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The risk of pressure sores is greatest in patients who are elderly, debilitated, incontinent, paralyzed or unconscious. During surgery, patients are immobile and they are unable to perceive the discomfort of prolonged pressure, and the anesthetized patient lacks a protective mechanism to prevent pressure sores. We report here on the case of a 6-year-old boy who presented with a pressure sore of the contralateral helical rim after middle ear surgery. Despite 10 days of treatment, the dermatological examination showed skin necrosis over the helical rim. He required debridement of the skin and the defect was subsequently reconstructed with a split-thickness skin graft.