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The Efficacy of Enhanced Magnetic Resonance Imaging and Computed Tomography in Extensive Infected Deep Burn with Pus Collection
Journal of Korean Burn Society 2023;26(2):36-43
Published online December 1, 2023
© 2023 Journal of Korean Burn Society.

Jae Hyun Kim, M.D., Yu Chan Lee, M.D., Chan Min Chung, M.D. and Myong Chul Park, M.D., Ph.D.

Department of Plastic and Reconstructive Surgery, Hallym Sacred Heart Hospital, Hallym University College of Medicine, Seoul, Korea
Correspondence to: Chan Min Chung, Department of Plastic and Reconstructive Surgery, Hallym Sacred Heart Hospital, Hallym University College of Medicine, 22 Gwanpyeong-ro, 170beon-gil, Dongan-gu, Anyang 14068, Korea
Tel: 82-31-380-3781, Fax: 82-31-380-5980
E-mail: cmchung@hallym.or.kr
Received November 2, 2023; Revised November 17, 2023; Accepted November 20, 2023.
This is an Open Access article distributed under the terms of the Creative Commons Attribution Non-Commercial License (http://creativecommons.org/licenses/by-nc/4.0/) which permits unrestricted non-commercial use, distribution, and reproduction in any medium, provided the original work is properly cited.
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.
Keywords : Burn, Infections, Magnetic resonance imaging, Computed tomography, Abscess


December 2023, 26 (2)
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