PubMed · 931667
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C Wilkinson. 1977. Electrical burns.. https://pubmed.ncbi.nlm.nih.gov/931667/
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Electrical burns of the mouth are relatively common in young children. Early intervention to prevent complications remains controversial. A chart review was conducted of 24 patients with oral commissure burns who were treated at the University of Iowa from 1975 to 1988. All of these patients were treated conservatively without splinting or early surgery. Only one patient underwent oral splinting before receiving care at the University of Iowa Hospitals and Clinics. While under our care, no patients suffered significant hemorrhage at eschar separation. Commissuroplasty and/or reconstructive lip surgery were performed at various times after the burn injury was healed and the functional or aesthetic impairment was established. Long-term follow-up was from 5 to 17 years, allowing for longitudinal evaluation of the postburn scars and their influence on facial growth. Our review revealed that (1) younger children with more severe burns have a less favorable outcome; (2) no hemorrhage was observed immediately after the burn or at eschar separation; and (3) conservative surgical treatment after scar maturation- and in some cases following steroid injections- resulted in a successful functional and esthetic outcome.
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Mandibular asymmetry may be caused by infection or trauma. Unilateral facial paralysis has many causes and Bell's palsy, which is idiopathic, is the most common type. Asymmetric muscle involvement is discussed, including the masseter, temporalis, depressor anguli oris, extraocular, and sternocleidomastoid muscles. Tumors that present asymmetrically are also considered, including the juvenile hemangioma, lymphangioma, osteoma, embryonal rhabdomyosarcoma, and Burkitt's lymphoma. Finally, some miscellaneous conditions are discussed, including fibrous dysplasia, mucus retention phenomenon, electrical burns of the mouth, and cancrum oris.