Surgical Correction of Microstomia in a Patient With Antilaminin 332 Mucous Membrane Pemphigoid

被引:2
作者
Sato, Hideyoshi [1 ]
Toriyama, Kazuhiro [1 ]
Yagi, Shunjiro [1 ]
Takanari, Keisuke [1 ]
Takama, Hiroyuki [2 ]
Sawada, Masaki [2 ]
Hashimoto, Takashi [3 ,4 ]
Kamei, Yuzuru [1 ]
机构
[1] Nagoya Univ, Grad Sch Med, Dept Plast & Reconstruct Surg, Nagoya, Aichi 4668560, Japan
[2] Nagoya Univ, Grad Sch Med, Dept Dermatol, Nagoya, Aichi 4668560, Japan
[3] Kurume Univ, Sch Med, Dept Dermatol, Kurume, Fukuoka 830, Japan
[4] Kurume Univ, Inst Cutaneous Cell Biol, Kurume, Fukuoka 830, Japan
关键词
microstomia; mucous membrane pemphigoid; antilaminin; 332; Z-plasty; IMMUNOFLUORESCENCE; LAMININ-5; SKIN;
D O I
10.1097/SAP.0b013e318268a8b1
中图分类号
R61 [外科手术学];
学科分类号
摘要
Microstomia is a term used to describe a small oral aperture. Most of the reported cases are caused by scar contracture after facial trauma, burn injury, and tumor excision. We experienced a rare case of microstomia in a patient with antilaminin 332 mucous membrane pemphigoid, which was an acquired autoimmune disease and showed blisters and erosive lesions mainly on the mucous membranes. The patient had recurrent aphthous stomatitis and presented microstomia caused by scar contracture of oral mucosa. We surgically corrected microstomia by 5-flap Z-plasty for commissuroplasty and 2 Z-plasty of both upper and lower lips for an enlargement of oral aperture. The patient could achieve an enough oral aperture and was satisfied with the result. There was no recurrence of microstomia for 2 years.
引用
收藏
页码:553 / 555
页数:3
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