- Email: [email protected]
Surgical Pearl: Use of surgical scrub sponge for auricular dressing
Accepted Manuscript Surgical Pearl: Use of surgical scrub sponge for auricular dressing Daphne van Loenen, Roel E. Genders, MD PII:
S0190-9622(18)33108-6
DOI:
https://doi.org/10.1016/j.jaad.2018.12.034
Reference:
YMJD 13041
To appear in:
Journal of the American Academy of Dermatology
Received Date: 13 November 2018 Revised Date:
1 December 2018
Accepted Date: 18 December 2018
Please cite this article as: van Loenen D, Genders RE, Surgical Pearl: Use of surgical scrub sponge for auricular dressing, Journal of the American Academy of Dermatology (2019), doi: https:// doi.org/10.1016/j.jaad.2018.12.034. This is a PDF file of an unedited manuscript that has been accepted for publication. As a service to our customers we are providing this early version of the manuscript. The manuscript will undergo copyediting, typesetting, and review of the resulting proof before it is published in its final form. Please note that during the production process errors may be discovered which could affect the content, and all legal disclaimers that apply to the journal pertain.
ACCEPTED MANUSCRIPT TITEL PAGE Surgical Pearl: Use of surgical scrub sponge for auricular dressing
Authors: Daphne van Loenen, Department of dermatology, Leiden University Medical Center, Leiden, The
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Netherlands
Roel E. Genders, MD, Department of dermatology, Leiden University Medical Center, Leiden, The Netherlands Second affiliation: Department of dermatology, Roosevelt kliniek, Leiden, The Netherlands
M AN U
SC
Corresponding author: D. van Loenen Albinusdreef 2 2333 ZA Leiden The Netherlands
Phone: +31 71 5269111 Fax: +31 71 5248106
Email: [email protected] Funding source: none
Conflict of Interest Disclosure: none declared
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Prior presentation: none Reprint request: corresponding author
Word count text: 272 (including headings and figure referrals between brackets)
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Number of figures: 1
EP
Number of references: 1
Key words
surgical scrub sponge, sponge, ear, bandage, auricular, dressing
ACCEPTED MANUSCRIPT Surgical Pearl: Use of surgical scrub sponge for auricular dressing
Challenge Creating an adequate dressing after auricular surgery can be challenging because of the delicate three dimensional anatomy of the ear. An adequate dressing protects the surgical
RI PT
site, but also prevents hematoma and facilitates wound healing. The empty post-auricular space has to be filled with care, preventing the ear to be pressed to the mastoid bone, because of subsequent risk of pressure sores or necrosis.
SC
Solution
We present a dressing technique we have used in our practice for several years without complications. We perform the dressing after auricular surgery, in most cases skin cancer
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surgery with reconstruction of the auricle (Fig 1, A) or wedge closure. The ear is dressed with a non-adhesive dressing of choice. To replete the post-auricular space we use a surgical scrub sponge (MedicaBrush®, Medica Europe BV). The use of surgical scrub sponge has been described earlier in fixating skin grafts.1 We cut the sponge with a bandage scissor in a curvature, wedge shaped design (Fig 1, B and C). The elastic
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material of the sponge enables a comfort bandage that forms to the ear anatomy, allowing to give the desired pressure bandage (Fig 1,D). Anteriorly, the remainder of the sponge or another dressing can be used (Fig 1, E). The dressing is fixated by a head bandage or adhesive tape (Fig 1, F).
EP
The advantage to use this sponge dressing over gauze to fill the post-auricular space, is that blood absorbed gauze dry out and become hard, which cause undesirable excessive
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pressure on the ear. Other foam dressings can also be used, but the surgical sponge is in advantage because it is thick and it is cheap.
ACCEPTED MANUSCRIPT Figure legend: Fig 1. Use of surgical scrub sponge for auricular dressing. (A) full thickness draft on the concha, with donor skin from pre-auricular area (B&C) cutting the sponge in a wedge, curvature shape (D) sponge is placed in the post-auricular space. (E) Residual sponge is
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placed over the graft in 2 layers. (F) covered by gauze and a head bandage.
