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A Clinical Case of Unilateral Maxillary Defect Reconstruction Using Nasolabial Flap
Journal of the Korean Association of Maxillofacial Plastic and Reconstructive Surgeons ; : 167-172, 2009.
Article in Korean | WPRIM | ID: wpr-784880
ABSTRACT
maxilla rarely undergoes necrosis due to its rich vascularity. Maxillary necrosis can occur due to bacterial infections such as osteomyelitis, viral infections such as herpes zoster and fungal infections such as mucormycosis, aspergillosis etc. Herpes zoster is a common viral infection, the oral soft tissue manifestations of which are widely known and recognized. Extremely rare complications such as osteonecrosis, and secondary osteomyelitis in maxilla were observed. But, reports of spontaneous tooth exfoliation and jaw osteonecrosis following herpes zoster infection in the distribution of the trigeminal nerve are extremely rare in the literature.We report a case of maxillary necrosis by herpes zoster in an uncontrolled diabetic patient. There was extensive necrosis of the buccal and palatal mucoperiosteum and exposure of the alveolar bone. This patient was successfully treated using a removal of necrotic bone and nasolabial flap. We briefly discuss different diseases which can lead to maxillary necrosis and a review. Analysis of the pathogenesis of herpes zoster and bone necrosis are discussed.
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Full text: Available Index: WPRIM (Western Pacific) Main subject: Osteomyelitis / Osteonecrosis / Aspergillosis / Bacterial Infections / Tooth Exfoliation / Trigeminal Nerve / Herpes Zoster / Jaw / Maxilla / Mucormycosis Limits: Humans Language: Korean Journal: Journal of the Korean Association of Maxillofacial Plastic and Reconstructive Surgeons Year: 2009 Type: Article

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Full text: Available Index: WPRIM (Western Pacific) Main subject: Osteomyelitis / Osteonecrosis / Aspergillosis / Bacterial Infections / Tooth Exfoliation / Trigeminal Nerve / Herpes Zoster / Jaw / Maxilla / Mucormycosis Limits: Humans Language: Korean Journal: Journal of the Korean Association of Maxillofacial Plastic and Reconstructive Surgeons Year: 2009 Type: Article