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KMID : 1100620150020030188
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Clinical and Experimental Emergency Medicine
2015 Volume.2 No. 3 p.188 ~ p.192
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Use of a slit-lamp microscope for treating impacted facial foreign bodies in the emergency department
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Seol Seung-Hwan
Cho Joon-Pil
Lee Woon-Jeong
Choi Sang-Cheon
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Abstract
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Identifying, locating, diagnosing, and treating small foreign bodies (FBs) in soft tissues is a challenge for emergency physicians in the emergency department. Additionally, potential complications owing to the remnant FBs are medico-legally significant. The efficacy of conventional imaging methods such as radiography, computed tomography, and ultrasonography are largely limited in visualizing FBs<2-mm. The slit-lamp microscope, still unfamiliar to some emergency physicians, could be used to facilitate the treatment of FBs impacted in soft tissues. In this paper, we present a case that would have been difficult to treat without the help of the slit-lamp microscope; the patient presented with numerous particulate facially impacted FBs that were too small to be observed under plain sight or with radiography. Based on our experience, the slit-lamp microscope could be a useful tool for treating patients with miniscule and stubborn impacted FBs in the emergency department.
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KEYWORD
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Foreign bodies, Soft tissue injuries, Therapeutics
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