Pediatr Emerg Med J.  2024 Apr;11(2):71-74. 10.22470/pemj.2024.00962.

A case of successful removal of a zipper entrapped on the upper eyelid of a child using a lidocaine gel

• Choi SY
• Hwang S

• KMID: 2554078
• DOI: http://doi.org/10.22470/pemj.2024.00962

Abstract

Zipper entrapment injuries require a technique to safely and promptly release the entrapped tissues to prevent complications. Herein, we report an 8-year-old girl whose eyelid was successfully released from an entrapping zipper. She presented to the pediatric emergency department with her right upper eyelid entrapped in a zipper while getting dressed. She was distressed, anxious, and crying in pain. We have successfully removed the zipper using a lubricating gel, which provides local anesthesia. This case report will increase emergency physicians’ awareness of the technique of removing an entrapped zipper on the eyelid using a lidocaine gel.

Keyword

Administration, Topical; Anesthesia and Analgesia; Eyelids; Lidocaine; Pediatric Emergency Medicine

Figure

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  Fig. 1. An 8-year-old girl with the right upper eyelid entrapped in a zipper.

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  Fig. 2. The right upper eyelid entrapped in the lower back portion of the zipper teeth (arrow, A). After releasing the eyelid, there remains an approximately 0.7-cm linear pinched skin with mild erythema (B).

Reference

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