Reference:
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EP
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M AN U
SC
1. O'Neill JK, Davies A, Orlando A. A Practical Tie-Over Technique: Surgical Scrub Sponge. Dermatol Surg. 2015;41(10):1194-6
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EP
TE D
M AN U
SC
RI PT
ACCEPTED MANUSCRIPT
S0190-9622(18)33108-6
DOI:
https://doi.org/10.1016/j.jaad.2018.12.034
Reference:
YMJD 13041
To appear in:
Journal of the American Academy of Dermatology
Received Date: 13 November 2018 Revised Date:
1 December 2018
Accepted Date: 18 December 2018
Please cite this article as: van Loenen D, Genders RE, Surgical Pearl: Use of surgical scrub sponge for auricular dressing, Journal of the American Academy of Dermatology (2019), doi: https:// doi.org/10.1016/j.jaad.2018.12.034. This is a PDF file of an unedited manuscript that has been accepted for publication. As a service to our customers we are providing this early version of the manuscript. The manuscript will undergo copyediting, typesetting, and review of the resulting proof before it is published in its final form. Please note that during the production process errors may be discovered which could affect the content, and all legal disclaimers that apply to the journal pertain.
ACCEPTED MANUSCRIPT TITEL PAGE Surgical Pearl: Use of surgical scrub sponge for auricular dressing
Authors: Daphne van Loenen, Department of dermatology, Leiden University Medical Center, Leiden, The
RI PT
Netherlands
Roel E. Genders, MD, Department of dermatology, Leiden University Medical Center, Leiden, The Netherlands Second affiliation: Department of dermatology, Roosevelt kliniek, Leiden, The Netherlands
M AN U
SC
Corresponding author: D. van Loenen Albinusdreef 2 2333 ZA Leiden The Netherlands
Phone: +31 71 5269111 Fax: +31 71 5248106
Email: [email protected] Funding source: none
Conflict of Interest Disclosure: none declared
TE D
Prior presentation: none Reprint request: corresponding author
Word count text: 272 (including headings and figure referrals between brackets)
AC C
Number of figures: 1
EP
Number of references: 1
Key words
surgical scrub sponge, sponge, ear, bandage, auricular, dressing
ACCEPTED MANUSCRIPT Surgical Pearl: Use of surgical scrub sponge for auricular dressing
Challenge Creating an adequate dressing after auricular surgery can be challenging because of the delicate three dimensional anatomy of the ear. An adequate dressing protects the surgical
RI PT
site, but also prevents hematoma and facilitates wound healing. The empty post-auricular space has to be filled with care, preventing the ear to be pressed to the mastoid bone, because of subsequent risk of pressure sores or necrosis.
SC
Solution
We present a dressing technique we have used in our practice for several years without complications. We perform the dressing after auricular surgery, in most cases skin cancer
M AN U
surgery with reconstruction of the auricle (Fig 1, A) or wedge closure. The ear is dressed with a non-adhesive dressing of choice. To replete the post-auricular space we use a surgical scrub sponge (MedicaBrush®, Medica Europe BV). The use of surgical scrub sponge has been described earlier in fixating skin grafts.1 We cut the sponge with a bandage scissor in a curvature, wedge shaped design (Fig 1, B and C). The elastic
TE D
material of the sponge enables a comfort bandage that forms to the ear anatomy, allowing to give the desired pressure bandage (Fig 1,D). Anteriorly, the remainder of the sponge or another dressing can be used (Fig 1, E). The dressing is fixated by a head bandage or adhesive tape (Fig 1, F).
EP
The advantage to use this sponge dressing over gauze to fill the post-auricular space, is that blood absorbed gauze dry out and become hard, which cause undesirable excessive
AC C
pressure on the ear. Other foam dressings can also be used, but the surgical sponge is in advantage because it is thick and it is cheap.
ACCEPTED MANUSCRIPT Figure legend: Fig 1. Use of surgical scrub sponge for auricular dressing. (A) full thickness draft on the concha, with donor skin from pre-auricular area (B&C) cutting the sponge in a wedge, curvature shape (D) sponge is placed in the post-auricular space. (E) Residual sponge is
RI PT
placed over the graft in 2 layers. (F) covered by gauze and a head bandage.
Reference:
AC C
EP
TE D
M AN U
SC
1. O'Neill JK, Davies A, Orlando A. A Practical Tie-Over Technique: Surgical Scrub Sponge. Dermatol Surg. 2015;41(10):1194-6
AC C
EP
TE D
M AN U
SC
RI PT
ACCEPTED MANUSCRIPT