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01.08.2013 | Case Report | Ausgabe 4/2013

European Surgery 4/2013

Hot airflow burn injury in a paraplegic patient: report of a case

European Surgery > Ausgabe 4/2013
MD Klaus Pfurtscheller, MD Thomas Petnehazy, MD Michael Valentin Schintler, MD Marija Trop



A 24-year-old paraplegic woman suffered deep dermal burns to both hands and circumferential burns to all fingers after a manicure. To accelerate the drying process of the nail polish, the caregiver used a hairdryer. Due to her impaired pain sensation, the patient could not feel the happening skin damage and the inexperienced caregiver did not even consider such a possibility.


Case report and review of the literature.


After conservative treatment for 3 weeks, we performed skin grafting on the remaining unhealed wound areas with a 100 % take rate and good final results.


The need of a hot air stream during a manicure is questionable. However, in a patient without sensation of pain, its use requires extreme care; otherwise, thermal injuries can easily occur.

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