Treatment of caustic ingestion

Rubin, Mitchell M.; Jui, Vivian; Cozzi, Gerard M.

doi:10.1016/0278-2391(89)90233-4

Cited by 9 publications

(4 citation statements)

References 8 publications

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“…This is probably because that the most common offending chemical agent is concentrated liquid alkali (lye, drain cleaners, and similar readily available household products). These agents are easily swallowed; enter the esophagus and stomach and cause the maximal damage there, sparing the oral cavity [6]. In this case, the offending agent (acid) was cleared from the mouth before it could be swallowed.…”

Section: Discussionmentioning

confidence: 99%

Long Standing Intra Oral Acid Burn

Kumar

Ebenezer

Lobbezoo

2012

J. Maxillofac. Oral Surg.

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Oral burn due to ingestion of corrosive substances can bring about debilitating consequences. It often brings mortality, and the survivors can have severe impairment of functions, especially in relation to the stomatognathic and gastrointestinal systems. This article presents a long-standing case (21 years) of an oral burn caused by a corrosive substance, its manifestation on growth and development of the face and its treatment. The patient was accidentally given acid orally when he was 4 months of age. He was treated at 21 years of age: the time he reported to us. This seems to be the first case report that describes the effects of long standing oral contracture secondary to burns on the growth and development of the maxillofacial structures and its treatment with a novel approach.

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Section: Discussionmentioning

confidence: 99%

Long Standing Intra Oral Acid Burn

Kumar

Ebenezer

Lobbezoo

2012

J. Maxillofac. Oral Surg.

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“…Alkali cause severe liquefaction necrosis and injury that extend beyond the submucosa. [15][16][17] After a review of the English literature, only few reports were found discussing the management of Type II and III contractures and included the use of skin grafts, cultured mucosal epithelial grafts, naso-labial flaps, radial forearm free flaps and jejunal free flaps. 16 -20 The use of skin grafts and cultured mucosal grafts without splinting are associated with a high-risk of recurrence.…”

Section: Discussionmentioning

confidence: 99%

Oral Burn Contractures in Children

Hashem

Khayal²

2003

Annals of Plastic Surgery

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Oral burn contractures in children present major reconstructive problem. Only few reports in literature discussed oral burns in children. Electrical, chemical, and thermal agents are the main causative agents for oral burns. Oral contractures can be classified into anterior, posterior, and total. Anterior contractures are usually caused by electrical burns and involve the oral commissure, lips, anterior buccal sulcus and surrounding mucosa, and anterior tongue. Posterior oral contractures are caused by caustic ingestion and involve the posterior buccal mucosa, posterior tongue, retro-molar area and oro-pharynx. Total oral contractures involve the lips, tongue, oral cavity, and oro-pharyngeal mucosa and are caused by lye caustic ingestion. This report reviews three children; one with posterior, two with total oral cavity contracture. All cases were managed by linear release of scar contracture and skin grafting followed by a prolonged intra-oral splinting with a fixed mouth-block and commissural splint. A successful outcome was observed in all cases.

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“…They produce a liquefaction necrosis, which exposes progressively deeper layers of tissue to the caustic agent and causes much more extensive injuries. [6][7][8][9] Stricture of the esophagus develops in 25 to 35 percent of patients with caustic esophageal burns. 7,10 Esophageal stricture is often treated by bouginage and, with conservative treatment, most patients will be able to eat normally without esophageal replacement.…”

Section: Discussionmentioning

confidence: 99%

“…10 In most reports of esophageal reconstruction following caustic ingestion, the patients were treated with colonic interpositions. [8][9][10][11] In cases such as our third patient, whose lesions were localized to the cervical portion of the esophagus, reconstruction by free jejunal interposition can be the first choice. Free jejunal transfer has been adopted for pharyngoesophageal reconstruction after standard total pharyngolaryngoesophagectomy because of its advantages.…”

Section: Discussionmentioning

confidence: 99%

Microsurgical Reconstruction for Caustic Injuries of the Oral Cavity and Esophagus

Ichioka

Nakatsuka²,

Minegishi³

et al. 2000

J reconstr Microsurg

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Ingestion of caustic material often produces profound and irreversible pathologic changes that require reconstructive surgery of the organs damaged. This report describes the authors' successful experience with microsurgical techniques that allowed adequate reconstruction in three patients with cicatricial contracture of the oral cavity and esophagus following ingestion of caustic substances. All patients had attempted suicide by ingesting liquid alkali. Patients #1 and #2 complained of limited mouth opening and impaired tongue movement due to oral scar contracture. Contracture release in the first patient resulted in a defect from the anterior border of the mandible to the retromolar region. The defect was resurfaced with a 6 x 12 cm free forearm flap. Release of the scar contracture in the second patient resulted in a long, narrow, tortuous defect that was difficult to cover, even with a forearm flap, and a jejunal segment was microsurgically transferred as a patch graft to reconstruct the defect. Patient #3 had dysphagia due to stricture of the cervical portion of the esophagus. The defect after resection of the cervical portion was reconstructed by free jejunal interposition. Appropriately selected free-flap transfer in each case provided a satisfactory restoration of function of the oropharyngeal and digestive passages.

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Treatment of caustic ingestion

Cited by 9 publications

References 8 publications

Long Standing Intra Oral Acid Burn

Long Standing Intra Oral Acid Burn

Oral Burn Contractures in Children

Microsurgical Reconstruction for Caustic Injuries of the Oral Cavity and Esophagus

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