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KMID : 1143020200250040292
Archives of Hand and Microsurgery
2020 Volume.25 No. 4 p.292 ~ p.296
Case of Treatment of Snakebite on Finger with Topical Oxygen Therapy
Choi Hwan-Jun

Lee Da-Woon
Ryu Hyeong-Rae
Kim Jun-Hyuk
Lee Jun-Ho
Abstract
Snakebites, though uncommon, are a potentially serious cause of disability or death. Local symptoms may include pain, edema, or ecchymosis that may progress to skin necrosis or compartment syndrome. This study explores the case of a 4-year-old male patient bitten by a snake on the distal volar aspect of his left ring finger. On physical examination, there were moderate swelling, hemobullae formation, and the skin necrosis was progressing on middle phalanx of ring finger. Fasciotomy and topical oxygen therapy was performed. The topical oxygen therapy (TOT) was started once a day for 90 minutes with 4 L/minute of oxygen flow. TOT is a method of delivering humidi?ed oxygen directly to the wound bed to support the healing of chronic and hypoxic wounds. There is no report on TOT for snakebite injury. In this report, we would like to report on the clinical experience of early surgery and adjuvant TOT with literary consideration.
KEYWORD
Snakebites, Topical, Oxygen therapy, Adjuvant
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