Archives of Craniofacial Surgery (대한두개안면성형외과학회지)

Korean Cleft Palate-Craniofacial Association (대한두개안면성형외과학회)
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Staged lower lip reconstruction following gangrenous stomatitis in an immunosuppressed patient

  • Jin, Han Byeol (Department of Plastic and Reconstructive Surgery, Myongji Hospital) ;
  • Yang, Jeong Yeol (Department of Plastic and Reconstructive Surgery, Myongji Hospital) ;
  • Kim, Kyung Sik (Department of Plastic and Reconstructive Surgery, Myongji Hospital) ;
  • Kim, Seung Hong (Department of Plastic and Reconstructive Surgery, Myongji Hospital) ;
  • Choe, Joon (Department of Plastic and Reconstructive Surgery, Myongji Hospital) ;
  • Chung, Jee Hyeok (Department of Plastic and Reconstructive Surgery, Myongji Hospital)
  • Received : 2018.05.30
  • Accepted : 2018.08.06
  • Published : 2018.09.20
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Abstract

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.

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References

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