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MRI-Induced Full Thickness Burn on the Ear Lobule due to Pulse Oximetry: A Case Report

증례보고: MRI 검사시 귓불에 부착한 산소측정기로 인해 발생한 전층 화상

  • Kim, BumSik (Department of Plastic and Reconstructive Surgery, Dongguk University Ilsan Hospital, Dongguk University School of Medicine) ;
  • Lim, SooA (Department of Plastic and Reconstructive Surgery, Dongguk University Ilsan Hospital, Dongguk University School of Medicine) ;
  • Yoon, JungSoo (Department of Plastic and Reconstructive Surgery, Dongguk University Ilsan Hospital, Dongguk University School of Medicine) ;
  • Eo, SuRak (Department of Plastic and Reconstructive Surgery, Dongguk University Ilsan Hospital, Dongguk University School of Medicine) ;
  • Han, Yea Sik (Department of Plastic and Reconstructive Surgery, Dongguk University Ilsan Hospital, Dongguk University School of Medicine)
  • 김범식 (동국대학교 의과대학 동국대학교일산병원 성형외과) ;
  • 임수아 (동국대학교 의과대학 동국대학교일산병원 성형외과) ;
  • 윤정수 (동국대학교 의과대학 동국대학교일산병원 성형외과) ;
  • 어수락 (동국대학교 의과대학 동국대학교일산병원 성형외과) ;
  • 한예식 (동국대학교 의과대학 동국대학교일산병원 성형외과)
  • Received : 2021.06.15
  • Accepted : 2021.08.18
  • Published : 2021.12.31

Abstract

Magnetic Resonance Image (MRI) has been used as a safe, conventional and harmless diagnostic tool. However, thermal injuries have frequently been reported during MRI scanning due to the heat generated by the reaction with the magnetic field. It is recommended that metal-containing monitoring devices such as pulse oximetry and ECG monitoring leads should be removed prior to the start of the MRI scan, but these monitoring devices are inevitably placed in children or patients in the intensive care unit who have low compliance with the scan. Since the interaction between the metal probe or wire loop of pulse oximetry and the magnetic field can result in high thermal conduction, full-thickness burn can occur over the entire body surface during the MRI examination. Several cases of thermal burns from pulse oximetry on the fingers have been reported. However, we present a case of a full-thickness burn arising left earlobe in a 2-month-old child caused by the high conduction heat from pulse oximetry metal probe.

Keywords

References

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