CANCRUM ORIS

Don’t let Cancrum Oris take your pretty cheeks away! Stay nourished! πŸ˜‚

STUDY NOTES βš•οΈ

Cancrum oris is a special type of gangrene.

Causes:

πŸ” Malnourishment.

πŸ” Major diseases like diptheria, Whooping cough, measles, kala azar, typhoid, etc.

πŸ” These factors lead to invasion of opportunistic organisms like the Vincent’s organisms – Borrelia vincentii and fusiforms causing ulcerations, erosions and eventually fibrosis.

Clinical Presentation:

πŸ‘©β€βš•οΈ It is an extensive ulcerative disease of the cheek mucosa usually occuring in malnourished children.

πŸ‘¨β€βš•οΈ As the disease progresses, there may be complete reduction of the cheek thickness.

Treatment:

πŸ’Š Ryle’s tube feeding.

πŸ’Š Improve the nutrition.

πŸ’Š Appropriate antibiotics: Metronidazole 400mg thrice daily for 7-10 days.

πŸ’Š Surgical reconstruction of the cheek.

Complications:

⚠️ Fibrosis leading to restricted movement of the jaw.

⚠️ Sepsis, toxaemia and death.

SOURCE: Manipal Manual of Surgery (3rd edition)


~Sunantha✍️

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