Microwave burns are burn injuries caused by thermal effects of microwave radiation absorbed in a living organism.
In comparison with radiation burns caused by ionizing radiation, where the dominant mechanism of tissue damage is internal cell damage caused by free radicals, the type of burn caused by microwave radiation is by heat—health effects colloquially associated with the term "radiation", such as radiation poisoning, cannot be caused by exposure to microwaves or other forms of non-ionizing radiation.
Microwave damage can manifest with a delay; pain or signs of skin damage can show some time after microwave exposure.
Frequency and depth The depth of penetration depends on the frequency of the microwaves and the tissue type. The Active Denial System ("pain ray") is a less-lethal directed energy weapon that employs a microwave beam at 95 GHz; a two-second burst of the 95 GHz focused beam heats the skin to a temperature of 130 °F (54 °C) at a depth of 1/64th of an inch (0.4 mm) and is claimed to cause skin pain without lasting damage. Conversely, lower frequencies penetrate deeper; at 5.8 GHz (3.2 mm) the depth most of the energy is dissipated in the first millimeter of the skin; the 2.45 GHz frequency microwaves commonly used in microwave ovens can deliver energy deeper into the tissue; the generally accepted value is 17 mm for muscle tissue.
As lower frequencies penetrate deeper into the tissue, and as there are fewer nerve endings in deeper-located parts of the body, the effects of the radio frequency waves (and the damage caused) may not be immediately noticeable. The lower frequencies at high power densities present a significant risk.
The microwave absorption is directed by the dielectric constant of the tissue. At 2.5 GHz, this ranges from about 5 for adipose tissue to about 56 for cardiac muscle. As the speed of electromagnetic waves is proportional to the reciprocal of the square root of the dielectric constant, the resulting wavelength in the tissue can drop to a fraction of the wavelength in air; e.g. at 10 GHz the wavelength can drop from 3 cm to about 3.4 mm.
The layers of the body can be approximated as a thin layer of epidermis, dermis, adipose tissue (subcutaneous fat), and muscle tissue. At dozens of gigahertz, the radiation is absorbed in the top fraction to top few millimeters of skin. Muscle tissue is a much more efficient absorber than fat, so at lower frequencies that can penetrate sufficiently deep, most energy gets deposited there. In a homogeneous medium, the energy-depth dependence is an exponential curve with the exponent depending on the frequency and tissue. For 2.5 GHz, the first millimeter of muscle tissue absorbs 11% of the heat energy, the first two millimeters together absorb 20%. For lower frequencies, the attenuation factors are much lower, the achievable heating depths are higher, and the temperature gradient within the tissue is lower.
Tissue damage The tissue damage depends primarily on the absorbed energy and the tissue sensitivity; it is a function of the microwave power density (which depends on the distance from the source and its power output), frequency, absorption rate in the given tissue, and the tissue sensitivity. Tissues with high water (respectively electrolyte) content show higher microwave absorption.
The degree of the tissue damage depends on both the achieved temperature and the length of exposure. For short times, higher temperatures can be tolerated.
The damage can be spread over a large area, when the source is a relatively distant energy radiator, or a very small (though possibly deep) area, when the body comes to a direct contact with the source (e.g. a wire or a connector pin).
The epidermis has high electrical resistance for lower frequencies; at higher frequencies, the energy penetrates through by capacitive coupling. Damage to epidermis has low extent unless the epidermis is very moist. The characteristic depth for lower-frequency microwave injury is about 1 cm. The heating rate of adipose tissue is much lower than that of muscle tissue. Frequencies in millimeter wave range are absorbed in the topmost layer of skin, which is rich in thermal sensors. At lower frequencies, between 1–10 GHz, most of the energy is however absorbed in deeper layers; the threshold for cellular injury there lies at 42 °C while the pain threshold is at 45 °C, so a subjective perception may not be a reliable indicator of a harmful level of exposure at those frequencies.
Skin Exposure to frequencies common in domestic and industrial sources rarely leads to significant skin damage; in such cases, the damage tends to be limited to upper limbs. Significant injury with erythema, blisters, pain, nerve damage and tissue necrosis can occur even with exposures as short as 2–3 seconds. Due to the deep penetration of these frequencies, the skin may be minimally affected and show no signs of damage, while muscles, nerves, and blood vessels may be significantly damaged.
Muscle and fat tissue Microwave burns show some similarities with electrical burns, as the tissue damage is deep rather than superficial. Adipose tissue shows less degree of damage than muscles and other water-rich tissues. (In contrast, radiant heat, contact burns and chemical burns damage subcutaneous adipose tissue to higher extent than deeper muscle tissue.) Full-thickness biopsy of the area between burned and unburned skin shows layers of more and less damaged tissue (tissue sparing), layers of undamaged fat between damaged muscles; a pattern that is not present in conventional thermal or chemical burns. Cells subjected to electrical burns show microscopic nuclear streaming on histology examination; this feature is not present with microwave burns. Microwaves also deposit more energy to areas with low blood supply and to tissue interfaces.
