Clinical Presentation & Protocol
Patient Usually Complains Of
Patient presents with progressive oral aperture restriction following a history of facial thermal/chemical burns. Chief complaints include difficulty with mastication, impaired oral hygiene access, and speech articulation deficits. Onset of cicatricial contracture noted [Timeframe] post-injury. No history of recent infection or dehiscence.
Clinical Examination Findings
Oral aperture measured at [X] mm (inter-commissural distance). Perioral tissues exhibit dense, hypertrophic, and inelastic cicatricial bands extending from the commissures. Reduced oral commissure elasticity with blanching on stretch. Assessment of oral mucosa integrity, dental hygiene status, and tongue mobility performed. No evidence of active ulceration or secondary infection.
Treatment Protocol
Management plan includes: 1. Mechanical stretching therapy (e.g., dynamic splinting/commissure expanders). 2. Intralesional corticosteroid injections for scar maturation. 3. Surgical intervention indicated: [Commissuroplasty / Z-plasty / Full-thickness skin grafting / Local flap reconstruction]. 4. Post-operative scar management protocol initiated.