Staged lower lip reconstruction following gangrenous stomatitis in an immunosuppressed patient.
- Author:
Han Byeol JIN
1
;
Jeong Yeol YANG
;
Kyung Sik KIM
;
Seung Hong KIM
;
Joon CHOE
;
Jee Hyeok CHUNG
Author Information
- Publication Type:Case Report
- Keywords: Stomatitis; Candida; Gangrene
- MeSH: Aged; Bacterial Infections; Candida; Candida albicans; Debridement; Diabetes Mellitus; Gangrene; Humans; Hypertension; Inflammation; Klebsiella pneumoniae; Lip*; Male; Mouth; Necrosis; Noma*; Sialorrhea; Skin; Stents; Stomatitis; Trismus
- From:Archives of Craniofacial Surgery 2018;19(3):222-226
- CountryRepublic of Korea
- Language:English
- 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.
