case_images: PMC11340848_01
case_images: Preoperative: (a) Case 1: Exposed mandible on right side, (b) Case 2: Sloughing of palatal soft tissue, (c) Case 3: Sloughing of tissue of floor of mouth, (d) Case 4: Palatal necrosis with pus discharge in buccal vestibule
case_images: AMS-14-120-g001.jpg
case_images: PMC11340848_01_AMS-14-120-g001.jpg
case_images: ams.ams_27_24-f001
case_images: Necrosis and sloughing of tissue intraorally [Figure 1a-d] and exposed bone was observed in two cases at the site of infiltration of lignocaine. Pus discharge was seen in one case [Figure 1d] and paraesthesia was seen in two cases (case 2, 5).
case_images: PMC11340848_02
case_images: Management: (a) Case 1: Curettage and debridement followed by betadine dressing, (b) Case 2: Intraoral acrylic splint, (c) Case 3: Curettage and debridement followed by primary closure, (d) Case 4: Suturing and dressing
case_images: AMS-14-120-g002.jpg
case_images: PMC11340848_02_AMS-14-120-g002.jpg
case_images: ams.ams_27_24-f002
case_images: All the above patients were managed conservatively [Figure 2a-d]. Intraoral splint in the second case was found to be effective to accelerate the healing [Figure 2b] and primary closure done in case 3,4 showed good result [Figure 2c and d].
case_images: Follow ups: (a) Case 1: Follow up after 4 months, (b) Case 2: Follow up after 2 months, (c) Case 3: Follow up after 2 months, (d) Case 4: Follow up after 2 months
case_images: AMS-14-120-g003.jpg
case_images: PMC11340848_02_AMS-14-120-g003.jpg
case_images: ams.ams_27_24-f003
case_images: Two-month follow-up showed good healing [Figure 3a-d] but the patient did not recover from the paraesthesia.