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Use of the facial dismasking flap approach for surgical treatment of a multifocal craniofacial abscess
The decision of which surgical approach to use for the treatment of a multifocal craniofacial abscess is still a controversial matter. A failure to control disease progress in the craniofacial region can potentially put the patient’s life at risk. Therefore, understanding the various ways to approac...
Autores principales: | , , |
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Formato: | Online Artículo Texto |
Lenguaje: | English |
Publicado: |
Korean Society of Plastic and Reconstructive Surgeons
2018
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Materias: | |
Acceso en línea: | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC5968315/ https://www.ncbi.nlm.nih.gov/pubmed/29788681 http://dx.doi.org/10.5999/aps.2017.00969 |
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author | Ishii, Yoshitaka Yano, Tomoyuki Ito, Osamu |
author_facet | Ishii, Yoshitaka Yano, Tomoyuki Ito, Osamu |
author_sort | Ishii, Yoshitaka |
collection | PubMed |
description | The decision of which surgical approach to use for the treatment of a multifocal craniofacial abscess is still a controversial matter. A failure to control disease progress in the craniofacial region can potentially put the patient’s life at risk. Therefore, understanding the various ways to approach the craniofacial region helps surgeons to obtain satisfactory results in such cases. In this report, we describe a patient who visited the emergency department with a large swelling in his right cheek. A blood test and computed tomography revealed odontogenic maxillary sinusitis. The patient developed sepsis due to a progressive multifocal abscess. An abscess was seen in the temporal muscle, infratemporal fossa, and interorbital region. To control this multifocal abscess, we used the facial dismasking flap (FDF) approach. After debridement using the FDF approach, we succeeded in obtaining sufficient drainage of the abscess, and the patient recovered from sepsis. The advantages of the FDF approach are that it provides a wide surgical field, extending from the parietal region to the mid-facial region, and that it leaves no aesthetically displeasing scars on the face. The FDF approach may be one of the best options to approach multifocal abscesses in the craniofacial region. |
format | Online Article Text |
id | pubmed-5968315 |
institution | National Center for Biotechnology Information |
language | English |
publishDate | 2018 |
publisher | Korean Society of Plastic and Reconstructive Surgeons |
record_format | MEDLINE/PubMed |
spelling | pubmed-59683152018-05-31 Use of the facial dismasking flap approach for surgical treatment of a multifocal craniofacial abscess Ishii, Yoshitaka Yano, Tomoyuki Ito, Osamu Arch Plast Surg Case Report The decision of which surgical approach to use for the treatment of a multifocal craniofacial abscess is still a controversial matter. A failure to control disease progress in the craniofacial region can potentially put the patient’s life at risk. Therefore, understanding the various ways to approach the craniofacial region helps surgeons to obtain satisfactory results in such cases. In this report, we describe a patient who visited the emergency department with a large swelling in his right cheek. A blood test and computed tomography revealed odontogenic maxillary sinusitis. The patient developed sepsis due to a progressive multifocal abscess. An abscess was seen in the temporal muscle, infratemporal fossa, and interorbital region. To control this multifocal abscess, we used the facial dismasking flap (FDF) approach. After debridement using the FDF approach, we succeeded in obtaining sufficient drainage of the abscess, and the patient recovered from sepsis. The advantages of the FDF approach are that it provides a wide surgical field, extending from the parietal region to the mid-facial region, and that it leaves no aesthetically displeasing scars on the face. The FDF approach may be one of the best options to approach multifocal abscesses in the craniofacial region. Korean Society of Plastic and Reconstructive Surgeons 2018-05 2018-05-15 /pmc/articles/PMC5968315/ /pubmed/29788681 http://dx.doi.org/10.5999/aps.2017.00969 Text en Copyright © 2018 The Korean Society of Plastic and Reconstructive Surgeons This is an Open Access article distributed under the terms of the Creative Commons Attribution Non-Commercial License (http://creativecommons.org/licenses/by-nc/4.0/) which permits unrestricted non-commercial use, distribution, and reproduction in any medium, provided the original work is properly cited. |
spellingShingle | Case Report Ishii, Yoshitaka Yano, Tomoyuki Ito, Osamu Use of the facial dismasking flap approach for surgical treatment of a multifocal craniofacial abscess |
title | Use of the facial dismasking flap approach for surgical treatment of a multifocal craniofacial abscess |
title_full | Use of the facial dismasking flap approach for surgical treatment of a multifocal craniofacial abscess |
title_fullStr | Use of the facial dismasking flap approach for surgical treatment of a multifocal craniofacial abscess |
title_full_unstemmed | Use of the facial dismasking flap approach for surgical treatment of a multifocal craniofacial abscess |
title_short | Use of the facial dismasking flap approach for surgical treatment of a multifocal craniofacial abscess |
title_sort | use of the facial dismasking flap approach for surgical treatment of a multifocal craniofacial abscess |
topic | Case Report |
url | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC5968315/ https://www.ncbi.nlm.nih.gov/pubmed/29788681 http://dx.doi.org/10.5999/aps.2017.00969 |
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