Microstomy after Erythema Multiforme: Surgical Treatment and Results - Abstract
Purpose: The manifestation of bullous diseases on oral mucoses leading scarring sequel are
widely described in toxic epidermal necrolysis (TEN). These complications cause disfigurement and functional impairment. They are more rarely reported in erythema multiforme (EM). This article aims to describe a case of lip adhesion after EM induced by mycoplasma pneumoniae, where corrective surgery was performed to increase the mouth opening range of a young female patient.
Methods: Through the 5-flap Z plasty, mucosal flap rotation was performed for better flexibility and better mouth opening.
Results: The interincisal distance improved by 12 mm and the intercomisural distance increased by 10 mm, with no type of scar that had an aesthetic impairment reestablishing functional
improvement.
Conclusion: Through the microstomy and the choice of using 5-flap Z plasty, there was a significant increase in the patient’s mouth opening, thus improving the functional and cosmetic
condition, with the patient’s satisfactory evolution over the long term, with no more idea relapse.