title: Avascular necrosis of the midface secondary to disseminated intravascular coagulation.
abstract: To the authors' knowledge, avascular necrosis of the midface secondary to disseminated intravascular coagulation has yet to be described following a hypoxic syncopal episode secondary to 'heat stroke'. A slow, progressive loss of anterior maxillary bone and the collapse of the nasal dorsum in a healthy young man with no other known medical co-morbidities led to the diagnosis. Following debridement, a staged reconstruction of the maxilla-nasal complex was successfully performed.
authors.affiliation: Medical Intern, Southern Health, Melbourne, Victoria, Australia. Electronic address: aheggie@bigpond.net.au.
authors.forename: E V
authors.initials: EV
authors.lastname: Nguyen
authors.affiliation: Oral and Maxillofacial Surgery Unit, Epworth Hospital, Richmond, Victoria, Australia.
authors.forename: A A C
authors.initials: AA
authors.lastname: Heggie
mesh_terms: D000328:Adult; D002508:Cephalometry; D003646:Debridement; D003937:Diagnosis, Differential; D004211:Disseminated Intravascular Coagulation / Q000150:complications* / Q000175:diagnosis*; D006801:Humans; D008279:Magnetic Resonance Imaging; D008297:Male; D010020:Osteonecrosis / Q000175:diagnosis* / Q000209:etiology* / Q000601:surgery*; D019651:Plastic Surgery Procedures; D013524:Surgical Flaps; D014057:Tomography, X-Ray Computed
keywords: avascular necrosis; disseminated intravascular coagulation; midface