Postirradiation flap infection about the oral cavity
| Autor: | David R. Herbold, Issa F. Baroudi, Edmond B. Cabbabe, Young C. Sunwoo |
|---|---|
| Rok vydání: | 1983 |
| Předmět: |
Male
medicine.medical_specialty medicine.medical_treatment Oral cavity Surgical Flaps Venous congestion Klebsiella Medicine Humans Surgical Wound Infection Postoperative Care Mouth Stomatitis business.industry Radiotherapy Dosage Middle Aged Infection as a complication Arterial Ischemic Stroke Surgery Klebsiella Infections Radiation therapy Oral microbiology Mouth Neoplasms business Complication |
| Zdroj: | Annals of plastic surgery. 10(6) |
| ISSN: | 0148-7043 |
| Popis: | Postirradiation alteration of oral flora is well documented in the literature. Infection as a complication leading to partial or complete loss of a flap used to reconstruct a defect in the oral cavity is a worrisome outcome. We describe how a flap that was judged clinically to be viable became overwhelmingly infected with the Klebsiella oxytoca, an oral cavity pathogen encountered in this patient following irradiation. Local and systemic changes led to detachment of the flap. This complication may be explained, in view of the absence of venous congestion or arterial ischemia both clinically and pathologically, by the proven contamination of the flap by the Klebsiella pathogen. Local factors resulted in lower resistance and subsequent overwhelming infection. Discussion of the case, review of pertinent literature, and proposed solutions are presented. |
| Databáze: | OpenAIRE |
| Externí odkaz: |
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