STUDY NOTES ⚕️
Cancrum oris is a special type of gangrene.
🔍 Major diseases like diptheria, Whooping cough, measles, kala azar, typhoid, etc.
🔍 These factors lead to invasion of opportunistic organisms like the Vincent’s organisms – Borrelia vincentii and fusiforms causing ulcerations, erosions and eventually fibrosis.
👩⚕️ It is an extensive ulcerative disease of the cheek mucosa usually occuring in malnourished children.
👨⚕️ As the disease progresses, there may be complete reduction of the cheek thickness.
💊 Ryle’s tube feeding.
💊 Improve the nutrition.
💊 Appropriate antibiotics: Metronidazole 400mg thrice daily for 7-10 days.
💊 Surgical reconstruction of the cheek.
⚠️ Fibrosis leading to restricted movement of the jaw.
⚠️ Sepsis, toxaemia and death.
SOURCE: Manipal Manual of Surgery (3rd edition)