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Strategic Treatment with Thermal Camera Monitoring of Cold Burn Hand Injury Implicated by Liquid Nitrogen Followed by Secondary Rewarming Burn: A Case Report
Journal of Korean Burn Society 2023;26(2):62-66
Published online December 1, 2023
© 2023 Journal of Korean Burn Society.

Keun Hyung Kim, M.D., Soo Yeon Lim, M.D., In Chang Koh, M.D., Ph.D. and Hoon Kim, M.D., Ph.D.

Department of Plastic and Reconstructive Surgery, Konyang University Hospital, University of Konyang College of Medicine, Myung-gok Medical Research Center, Daejeon, Korea
Correspondence to: Hoon Kim, Department of Plastic and Reconstructive Surgery, Konyang University Hospital, University of Konyang College of Medicine, Myunggok Medical Research Center, 158 Gwanjeodong-ro, Daejeon 35358, Korea
Tel: 82-42-612-2350, Fax: 82-42-600-9090
E-mail: prshoonkim@daum.net
Received August 29, 2023; Revised October 6, 2023; Accepted October 19, 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
When it comes to the cold burn injury, rewarming with 37~39oC running water until the sensory restoration of the affected site is a well-established treatment modality. However, there have been few reports pertaining to liquid nitrogen induced cold burn injury followed by secondary rewarming burn. A 19-year-old male was exposed to liquid nitrogen of −196oC on his hands while only wearing a cotton glove. After rewarming treatment, tense and painful bullae occurred along the zone of injury. We applied a portable thermal camera to determine the treatment modality based on the state of the wound. With the aid of thermal camera monitoring, complete healing without burn scar contracture and limitation of motion was achieved.
Keywords : Frostbite, Cold injury, Burns, Chemical


December 2023, 26 (2)
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