Journal of Trauma and Injury

Life-Threatening Necrotizing Fasciitis of the Posterior Neck: Ji-An Choi, Jung-Ha Kwak, Chung-Min Yoon; J Trauma Inj. 2020;33(4):260-263. Published online November 27, 2020; DOI: https://doi.org/10.20408/jti.2020.0025

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Necrotizing fasciitis is an infection of the subcutaneous tissue that results in destruction of the fascia and is disproportionately common in patients with chronic liver disease or diabetes. Necrotizing fasciitis of the head and neck is rare, but has a high fatality rate. A 50-year-old man with a past medical history of diabetes reported a chief complaint of a wound in the posterior neck due to trauma. The wound had grown and was accompanied by pus and redness, and the patient had a fever. When the patient was referred to department of plastic & reconstructive surgery, the sternocleidomastoid muscle, semispinalis capitis muscle, splenius capitis muscle, and trapezius muscles were exposed, and the size of the defect was about 25×20 cm. Dead tissue resection was performed before negative-pressure wound therapy, followed by a split-thickness skin graft (STSG). After a 2-week course of aseptic dressing post-STSG, the patient recovered completely. No postoperative complications were observed for 1 year. Necrotizing fasciitis is a life-threatening, rapidly spreading infection, requiring early diagnosis and active surgical treatment. In addition, broad-spectrum antibiotics are required due to the variety of types of causative bacteria. Broad necrotizing fasciitis of the posterior neck is rare, but can quickly progress into a life-threatening stage.

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Reconstruction of cervical necrotizing fasciitis defect with the modified keystone flap technique: Two case reports
Wonseok Cho, Eun A Jang, Kyu Nam Kim
World Journal of Clinical Cases.2024; 12(7): 1305. CrossRef
Posterior cervical necrotising fasciitis: a multidisciplinary endeavour in surgery
Jia Hui Lee, Fung Joon Foo, Allen Wei-Jiat Wong
Journal of Surgical Case Reports.2023;[Epub] CrossRef

Limited Incisional Drainage and Negative-Pressure Wound Therapy in an Acute Morel-Lavallée Lesion: Eui-Sung Choi, Jae-Young Yang, Byung-Hyun Ahn; J Trauma Inj. 2021;34(1):75-78. Published online November 10, 2020; DOI: https://doi.org/10.20408/jti.2020.0039

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Abstract PDF: A Morel-Lavallée lesion is a post-traumatic closed degloving soft tissue injury after blunt trauma. Infection and skin necrosis frequently occur if it is not treated properly in the early stages. However, there is no clearly established treatment algorithm. In the acute stage, it is mainly treated with aspiration, simple compression, and incisional drainage. In the chronic stage, sclerotherapy is usually performed. If skin necrosis develops, the necrotic tissue is resected and a skin graft is needed. We describe a case of acute Morel-Lavallée lesion in the buttock region that was treated with limited incisional drainage and negative-pressure wound therapy, and also present a review of the literature.; Summary

Enteroatmospheric Fistula Associated with Open Abdomen: Jihun Gwak, Min A Lee, Dae Sung Ma, Kang Kook Choi; J Trauma Inj. 2016;29(4):195-200. Published online December 31, 2016; DOI: https://doi.org/10.20408/jti.2016.29.4.195

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Abstract PDF: Enteroatmospheric fistula (EAF) is one of the most devastating complications in patients with an open abdomen and has associated morbidity and mortality rates. No gold standard therapy has been established for the treatment of EAF, and thus, treatment decision making is dependent on the experience of medical staff. Nevertheless, treatment involves the following; 1) sepsis must be managed, 2) sufficient nutritional support must be provided, and 3) effluent must be isolated from skin and open viscera. Here the authors present the case of a 29-year-old man who developed enteroatmospheric fistula after damage control laparotomy.; Summary

Vacuum-assisted Closure Therapy for Treating Patients with Severe Subcutaneous Emphysema: Tak Hyuk Oh, Sang Cjeol Lee, Deok Heon Lee, Joon Yong Cho; J Trauma Inj. 2015;28(4):276-279. Published online December 31, 2015; DOI: https://doi.org/10.20408/jti.2015.28.4.276

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Abstract PDF: Subcutaneous emphysema is a benign condition following trauma (pneumothorax and oropharyngeal), cervical or thoracic procedures, and mediastinal infection. However, severe subcutaneous emphysema may be related to serious complications such as respiratory failure, airway compromise, and tension- related phenomena. Many alternative therapies have been tried to treat patients with this condition. We report our experience with vacuum-assisted closure therapy for treating patients with severe subcutaneous emphysema.; Summary

Clinical Effect of Immediate Cooling on Superficial Second Degree Thermal Burns: Hii Sun Jeong, Hye Kyung Lee, Hyung Suk Kim, Keuk Shun Shin; J Korean Soc Traumatol. 2009;22(2):227-232.

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Abstract PDF: PURPOSE
Numerous experimental studies have shown the benefits of treating thermal burns by cooling. Nevertheless, few studies have shown the clinical effect of cooling therapy on thermal burns. This study aimed to identify the clinical effect of immediate cooling therapy.
METHODS
The research was conducted as a retrospective, case-control study. All patients had thermal injuries characterized as a superficial second-degree burn. In the cooling group, 14 patients had first-aid cooling therapy delivered by either parents, caregivers, general practitioners, local hospitals, and/or Myongji hospital. Included in the study were 22 control patients who were not treated with any cooling therapies. Other clinical factors, such as age, sex, cause of burn injury, and burn area (Total Body Surface Area %), were taken into consideration. The duration of treatment was defined as the time from the occurrence of the injury to the presence of complete re-epithelialization, as confirmed by two surgeons.
RESULTS
The duration of treatment in the cooling group was significantly less than that the control group (p < 0.05).
CONCLUSION
Cooling therapy as an initial emergent treatment is clinically effective for superficial seconddegree burn injuries.; Summary

Current Concept and Future of the Management of Spinal Cord Injury: A Systematic Review: Il Choi, Jin Gyeong Ha, Sang Ryong Jeon; J Trauma Inj. 2013;26(3):63-73.

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Abstract PDF: Spinal cord injury (SCI) is a serious condition associated with social and familial burden, as well as significant neurologic deficit. Despite the many advances in the treatment of spinal cord injury, a fundamental treatment for neurologic functional recovery has not yet been developed. In this article, we review two directions of development for spinal cord injury treatment: neuroprotective pharmacological agents and axon-regenerating cell therapy. We expect developments in these two to lead to improve functional recovery in patients with spinal cord injuries and to reduce burdens on society, as well as the patients' families.; Summary

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