In conclusion, SGB could be a rational option to overcome burn-induced digital ischemia refractory to other medical therapy.

Keyword

Ischemic ulcer; Stellate ganglion block; Burn

MeSH Terms

Adult
Angiography
Arteries
Aspirin
Bandages
Botulinum Toxins
Burns
Female
Follow-Up Studies
Humans
Ischemia
Perfusion
Prescriptions
Stellate Ganglion*
Surgery, Plastic
Ulcer*
Upper Extremity
Vasoconstriction
Wounds and Injuries
Aspirin
Botulinum Toxins