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Man suffers third-degree burns in work accident
file photo
In a rare case of reconstructive surgery, an Emirati plastic surgeon has saved the face of a 24-year-old Indian expat who suffered third-degree burns in a workplace accident.
Dharmendra Paswan was admitted to the emergency department of the Thumbay University Hospital in Ajman after the accident on June 22. He consulted Dr. Faisal Ameer, the hospital’s consultant plastic and reconstructive surgeon.
The accident happened while Paswan was repairing a machine used to inject and spray hot glue to assemble disposable cups. Although the machine was turned off, there was still some pressure inside. Suddenly, one of the tubes snapped off the glue that had splattered on Paswan’s face.
His face was scalded with hot glue, but luckily his eyes survived. “It was very complicated because removing the glue could peel off his skin and convert the superficial burn into a deep burn,” explains Dr. Ameer.
After an initial examination, Paswan was pushed into the operating room, where the glue was surgically removed under general anesthesia. “The process lasted an hour and needed to be scaled up as the interface layer where the glue stuck to the skin was scrutinized and some hair was removed,” he added.
If the surgery is delayed, there will be serious damage to Paswan’s mouth, nose, eyes and ear canal.
Burns can be life-threatening
In Paswan’s case, the skin kept burning because the glue was still hot and insulating. Even first aid measures, such as pouring water on burnt skin, won’t help. “Facial burns present a challenge for clinicians to intervene quickly. We must stop the burning process and return the skin’s high temperature to normal room temperature,” explains Dr. Ameer.
The face is a very complex anatomical structure because of the need for attention to function and aesthetics. “In addition to the basic functions of breathing, oral intake, sight, hearing and smell, there are other important elements, such as communication, that aesthetics cannot be ignored,” Dr. Ameer said.
Restoration of facial form and function
During the accident, Paswan was wearing protective clothing, gloves and goggles and also kept a minimum distance from electrical equipment while carrying out repair work, but he was still injured.
He thanked Dr. Amir for his timely intervention and saved face. “I thank God. I would also like to thank Dr. Ameer and his team at Thumbay University Hospital. I came in with excruciating pain and could barely move my face. The injury could have worsened if the doctor had not made the correct diagnosis and treatment And it affects my nose and mouth function,” Paswan said.
Paswan was sent home the same day after all the glue had been removed from his face, and within two weeks, the injuries had fully healed.
Dr. Ameer’s advice on first aid after burns
“It’s important to stop the burning process, which is usually done by pouring water. It’s a common misconception that cold water or ice should be used to relieve burns. However, this practice needs to be avoided and room temperature drinking water should ideally be used as well. Nothing should be applied on it; do not use toothpaste or other home remedies as these products are not sterile and may contain pigments which make assessment very difficult. For example, if a person applies a brown liquid, it is not determined to be grade 1 Or a second-degree burn, acting on instinct, then the assessment of skin tissue damage may be incorrect.”
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