PMC8327223_01
Hyperpigmented area with an ulcer (arrow).
10.1177_2050313X211037121-fig1.jpg
PMC8327223_01_10.1177_2050313X211037121-fig1.jpg
fig1-2050313X211037121
Swelling had areas of hyperpigmentation with an ulcer measuring 2 by 3 cm at the center of the lesion and oozing serosanguinous discharge (Figure 1).
Normal jaw X-ray.
10.1177_2050313X211037121-fig2.jpg
PMC8327223_01_10.1177_2050313X211037121-fig2.jpg
fig2-2050313X211037121
There was no evidence of osteomyelitis on the X-ray of the jaw (Figure 2).
Post-surgical debridement.
10.1177_2050313X211037121-fig3.jpg
PMC8327223_01_10.1177_2050313X211037121-fig3.jpg
fig3-2050313X211037121
NF of the jaw, surgical debridement under general anesthesia was carried out. Necrotic skin, and superficial and deep fascia were excised, leaving healthy looking tissues with fresh margins (Figure 3).
On-going dressing with dilute acetic acid.
10.1177_2050313X211037121-fig4.jpg
PMC8327223_01_10.1177_2050313X211037121-fig4.jpg
fig4-2050313X211037121
The wound had healthy granulation tissue (Figure 4).