Extensive actinomycosis of the face requiring radical resection and facial nerve reconstruction.
We present a case of extensive actinomycosis of the face, which appeared after dental surgery. Since antibiotic therapy was ineffective, the lesion was radically resected, and the skin, soft tissue and facial nerve were reconstructed using a free rectus abdominis musculocutaneous flap and simultaneously harvested intercostal nerves. Successful reanimation of the face was achieved 14 months postoperatively.
Iida
Takuya
T
Department of Plastic and Reconstructive Surgery, Kyorin University, School of Medicine, 6-20-2 Shinkawa, Mitaka, Tokyo 182-8611 Japan. tiida-tky@umin.ac.jp
Takushima
Akihiko
A
Asato
Hirotaka
H
Harii
Kiyonori
K
D000196:Actinomycosis / Q000188:drug therapy / Q000601:surgery*; D003881:Dermatomycoses / Q000188:drug therapy / Q000601:surgery*; D024901:Drug Resistance, Multiple, Bacterial; D005148:Facial Dermatoses / Q000601:surgery*; D005154:Facial Nerve / Q000601:surgery*; D005260:Female; D006801:Humans; D007367:Intercostal Nerves / Q000637:transplantation; D008875:Middle Aged; D013524:Surgical Flaps