Successful Treatment of Burn-Induced Digital Ischemic Ulcer with Stellate Ganglion Block: Case Report
- Author:
Shin Who PARK
1
;
Jin Seok BAE
;
Kang Jae JUNG
;
Jae Hyung KIM
Author Information
1. Department of Physical Medicine and Rehabilitation, Eulji University Hospital and Eulji University, Daejeon, Korea.
- Publication Type:Case Report
- Keywords:
Ischemic ulcer;
Stellate ganglion block;
Burn
- MeSH:
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
- From:
Clinical Pain
2018;17(2):115-118
- CountryRepublic of Korea
- Language:Korean
-
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.
