Hi Folks,
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Apologies if this has been covered before, but I was wondering why different people react so differently to the phenol used in the common Phenol and Alcohol procedure.
I have done hundreds using the same same 2 X 45secs application times and the same volume of phenol (small curette head filled with phenol) but 1 or 2 out of ten procedures will result in a phenol reaction/burn at the site.... causing some minor tissue damage and hypergranulation tissue locally (but usually not involving surrounding tissue due to careful application of the phenol and no contact with this skin). The result is painful and delayed healing, despite all receiving the same post-op dressing and management - bacti-gras and 2 layers of hypoallergenic elastoplast.
Naturally this is something neither the patient or I want. Can anyone shed any light or pick up something I am doing wrong?
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