Avascular necrosis of the midface secondary to disseminated intravascular coagulation

Abstract To the authors’ knowledge, avascular necrosis of the midface secondary to disseminated intravascular coagulation has yet to be described following a hypoxic syncopal episode secondary to ‘heat stroke’. A slow, progressive loss of anterior maxillary bone and the collapse of the nasal dorsum...

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Bibliographic Details
Published in:International journal of oral and maxillofacial surgery 2014-12, Vol.43 (12), p.1441-1444
Main Authors: Nguyen, E.V, Heggie, A.A.C
Format: Article
Language:English
Subjects:
Adult
avascular necrosis
Cephalometry
Debridement
Dentistry
Diagnosis, Differential
disseminated intravascular coagulation
Disseminated Intravascular Coagulation - complications
Disseminated Intravascular Coagulation - diagnosis
Humans
Magnetic Resonance Imaging
Male
midface
Osteonecrosis - diagnosis
Osteonecrosis - etiology
Osteonecrosis - surgery
Reconstructive Surgical Procedures
Surgery
Surgical Flaps
Tomography, X-Ray Computed
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Summary:Abstract To the authors’ knowledge, avascular necrosis of the midface secondary to disseminated intravascular coagulation has yet to be described following a hypoxic syncopal episode secondary to ‘heat stroke’. A slow, progressive loss of anterior maxillary bone and the collapse of the nasal dorsum in a healthy young man with no other known medical co-morbidities led to the diagnosis. Following debridement, a staged reconstruction of the maxilla–nasal complex was successfully performed.
ISSN:0901-5027
1399-0020
DOI:10.1016/j.ijom.2014.09.017