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2005, Number 4

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Acta Pediatr Mex 2005; 26 (4)

Stomatologic treatment of bullous disorders. Lyell syndrome. Report of a case

Teja ÁE, Ceballos HH, Durán GA, Posadas RG

Language: Spanish
References: 16
Page: 184-189
PDF size: 128.88 Kb.


ABSTRACT

We present a case of Lyell’s syndrome (toxic epidermal necrosis) in a nine year old boy who suffered convulsive seizures following a viral encephalitis and was being treated with anticonvulsants. Three days before the last dosis of these medications he developed facial epidermal lesions. The pediatric stomatologist was involved in the treatment of this patient by designing, manufacturing and placing a new device which permitted the fixation of orogastric and orotracheal cannulae during his treatment, thus precluding their contact with the skin. This device kept the patient’s mouth open in order to avoid excentric mandibular movements. Our experience with this patient substantiated the usefulness of this tool for the treatment of patients with vesiculo-ampulous conditions. It may also be useful in patients with second and third degree facial burns; in any patient requiring the use of cannulae to avoid facial skin contact in order to expedite healing cutaneous lesions and to avoid skin and mucosal infections.


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