Prevention of microstomia following facial burns

Penna, Kevin J; Sadoff, Rory S.

doi:10.1016/s0266-4356(98)90186-3

Cited by 7 publications

(4 citation statements)

References 4 publications

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“…The early management of microstomia with dental orthopedic appliances has received widespread acceptance for patients with electrical burns of the oral commissure [4,5]. The oral commissure splint is an effective treatment modality to provide physical resistance to scar contracture [6].…”

Section: Introductionmentioning

confidence: 99%

Scar Management After Surgical Repair of Lateral Facial Clefts

Kang

Figueroa

Reid

2017

J. Maxillofac. Oral Surg.

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The prevention of scar contracture after surgery is an important aspect of lateral facial cleft repair. Maintaining adequate mouth opening is essential for speech, expression, chewing, oral hygiene and psychosocial well-being. Although there have been extensive reviews of non-surgical microstomia management in patients with oral electrical burns, there have been no reports on the use of oral commissure splints to manage the surgical scar in patients with lateral facial clefts. The case study presented here will demonstrate the clinical use of cheek retractors to provide physical resistance to scar contracture. We recommend early rehabilitation with cheek retractors to minimize scar contracture and the negative sequelae of scarred tissues on the dentition after lateral facial cleft repair.

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Section: Introductionmentioning

confidence: 99%

Scar Management After Surgical Repair of Lateral Facial Clefts

Kang

Figueroa

Reid

2017

J. Maxillofac. Oral Surg.

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“…4 Some disadvantages of these appliances include pressure sores, the potential for skin breakdown at the commissures especially with the use of horizontal stretching appliances, appliance breakage from prolonged stress, drooling, and patient compliance. 16,17…”

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confidence: 99%

Postburn Microstomia Prevention Using an Appliance Providing Simultaneous Horizontal and Vertical Adjustable Forces

Antonarakis

Fastlicht

Masnyi

et al. 2017

Journal of Burn Care & Research

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Microstomia, an abnormally small oral orifice, is a complication of perioral facial burns. In this case, contraction of the circumoral tissues and hypotonia of the musculature is responsible for this microstomia, which can produce aesthetic and functional impairment with eating, swallowing, communication (speech and facial expressions), compromised dental care and maintenance due to limited oral access, social interactions, and psychological well-being. Conservative management involves providing physical resistance to scar contracture, with opposing horizontal and vertical circumoral forces by means of appliances that aim to stretch the commissures and fibrotic muscles. Numerous appliances, either intraoral or extraoral, have been described to prevent or treat microstomia by delivering a static or dynamic stretch horizontally or vertically, with most designed to stretch the mouth horizontally. Finding a comfortable effective way to stretch the mouth vertically has proved to be a challenge. This article describes the fabrication of a dynamic commissural appliance, constructed using acrylic resin and expansion screws, which provide simultaneous horizontal and vertical circumoral forces. This appliance is constructed easily and inexpensively without the need for taking impressions, can be adjusted so that it is almost painlessly inserted, and is progressively activated. It is convenient for use because the patient controls the pressure that is applied by the appliance. Its use in a case is described where the appliance has improved mouth opening and consequently functional outcomes.

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“…Schlüsselwörter l " kraniofaziale Chirurgie l " Gesicht l " Verbrennung l " sekundäre Rekonstruktion nach Verbrennung l " Verbrennungschirurgie Key words l " craniofacial surgery l " face l " burns l " secondary reconstruction after burns l " surgical management of burns älteren Patienten kann das Einsetzen von Zahnprothesen unmöglich werden. Die Entstehung hypertropher Narben ist in der Mundregion häufig [15]. Diese komplexen Einschränkungen erfordern in vielen Fällen eine frühe und kompetente Rekonstruktion der oralen Region [5,19].…”

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“…Stromunfälle mit Beteiligung der oralen Region [16], wie sie oft bei Kindern zu finden ist, welche stromführende Kabel in den Mund nehmen [1,14]. Nach der Phase der lebenserhaltenden Erstversorgung kommen früh bestimmte Spangen zum Einsatz, welche eine Mikrostomie verhindern sollen [2,7,9,15]. Erfolgt eine sofortige Therapie mittels Spangen, treten Mikrostomien in nur etwa 1 -2% der Fälle auf [10].…”

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