Ingestion of Caustic Hair Relaxer: Is Endoscopy Necessary?
- 1 July 1997
- journal article
- research article
- Published by Wiley in The Laryngoscope
- Vol. 107 (7), 897-902
- https://doi.org/10.1097/00005537-199707000-00012
Abstract
Hair relaxer, a commercially available alkaline product, is commonly the offending agent in caustic ingestion. These patients often experience oral cavity and facial burns; however, no clinically significant esophageal injuries have been reported. Therefore, we questioned the therapeutic and economic efficacy of the “standard treatment protocol” that includes hospitalization and endoscopic evaluation. Twenty‐six patients over a 7‐year period presented to our institution having ingested hair relaxer. Presenting signs and symptoms, esophageal findings, and cost of the standard treatment protocol were reviewed. Also, we analyzed the caustic potential and current packaging of hair relaxer. Our findings support modifications in the standard treatment protocol for hair relaxer ingestion including elimination of hospitalization and endoscopy in most patients. We also question compliance with childproof packaging laws and suggest avenues for prevention of hair relaxer ingestion.Keywords
This publication has 19 references indexed in Scilit:
- Caustic ingestion.Archives of Disease in Childhood, 1993
- A Controlled Trial of Corticosteroids in Children with Corrosive Injury of the EsophagusThe New England Journal of Medicine, 1990
- Predictive value of visible lesions (cheeks, lips, oropharynx) in suspected caustic ingestionPediatric Emergency Care, 1990
- Comparison of Titratable Acid/Alkaline Reserve and pH in Potentially Caustic Household ProductsJournal of Toxicology: Clinical Toxicology, 1989
- Caustic Ingestion and Its Sequelae in ChildrenSouthern Medical Journal, 1987
- Alkaline ingestionsAnnals of Emergency Medicine, 1986
- Liquid caustic ingestion. Spectrum of injuryArchives of Internal Medicine, 1980
- Toxicity of alkaline solutionsAnnals of Emergency Medicine, 1980
- Caustic ingestion: Controversies in management. A review of 214 casesThe Laryngoscope, 1980
- Caustic Ingestion and Subsequent Damage to the Oropharyngeal and Digestive PassagesThe Annals of Thoracic Surgery, 1976