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Early surgical correction of microstomia following Stevens-Johnson syndrome

  • Ki, Sae Hwi (Department of Plastic and Reconstructive Surgery, Inha University School of Medicine) ;
  • Jo, Gang Yeon (Department of Plastic and Reconstructive Surgery, Inha University Hospital) ;
  • Ma, Sung Hwan (Department of Plastic and Reconstructive Surgery, Inha University Hospital) ;
  • Choi, Matthew Seung Suk (Department of Plastic and Reconstructive Surgery, Inha University Hospital)
  • Received : 2019.12.06
  • Accepted : 2020.03.04
  • Published : 2020.04.20

Abstract

Stevens-Johnson syndrome (SJS) is a rare disease in which extensive toxic epidermolysis occurs after medication. Skin and mucous membranes are involved in about 90% of SJS cases, and webbing of mouth corners (microstomia) may occur when they are affected. Few reports have been issued on microstomia in SJS, and no consensus has been reached regarding treatment methods, timings, or results. We encountered a case of microstomia following SJS after ofloxacin medication in a 22-year-old woman treated by commissuroplasty using a lozenge-shaped excision. We present an appropriate correction method and surgical timing for microstomia following SJS.

Keywords

References

  1. Zweifel CJ, Guggenheim M, Jandali AR, Altintas MA, Kunzi W, Giovanoli P. Management of microstomia in adult burn patients revisited. J Plast Reconstr Aesthet Surg 2010;63:e351-7. https://doi.org/10.1016/j.bjps.2009.10.026
  2. Mashiko T, Minabe T, Oka A, Ohnishi F. A case of microstomia subsequent to toxic epidermal necrolysis surgically treated by simple technique. Plast Reconstr Surg Glob Open 2013;1:e21. https://doi.org/10.1097/gox.0b013e3182980067
  3. Stern RS, Divito SJ. Stevens-Johnson syndrome and toxic epidermal necrolysis: associations, outcomes, and pathobiologythirty years of progress but still much to be done. J Invest Dermatol 2017;137:1004-8. https://doi.org/10.1016/j.jid.2017.01.003
  4. Rzany B, Mockenhaupt M, Baur S, Schroder W, Stocker U, Mueller J, et al. Epidemiology of erythema exsudativum multiforme majus, Stevens-Johnson syndrome, and toxic epidermal necrolysis in Germany (1990-1992): structure and results of a population-based registry. J Clin Epidemiol 1996;49:769-73. https://doi.org/10.1016/0895-4356(96)00035-2
  5. Roujeau JC. Stevens-Johnson syndrome and toxic epidermal necrolysis are severity variants of the same disease which differs from erythema multiforme. J Dermatol 1997;24:726-9. https://doi.org/10.1111/j.1346-8138.1997.tb02524.x
  6. Kazanjian VH, Roopenian A. The treatment of lip deformities resulting from electric burns. Am J Surg 1954;88:884-90. https://doi.org/10.1016/0002-9610(54)90444-4
  7. Converse JM. Techniques for the repair of defects of the lips and cheeks. In: Converse JM, editor. Reconstructive plastic surgery. 2nd ed. vol. 3. Philadelphia: Saunders; 1977. p. 1544-94.
  8. Johns FR, Sandler NA, Ochs MW. The use of a triangular pedicle flap for oral commisuroplasty: report of a case. J Oral Maxillofac Surg 1998;56:228-31. https://doi.org/10.1016/S0278-2391(98)90874-6
  9. Turan A, Tuncel U, Kostakoglu N. The use of single rhomboid flap in reconstruction of microstomia. Burns 2012;38:e24-7. https://doi.org/10.1016/j.burns.2012.05.020
  10. Grishkevich VM. Post-burn microstomia: anatomy and elimination with trapeze-flap plasty. Burns 2011;37:484-9. https://doi.org/10.1016/j.burns.2010.09.003