Facial skin injury caused by acrylate based adhesive tapes i
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Adhesive tapes can be made of synthetic rubber, acrylate or silicone. Acrylate-based adhesives are commonly used to secure the ETT and to tape the eyelids. These tapes can cause allergic dermatitis, contact dermatitis and mechanical injuries. Risk factors for such adhesive-induced skin injuries include patients on chronic steroid therapy, use of an exfoliating agent, prolonged surgeries, prone positioning and extremes of age.Menopause renders the skin around face, genital area and lower limb prone for injury. A decrease in oestrogen level causes a decrease in polymerisation of glycosaminoglycans and degeneration of elastin fibres. It also causes a reduction in Type 1 and Type 3 collagen fibres with reversal of Type 3 to Type 1 collagen ratio which leads to skin atrophy.Moreover, intra-operative episodes of hot flushes can raise the temperature of facial skin making it more prone to injury. A uniform pressure should thus be applied while using these tapes to avoid any mechanical injury during their removal. Tape should be removed slowly in the direction of hair growth. While removing it should be kept close to the skin surface and the newly exposed skin should be supported with the finger. Moisturiser can also be applied to soften the tape. Recently, silicone based adhesives have been introduced which have significantly lower peel adhesion resulting in a much lower incidence of skin trauma on removal...

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