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[Post syphilitic oro-nasal communication].

S Benazzou1, M Boulaadas, A El Kohen

  • 1Service de Chirurgie Maxillo-faciale et d'ORL, Hôpital des Spécialités, CHU Avicenne, Rabat, Maroc. benazzou.salma@menara.ma

Revue De Stomatologie Et De Chirurgie Maxillo-Faciale
|November 28, 2006
PubMed
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Oro-nasal communication, a rare syphilis complication, can cause palate defects. Surgical repair is effective for this oral-nasal fistula, restoring normal anatomy.

Area of Science:

  • Otolaryngology
  • Oral Surgery
  • Infectious Diseases

Background:

  • Oro-nasal communication, a rare defect between the oral cavity and nasal fossae, can result from tertiary syphilis.
  • This condition involves a lack of bone and mucous membranes, leading to abnormal connections.

Observation:

  • A case report details a 27-year-old woman with a history of untreated syphilis presenting with hard palate necrosis.
  • The diagnosis was syphilitic gum of the hard palate, which healed after antibiotic treatment but left an oro-nasal fistula.

Findings:

  • Physical examination revealed a median oro-nasal communication of the hard palate measuring 0.5 cm.
  • Surgical closure using nasal and oral flaps successfully repaired the fistula, with a positive follow-up.

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Implications:

  • Oro-nasal communication secondary to syphilis is an uncommon but diagnosable condition.
  • Surgical intervention is typically required for successful treatment and closure of these fistulas.