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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...

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Autores principales: Ishii, Yoshitaka, Yano, Tomoyuki, Ito, Osamu
Formato: Online Artículo Texto
Lenguaje:English
Publicado: Korean Society of Plastic and Reconstructive Surgeons 2018
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.
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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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