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KMID : 1033720180190030222
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Archives of Craniofacial Surgery
2018 Volume.19 No. 3 p.222 ~ p.226
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Staged lower lip reconstruction following gangrenous stomatitis in an immunosuppressed patient
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Jin Han-Byeol
Yang Jeong-Yeol
Kim Kyung-Sik
Kim Seung-Hong
Choe Joon
Chung Jee-Hyeok
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Abstract
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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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KEYWORD
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Stomatitis, Candida, Gangrene
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