Reconstruction of a huge oral maxillofacial defect caused by necrotic fasciitis secondary to leukaemia

Journal of Plastic, Reconstructive & Aesthetic Surgery : JPRAS
Hui-min ChenRuo-ping Jiang

Abstract

An 8-year-old boy who was diagnosed with 'acute non-lymphoblastic leukaemia (M2)', contracted secondary oral maxillofacial necrotic fasciitis. The wound was cleaned with 3% hypertonic saline, and then covered with iodoform gauze every day for about 3 weeks before and after necrotic tissue debridement. The local infection was controlled, and plenty of new healthy granular tissue had grown. The patient was left with a huge defect including the mouth floor, submental area, submandibular area and right cheek when the necrotic tissue was removed. Reconstruction of the defect was very difficult because of the patient's pre-existing leukaemia condition and severe inflammatory local condition. We successfully reconstructed the defect by using the new healthy granular tissue and a trapezius myocutaneous flap. During 9 years of follow up, in order to improve quality of life, the patient underwent scar modification surgery and orthodontic treatment, and facial appearance and oral functions were deemed satisfactory.

References

May 1, 1995·Journal of Oral Pathology & Medicine : Official Publication of the International Association of Oral Pathologists and the American Academy of Oral Pathology·Y MyokenM Fujihara
May 2, 2003·The Japanese Journal of Thoracic and Cardiovascular Surgery : Official Publication of the Japanese Association for Thoracic Surgery = Nihon Kyōbu Geka Gakkai Zasshi·Katsuyuki AsaiYusuke Kita
Jul 19, 2005·International Journal of Pediatric Otorhinolaryngology·Aylin Bilgin KarabulutSinan Nur Kesim
Jun 8, 2006·Journal of Plastic, Reconstructive & Aesthetic Surgery : JPRAS·Jiaqi WangKeming Qi
Sep 30, 2006·International Journal of Oral and Maxillofacial Surgery·W-l ChenB Zhang

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Citations

Jan 11, 2011·Indian Journal of Plastic Surgery : Official Publication of the Association of Plastic Surgeons of India·Ks AlexanderAhf Macquillan
Apr 4, 2013·International Journal of Surgery Case Reports·Tom HughesCharles M Malata
Jun 27, 2021·Burns : Journal of the International Society for Burn Injuries·J SomasundaramA D Rogers

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