RESUMO
We describe a patient with panniculitis ossificans traumatica that arose adjacent to the mandible. Panniculitis ossificans traumatica is an unusual form of heterotopic calcification that develops within subcutaneous fat as a result of injury. There have been few reported cases, and we know of none in the maxillofacial region despite the frequency of trauma to this region. As a result few treatment protocols exist. We describe an experience with its diagnosis and management.
Assuntos
Queixo/lesões , Ossificação Heterotópica/etiologia , Paniculite/etiologia , Lesões dos Tecidos Moles/complicações , Tecido Adiposo/patologia , Medula Óssea/patologia , Tecido Conjuntivo/patologia , Humanos , Masculino , Pessoa de Meia-Idade , Ossificação Heterotópica/patologia , Paniculite/patologiaRESUMO
In many units where microvascular free-tissue transfer in the head and neck region is practised, tracheostomy is completed with the suturing of the tube in place and the removal of the supporting struts from the tube flange. The thinking is that in removing the struts the risk of occlusion of the vascular pedicle of the free flap, as it lies in the neck, is reduced as the cervical tape cannot be applied. The evidence base for vascular obstruction resulting from a correctly positioned tape is lacking. Presented here is a case in which potential flap failure, as a result of a cervical tracheostomy tape, was avoided by early detection of ischaemia using microdialysis.
