Journal article

Avascular necrosis of the midface secondary to disseminated intravascular coagulation

EV Nguyen, AAC Heggie

INTERNATIONAL JOURNAL OF ORAL AND MAXILLOFACIAL SURGERY | CHURCHILL LIVINGSTONE | Published : 2014

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.