Conservative management of oral electrical burns: report of a case successfully treated.
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A new case with distinctive features of Schwartz-Jampel syndrome is reported, which makes the patient number 28 after reviewing world literature on the subject. Clinical, genetic, neurophysiological and pathological point of view is studied. The myotonic discharges which the patient presented while resting, did not diminish either with general anesthesia or with curarization, being this the pattern of a true myotonia.
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The recent advances in microvascular surgery have been applied to maxillo-facial reconstruction in the area of the lower jaw and soft tissue of the face. Five cases are presented, demonstrating some of the techniques and results in patients suffering from congenital, post-traumatic and post-cancer resection deformities.
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Oral electrical burns to the lip commissure are disfiguring injuries for a child. Current treatment includes the use of an orally anchored splint to hold the lip commissures at their correct positions during healing. After wearing an appliance for a period of one year, the burn site is evaluated for the need for corrective surgery (Fig. 9). It has been found that the use of a commissure appliance decreases the need for reconstructive surgery.