KARAPANDZIC FLAP FOR RECONSTRUCTION OF LOWER LIP IN A 18-MONTH OLD BOY WITH CONGENITAL AGAMMAGLOBULINEMIA AND ECTHYMA GANGRENOSUM. CASE REPORT

Predrag T. Kovacevic, Dragan M. Petrovic, Sladjana R. Petrovic, Tatjana T. Kovacevic, Shahram M. Ghanaati

DOI Number
-
First page
106
Last page
108

Abstract


The reconstruction of lower lip in children is extremely rare and challenging procedure. The etiology in literature reveals trauma and infection. An 18-month boy was admitted with sepsis and pneumonia. Laboratory tests revealed congenital agammaglobulinemia. Necrosis of lower lip developed and was diagnosed as ecthyma gangrenosum. Blood culture was positive for Pseudomonas aeruginosa. Multiple abscess formations were found in abdominal wall and gluteal region and were treated by incisions. After spontaneous demarcation of necrotic tissue in lower lip the Karapandzic flap technique was used for reconstruction. Karapandzic flap can be used as optimal method for reconstruction of lower lip in children with satisfactory functional and aesthetic results.

Key words: Karapandzic flap, ecthyma gangrenosum, reconstruction


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ISSN 0354-4699 (Print)
ISSN 2406-050X (Online)