Pyoderma Gangrenosum after Facelift and Otoplasty Surgery: Case Presentations and Literature Review

Publication date: Available online 24 October 2018

Source: Journal of Oral and Maxillofacial Surgery

Author(s): Joe Niamtu

Introduction

Pyoderma gangranosum (PG) is an uncommon autoimmune, neutrophilic, ulcerative skin condition of uncertain etiology, believed to result from a dysregulation of the immune system. Although this entity is well recognized by dermatologists, other specialties are less familiar with diagnosis and treatment. This paper reports a severe PG reaction to an elective cosmetic facelift which is believed to be the second reported case of PG after facelift surgery. A second case is reported after otoplasty surgery.

Methods: An unusual presentation of PG after cervicofacial rhytidectomy (facelift) is presented and discussed with a review of the literature.

Findings

The case presented is a rare complication after facelift surgery and follows the natural progression of pyoderma gangrenosum. Delayed diagnosis and treatment extended the disease process

Conclusion

PG may mimic other surgical complications and delay diagnosis and treatment. It is believed that this case represents the second reported incidence of PG after elective facelift surgery.

PG is a well-known entity to virtually all dermatologists, whom are commonly tasked with its management; however, is a rare presentation for may other types of healthcare providers. Being aware of this disease process and its recognition and understanding it natural history may lead to faster and enhanced patient care.

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