Hot spots may be formed in the tissue, with a consequent higher absorption of microwave energy and even higher temperature achieved, with localized necrosis of the affected tissue following. Sometimes, the affected tissue can even be charred.
Muscle tissue destruction can lead to myoglobinuria, with renal failure following in severe cases; this is similar to burns from electric current. Urinalysis and serum CPK, BUN and creatine tests are used to check for this condition.
Eyes Cases of severe conjunctivitis were reported after technicians looked into powered waveguides.
Microwave-induced cataracts have been reported."Microwave Ovens and Health" U.S. Food and Drug Administration Experiments on rabbits and dogs, mostly in the UHF range of frequencies, shown that the ocular effects are confined to eyelids and conjunctiva (as e.g. anterior segment keratitis or iritis). Cataracts were observed at several workers exposed to radiofrequency radiation, but in some of the cases the cause was unrelated to the RF exposure and in the other cases the evidence was incomplete or inconclusive. Some sources however mention incidence of microwave-related injuries of ocular lens and retina and the possibility of thermal effects to cause cataracts or focal tissue burns (including keratitis).
For the near field 2.45 GHz frequency, the minimum power density to cause cataracts in rabbits was found to be 150 mW/cm2 for 100 minutes; a retrolental temperature of 41 °C was necessary to be achieved. When the eye temperature was kept low by external cooling, cataracts were not produced by higher field intensities; that supports the hypothesis of a thermal mechanism being involved.
Nerves Sensory nerves are particularly sensitive to microwave damage. Cases of persistent neuritis and compression neuropathy were reported after significant microwave exposures.
When the temperature of the brain is raised to or above 42 °C, the blood–brain barrier permeability increases.
A neuropathy due to peripheral nerve lesion, without visible external burns, can occur when the nerve is subjected to microwaves of sufficient power density. The damage mechanism is believed to be thermal. Radiofrequency waves and ultrasound can be used for temporary blocking of peripheral nerves during neurosurgical operations.
Other tissues The thermal effects of microwaves can cause testicular degeneration and lower sperm count.
Pulmonary burn can be present when lungs are exposed; chest radiography is used for diagnosing.
Exposure of abdomen may lead to bowel obstruction due to stenosis of the affected bowel; flat and upright abdominal radiography is used to check for this condition.
Injury cases Household microwave ovens have shielding around the inside of the oven that prevents microwaves from leaking out, as well as safety interlocks that prevent the oven from operating when the door is open. Therefore, burns due to direct exposure to microwave energy (as opposed to touching hot food) should not occur under normal circumstances.
Infants and microwave ovens There are several cases of child abuse where an infant or child has been placed in a microwave oven. The typical feature of such injuries are well-defined burns on the skin nearest to the microwave emitter, and histology examination shows higher damage extent in tissues with high content of water (e.g., muscles) than in tissues with less water (e.g., adipose tissue).
One such case involved a teenage babysitter who admitted to having placed a child in the microwave oven for approximately sixty seconds. The child developed a third degree burn to the back, measuring 5 inches x 6 inches. The babysitter later took the child to the emergency department, where multiple skin grafts were placed on the back. There were no signs of lasting emotional, cognitive or physical effects. CT scan of the head was normal, and there were no cataracts.
Another case involved a five-week-old female infant that had multiple full-thickness burns totaling 11% of the body surface area. The mother claimed the infant had been near a microwave oven, but not inside it. The infant survived but required amputations of parts of one leg and one hand.
Additionally, there have been two alleged infant deaths caused by microwave ovens. In all these cases, the babies were placed within microwaves and died of subsequent injuries.
Adults and microwave ovens A case of nerve damage by an exposure to radiation from a malfunctioning 600 watt microwave oven, operated for five seconds with the door open, with both arms and hands exposed, was reported. During exposure, there was a pulsating, burning sensation in all fingers. Erythema appeared on the back sides of both hands and arms. Four years later, denervation of median nerve, ulnar nerve, and radial nerve in both arms was shown on an electromyography test.Page 87-89 in: Children and Injuries. Author: Joe L. Frost. ,
The first microwave oven injury was reported in 1973. Two women operated a microwave oven in a department store snack bar. After several years, the oven showed a malfunction manifesting by burning the food. The first woman noticed burning sensations in her fingers and very little pain or tenderness when nearby to the operating oven. A small lesion appeared on her left index finger, near the base of the fingernail. In the next four weeks, three fingers of her right hand became affected as well. Transverse ridging and deformations close to the nail base appeared on her fingernails. After five months since the initial symptoms, she visited a doctor; the examination found no abnormalities other than the nails. Topical steroid cream used over six weeks led to gradual improvement. The second woman experienced nail deformation at the same time as the first one, with the same clinical findings. The oven was returned to the manufacturer before the involvement of the doctor, and the amount of leakage could not be assessed.