Severe midface necrosis after liver failure induced fungal infection: A case report on the outcome after reconstruction.

ABSTRACT:

Introduction

Reconstruction of the complex anatomy of the midface is challenging and requires meticulous preparation. Immunosuppression therapy increases patient susceptibility to infection and can compromise wound healing.

Presentation of case

A 22-year-old male presented with acute hepatic failure and underwent liver transplantation. The subsequent immunosuppressing therapy resulted in an invasive fungal infection in the midface involving the left lower eyelid, skin and soft tissue of the cheek and the underlying maxilla and zygoma. After multiple revisions, a primary surgical closure of the defect was performed with a free partial myocutaneous latissimus dorsi flap. 3 years post-transplantation the patient was referred to our hospital with no nasal airflow on the right si

SUBMITTER: Wiinholt A 

PROVIDER: S-EPMC10509831 | biostudies-literature | 2023 Sep

REPOSITORIES: biostudies-literature