@article{oai:shinshu.repo.nii.ac.jp:00001986,
 author = {奥田, 大造 and 古澤, 清文 and 山本, 雅也 and 多武保, 明宏 and 蓮見, 洋子 and 山岡, 稔},
 issue = {1},
 journal = {松本歯学},
 month = {Apr},
 note = {Gas gangrene in the head and neck is sometimes seen in progressive odontogenic infection. If it is not correctly diagnosed and treated in its early stage, it results in death. However, diagnosis in the early stage is very difficult because of its rapid sequence. We report the course of a case of a gas gangrene followed by partial mandibular resection for the ameloblastoma and reconstruction by using iliac bone graft. The patient was a 48-year-old man with no history or evidence of immunocompromising disorders. Although antibiotics were prescribed, gas gangrene was found at four days after the operation and CT scan revealed gas bubbles around the grafted bone, the mandible, the platysma muscle and the masseter. If the initial clinical signs were not specific for gas gangrene, the diagnosis might have been delayed without CT scan. However, decrease of the leukocyte and erythrocyte counts were found in this case. Leukopenia may occur due to convergence of granulocytes to the affected area. If this is seen frequently in this disease, these counts may be useful in diagnosing gas gangrene following operations of the head and neck, and not only radiologic findings but laboratory evidence may be important for its diagnosis., application/pdf},
 pages = {73--79},
 title = {下顎骨連続離断術後に発症したガス壊疽の1例 : 発症初期の臨床所見を中心に},
 volume = {22},
 year = {1996}
}