Volume 12, Issue 4 (12-2024)
J Surg Trauma 2024, 12(4): 156-159 |
Back to browse issues page
Download citation:
BibTeX | RIS | EndNote | Medlars | ProCite | Reference Manager | RefWorks
Send citation to:
BibTeX | RIS | EndNote | Medlars | ProCite | Reference Manager | RefWorks
Send citation to:
Nikouyeh M, Raee A, Saeedmanesh E, Jafari M A, Esmaeli A, Zeinali F. Application of Ultrasound in the Identification of Foreign Bodies in Scalp Wound: A Cross-sectional Study. J Surg Trauma 2024; 12 (4) :156-159
URL: http://jsurgery.bums.ac.ir/article-1-425-en.html
URL: http://jsurgery.bums.ac.ir/article-1-425-en.html
Mehrnaz Nikouyeh 
, Ali Raee , Elahe Saeedmanesh , Mohammad Ali Jafari , Alireza Esmaeli , Faeze Zeinali *
, Ali Raee , Elahe Saeedmanesh , Mohammad Ali Jafari , Alireza Esmaeli , Faeze Zeinali *
Department of Emergency Medicine, School of Medicine, Shahid sadoughi University of Medical Sciences, Yazd, Iran
Abstract: (334 Views)
Introduction: Retained foreign bodies in wounds are among the most challenging problems in the emergency department (ED). They lead to wound infection and abscess, delayed healing, and wound scars. Therefore, the present study aimed to determine the diagnostic value of ultrasound as an accessible and non-invasive modality in determining foreign bodies in scalp wounds.
Methods: This cross-sectional analytical study was performed on 58 ED patients with scalp wounds who needed brain computed tomography (CT) scans and met the inclusion criteria. Firstly, wound exploration and irrigation of visible foreign bodies were performed. Thereafter, an ultrasound was carried out by an emergency medicine resident to detect the hidden foreign bodies (if exist) in the wound. Finally, a CT scan was administered (as the gold standard) to detect any remained foreign bodies. The foreign bodies were removed and the wound was sutured in the end. Sensitivity, specificity, positive likelihood ratio, negative likelihood ratio, disease prevalence, positive predictive value, negative predictive value, and accuracy were assessed.
Results: In total, the sensitivity, specificity, and accuracy of ultrasound were estimated as 91.43%, 100%, and 91.55%, respectively. Moreover, the positive predictive value and negative predictive value of ultrasound were reported as 100%and 14.29%, respectively.
Conclusion: As evidenced by the results of this study, ultrasound is a highly sensitive diagnostic method to detect foreign bodies in scalp wounds. In some cases, such as frontal lobe wounds, this modality may not detect all foreign bodies.
Methods: This cross-sectional analytical study was performed on 58 ED patients with scalp wounds who needed brain computed tomography (CT) scans and met the inclusion criteria. Firstly, wound exploration and irrigation of visible foreign bodies were performed. Thereafter, an ultrasound was carried out by an emergency medicine resident to detect the hidden foreign bodies (if exist) in the wound. Finally, a CT scan was administered (as the gold standard) to detect any remained foreign bodies. The foreign bodies were removed and the wound was sutured in the end. Sensitivity, specificity, positive likelihood ratio, negative likelihood ratio, disease prevalence, positive predictive value, negative predictive value, and accuracy were assessed.
Results: In total, the sensitivity, specificity, and accuracy of ultrasound were estimated as 91.43%, 100%, and 91.55%, respectively. Moreover, the positive predictive value and negative predictive value of ultrasound were reported as 100%and 14.29%, respectively.
Conclusion: As evidenced by the results of this study, ultrasound is a highly sensitive diagnostic method to detect foreign bodies in scalp wounds. In some cases, such as frontal lobe wounds, this modality may not detect all foreign bodies.
Type of Study: Short Communication |
Subject:
Trauma
Received: 2024/04/14 | Accepted: 2024/12/5 | ePublished ahead of print: 2024/12/20 | Published: 2024/12/30
Received: 2024/04/14 | Accepted: 2024/12/5 | ePublished ahead of print: 2024/12/20 | Published: 2024/12/30
References
1. Huang SW, Wu YF, Ahmed T, Pan SC, Cheng CM. Point-of-care detection devices for wound care and monitoring. Trends Biotechnol. 2024;42(1):74-90. [DOI:10.1016/j.tibtech.2023.07.001]
2. Rupert J, Honeycutt JD, Odom MR. Foreign Bodies in the Skin: Evaluation and Management. Am Fam Physician. 2020;101(12):740-747.
3. Voss JO, Maier C, Wüster J, Beck-Broichsitter B, Ebker T, Vater J, et al. Imaging foreign bodies in head and neck trauma: a pictorial review. Insights Imaging. 2021;12(1):20. [DOI:10.1186/s13244-021-00969-9]
4. Thomas M, Mumith A, Ghani Y. Imaging of foreign bodies: a radiological conundrum. BMJ Case Rep. 2017;2017:bcr2017219706.. [DOI:10.1136/bcr-2017-219706]
5. Zhang D, Chen Q, Shi C, Minzhang C. Dealing with the foreign‐body response to implanted biomaterials: strategies and applications of new materials. Advanced Functional Materials. 2020;31(6):2007226. [DOI:10.1002/adfm.202007226]
6. Kawalec A, Use of ultrasound in differential diagnosis of soft tissue foreign bodies in children-a case series. Pediatria Polska-Polish J Paediat, 2023;98(2):180-184. [DOI:10.5114/polp.2023.128061]
7. Chan KS, Lo ZJ. Wound assessment, imaging and monitoring systems in diabetic foot ulcers: A systematic review. Int Wound J. 2020;17(6):1909-1923. [DOI:10.1111/iwj.13481]
8. Li S, Renick P, Senkowsky J, Nair A, Tang L. Diagnostics for Wound Infections. Adv Wound Care (New Rochelle). 2021;10(6):317-327. [DOI:10.1089/wound.2019.1103]
9. Panigrahi R, Dash SK, Palo N, Priyadarshi A, et al. Foreign body detection in multrasoundculoskeletal Injuries: A in vitro blinded study comparing sensitivity among digital radiography, ultrasonography, CT and magnetic resonance imaging. Bone. 2015;174:821.
10. Del Cura JL, Aza I, Zabala RM, Sarabia M, Korta I. US-guided Localization and Removal of Soft-Tissue Foreign Bodies. Radiographics. 2020;40(4):1188-1195. [DOI:10.1148/rg.2020200001]
11. Hiremath R, Reddy H, Ibrahim J, Haritha CH, Shah RS. Soft Tissue Foreign Body: Utility of High Resolution Ultrasonography. J Clin Diagn Res. 2017;11(7):TC14-TC16. [DOI:10.7860/JCDR/2017/26384.10269]
12. Lulla A, Whitman T, Amii R, Chiem AT. Role of Ultrasound in the Identification of Longitudinal Axis in Soft-Tissue Foreign Body Extraction. West J Emerg Med. 2016;17(6):819-821. [DOI:10.5811/westjem.2016.8.30988]
13. Rooks VJ, Shiels WE 3rd, Murakami JW. Soft tissue foreign bodies: A training manual for sonographic diagnosis and guided removal. J Clin Ultrasound. 2020;48(6):330-336. [DOI:10.1002/jcu.22856]
Send email to the article author
| Rights and permissions | |
 |
This work is licensed under a Creative Commons Attribution-NonCommercial 4.0 International License. |
Attribution-NoneCommercial CC BY-NC
