Abstract
Treatment and reconstruction of oral scar contracture, is always a challenging procedure to restore structure and functions of the oral cavity. We present a case of a patient with limited mouth opening who sustained extensive oral scar contracture with complete adhesion of tongue to floor of mouth following ingestion of caustic soda without his knowledge 4 years back. We performed a surgical release of the scar contractures from buccal mucosa on both sides, along with a release of the tongue from the floor of the mouth, followed by reconstruction of all sites using split skin grafts. Adequate mouth opening and tongue movement was achieved. There was a follow up period of 1 month with excellent mouth opening and tongue function.
References
Lionte C, Sorodoc L, Petris OR, Sorodoc V (2007) Unusual presentation and complication of caustic ingestion. Case report. J Gastrointestin Liver Dis 16(1):109–112
Meredith JW, Kon ND, Thompson JN (2008) Management of injuries from liquid lye ingestion. J Trauma 28(8):1173–1178
Mamede RCM, de Mello Filho FV (2001) Ingestion of caustic substances and its complications. Sao Paulo Med J/Rev Paul Med 119(1):10–15
Hawkins DB, Demeter MJ, Barnett TE (1980) Caustic ingestion: controversies in management. A review of 214 cases. The Laryngoscope 90:98–109
Dfupesland P, Solgaard T, Mair IWS (1991) Cerebral abscess complicating dilatation of a corrosive esophageal stricture. Eur Arch Oto-Rhino-Laryngol 248:308–310
Ranzato R, Busato A, Tropea A, D’Amico C et al (1992) Esophago-gastric lesions caused by caustics. Annali Italiani di Chirurgia 63:605–609
Martins WD, Westphalen FH, Westphalen VPD (2003) Microstomia caused by swallowing of caustic soda: report of a case. J Contemp Dent Pract 4(4):91–99
Shigeru I, Takashi N, Kotaro Y, Nobuyuki K, Kiyonori H (1999) Free jejunal patch to reconstruct oral scar contracture following caustic ingestion. Ann Plast Surg 43(1):83–86
Silfen R, Hudson DA, Skoll PJ (2000) The use of the prepuce for reconstruction of an intraoral burn. Ann Plast Surg 44(3):317–319
Micheau P, Lauwers F, Vath SB, Seilha T, Dumurgier C, Joly B (2004) Caustic burns. Clinical study of 24 patients with sulfuric acid burns in Cambodia. Ann Chir Plast Esthet. 49(3):239–254
Hashem FK, Al Khayal Z (2003) Oral burn contractures in children. Ann Plast Surg 51(5):468–471
Varkey P, Tan NC, Chen HC (2006) Corrosive injury of oral cavity–a rare presentation. J Plast Reconstr Aesthet Surg 59(10):1110–1113
Acknowledgments
We thank our post graduate students Dr. Arjun Bharat and Dr. Sachin Kumar for their valuable effort in case preparation. Neither source of grants or financial support had been taken nor had any remuneration been received by any of the authors for this work.
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Gupta, S.K., Rana, A.S., Gupta, D. et al. Unusual Presentation of Caustic Ingestion and its Surgical Treatment: A Case Report. J. Maxillofac. Oral Surg. 10, 74–76 (2011). https://doi.org/10.1007/s12663-010-0092-x
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DOI: https://doi.org/10.1007/s12663-010-0092-x