Cephalic Tetanus: Report of a Case and Review of the American Literature

Autor: RUTLEDGE, LEWIS J., KREMENTZ, EDWARD T., KELLUM, HERMAN E.
Zdroj: Archives of Otolaryngology-Head & Neck Surgery; August 1960, Vol. 72 Issue: 2 p170-177, 8p
Abstrakt: The practicing physician occasionally sees a patient with paralysis of the facial nerve or a patient with trismus but rarely one with both of these signs occurring concurrently. For this reason, the present case of such a combination of physical findings, which represents an unusual form of tetanus, seems noteworthy. A review of American publications on cephalic tetanus is also included. REPORT OF CASE On Jan. 24, 1956, a 22-year-old white man was admitted to the Charity Hospital in New Orleans. One and one-half years previously he had been in an automobile accident, which had resulted in the loss of his entire left external ear. After this accident he underwent numerous surgical procedures for a staged reconstruction of the auricle. Two days after this admission, a tubed pedicle flap was shifted to the left auricular area. On the 10th postoperative day, it was noted that he had slight ptosis of
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