Staged lower lip reconstruction following gangrenous stomatitis in an immunosuppressed patient
| Autor: | Seung Hong Kim, Kyung Sik Kim, Han Byeol Jin, Jeong Yeol Yang, Jee Hyeok Chung, Joon Choe |
|---|---|
| Rok vydání: | 2018 |
| Předmět: |
medicine.medical_specialty
Gangrenous Stomatitis medicine.medical_treatment Case Report Trismus Drooling Gangrene 03 medical and health sciences 0302 clinical medicine Coronary stent medicine Candida albicans Stomatitis Candida Debridement biology business.industry 030206 dentistry medicine.disease biology.organism_classification Surgery Otorhinolaryngology 030220 oncology & carcinogenesis medicine.symptom business |
| Zdroj: | Archives of Craniofacial Surgery |
| ISSN: | 2287-5603 2287-1152 |
| Popis: | A 70-year-old male with a history of diabetes mellitus, hypertension, and coronary stent insertion visited our hospital 7 days after biting his lower lip. Swelling and inflammation had worsened despite debridement and antibiotic treatment. On the 8th hospital day, fungal infection with Candida albicans and superimposed bacterial infection with Klebsiella pneumoniae were found on tissue culture. Extensive necrosis resulted in a defect of approximately 3/4 of the entire lower lip and a full-layer skin defect from the vermilion to the gingivobuccal sulcus at the right corner of the mouth. To correct drooling, incomplete lip sealing, and trismus, staged reconstruction was performed with consideration of cosmetic and functional features. The treatment process using staged reconstruction and antifungal treatment for an extensive lower lip defect caused by fungal stomatitis is described. |
| Databáze: | OpenAIRE |
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