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  • 标题:Staged lower lip reconstruction following gangrenous stomatitis in an immunosuppressed patient
  • 本地全文:下载
  • 作者:Han Byeol Jin ; Jeong Yeol Yang ; Kyung Sik Kim
  • 期刊名称:Archives of Craniofacial Surgery
  • 印刷版ISSN:2287-1152
  • 出版年度:2018
  • 卷号:19
  • 期号:3
  • 页码:222-226
  • DOI:10.7181/acfs.2018.01928
  • 出版社:KoreaMed Synapse
  • 摘要: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.
  • 关键词:Candida;Gangrene;Stomatitis
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