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Microstomia Following Caustic Soda Ingestion: Report of a Case

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Abstract

Caustic soda ingestion causes strictures in the respiratory, gastrointestinal systems and even death. In the oral and perioral areas it causes contractures leading to microstomia that is difficult to manage to restore structure and function of the oral cavity. The present case is of a 42-year-old female who presented with microstomia, no endoscopic esophageal injury and ankyloglossia following ingestion of caustic soda in an attempted suicide following a dispute with her spouse. Satisfactory mouth opening and tongue movement were achieved by bilateral release of buccal contractures, commissuroplasty and release of the tongue that was tethered to the floor of the mouth.

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References

  1. Gupta SK, Rana AS, Gupta A, Jain G, Kalra P (2011) Unusual presentation of caustic ingestion and its surgical treatment: a case report. J Maxillofac Oral Surg 10(1):74–76

    Article  Google Scholar 

  2. Lupa M, Magne J, Guarisco L, Amedee R (2009) Update on the diagnosis and treatment of caustic soda ingestion. Ochner J 9:54–59

    Google Scholar 

  3. Botwe OB, Anim-Sampong S, Sarkodie BD, Antwi WK, Obeng- Nkansah J, Ashong GNA (2015) Caustic soda ingestion in children under-5 years presenting for fluoroscopic examinations in an Academic Hospital in Ghana. BMC Res Notes 8:684–694

    Article  Google Scholar 

  4. Arevalo-Silva C, Elishar R, Wohlgelernter J (2006) Ingestion of caustic substances: a 15-year experience. Laryngoscope 116:1422–1426

    Article  Google Scholar 

  5. Faz AA, Arsan F, Peyvandi M, Oroel M, Shafagh O, Yousefi M, Peyvandi H (2017) Epidemiologic features and outcomes of caustic ingestions: a 10- year cross-sectional study. Emergency 5(1):e56

    Google Scholar 

  6. Park SK (2014) Evaluation and management of caustic injuries from ingestion of acid or alkaline substances. Clin Endosc 47:301–307

    Article  Google Scholar 

  7. Converse JM (1977) Techniques for the repair of defects of the lip and cheeks. In: Converse JM (ed) Reconstructive plastic surgery, vol 3, 2nd edn. Saunders, Philadelphia, pp 1544–1594

    Google Scholar 

  8. Zak M, Means O, Cason B, Brooks R (2016) Management of severe burn microstomia. www.ePlasty.com, Interesting case, November 22

  9. Branch LG, David LR (2015) Management of severe microstomia in a ten-week-old infant. J Craniofac Surg 26:1609–1610

    Article  Google Scholar 

  10. Ichioka S, Nakatsuka T, Minegishi Y et al (2000) Microsurgical reconstruction for caustic injuries of the oral cavity and esophagus. J Recon Microsurg 16:357–361

    Article  CAS  Google Scholar 

  11. Spanholtz TA, Theodorou P, Phan V, Perbix W, Spiker G (2007) Reconstruction of the oral commissure in microstomia patients with deep dermal facial burns. Handchir Mikrochir Plast Chir 39:350–355

    Article  CAS  Google Scholar 

  12. Grishkevich VM (2011) Post-burn microstomia: anatomy and elimination with trapeze-flap plasty. Burns 37:484–489

    Article  Google Scholar 

  13. Makiguchi T, Yokoo S, Koitabashi A, Ogawa M, Miyazaki H, Terashi H (2014) Treatment of microstomia caused by burn with a nasolabial flap: an ingenious approach for tugging and fixation of the oral commissure. J Craniofac Surg 25:568–570

    Article  Google Scholar 

  14. Sato H, Toriyama K, Yagi S, Takanari K, Takama H, Sawada M, Hashimoto T, Kamei Y (2014) Surgical correction of microstomia in a patient with antilaminin 332 mucous membrane pemphigoid. Ann Plast Surg 72:553–555

    Article  CAS  Google Scholar 

  15. Martins WD, Westphalen FH, Westphalen VP (2003) Microstomia caused by swallowing caustic soda: report of a case. J Contemp Dent Pract 4:091–099

    Article  Google Scholar 

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Authors and Affiliations

  1. Department of Dentistry, University of Zimbabwe, College of Health Sceinces, Harare, Zimbabwe

    Midion M. Chidzonga

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  1. Midion M. Chidzonga
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Correspondence to Midion M. Chidzonga.

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This case report was passed by our College of Health Sciences and Parirenyatwa Hospital Joint Research Ethics Committee. Verbal consent was given by the patient for permission to publish this case report along with use of the de-identified photographs.

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Chidzonga, M.M. Microstomia Following Caustic Soda Ingestion: Report of a Case. J. Maxillofac. Oral Surg. 20, 230–233 (2021). https://doi.org/10.1007/s12663-019-01247-4

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  • DOI: https://doi.org/10.1007/s12663-019-01247-4

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