J Korean Burn Soc.  2023 Dec;26(2):36-43. 10.47955/jkbs.23.0013.

The Efficacy of Enhanced Magnetic Resonance Imaging and Computed Tomography in Extensive Infected Deep Burn with Pus Collection

• Kim JH
• Lee YC
• Chung CM
• Park MC

• KMID: 2549010
• DOI: http://doi.org/10.47955/jkbs.23.0013

Abstract

Purpose
In the case of a chronically unhealed 3rd or 4th degree burn, the lesion may involve the deep structures, and may be deeper and wider than what is visible on gross examination. Deep burns with severe inflammation may result in pus collection. Surgical unroofing and drainage are the treatments of choice for improving the patient's general condition. Before surgery, accurately identifying the range of the lesion is important for planning. Preoperative imaging scans such as magnetic resonance imaging (MRI) and computed tomography (CT) help identify involved deep structures and check the range and presence of pus collections.
Methods
A retrospective review was performed from 2021 to 2023 on a total of nine cases with severely infected deep burns who were checked with preoperative MRI or CT to confirm the range of lesions and pus collection in our hospital. The patients were chosen based on whether or not there was pus discharge, the inflammation levels, and a fever above 38 degrees.
Results
Preoperative imaging scans were crucial for determining the timing of surgery and establishing its scope and plan. All nine patients were able to unroof the entire abscess in one surgery without trial and error. After surgery, the inflammation was reduced, and a clean wound bed was observed.
Conclusion
In this report, we discuss the efficacy of preoperative MRI and CT examinations for identifying deep burns and extensive pus collection findings that are difficult to identify on the gross examination when planning surgical management.

Keyword

Burn; Infections; Magnetic resonance imaging; Computed tomography; Abscess