Lemierre syndrome: the forgotten disease—a case series

Abstract Background The aim of this work is to share the authors’ experience and assist therapeutic decision-making in the management of Lemierre syndrome (LS). This is a retrospective descriptive study carried out in the stomatology, maxillofacial surgery, and ENT departments of the teaching hospital of Treichville (Abidjan, Côte d’Ivoire). LS cases managed from 2013 to 2023 were included in the study. Results Eight patients were enrolled (six men and two women). Internal jugular vein thrombosis was unilateral in 7 cases and bilateral in one. No germs were found in four patients. In one patient, a bacterial co-infection was responsible for the thrombosis. Surgical debridement was systematically performed in cases of necrosis. Anticoagulation was justified in three patients. No deaths were observed. Conclusion This work describes the epidemiological, clinical, therapeutic, and evolutionary aspects of LS. The management of LS should not be improvised. The choice of surgical debridement and anticoagulation depends on specific situations

Human bite facial wounds in Bouaké (Côte d'Ivoire): development of a therapeutic algorithm in underdeveloped countries

Introduction: The treatment of facial wounds by human bites is difficult, especially in under-developed countries. We aimed to distinguish the epidemiological and clinical aspects to describe the therapeutic methods and evaluate their effectiveness. Materials and methods: This was a descriptive and retrospective study over a period of 6 years. Patients who consulted regarding a human bite wound and were surgically treated were included. Results: Eighteen patients with a hospital prevalence of 0.008% were enrolled. The ratio of men to women was 2 (12 men for every 6 women). The average age was 32.77 years (range, 23–45 years). The lesions were labial in 11 cases (61.11%). The wounds were type III in eight cases (44.44%) and type II in nine cases (50%). Surgical treatment was primary in 12 cases (66.67%) and delayed in 6 cases (33.33%). The evolution was favorable in 16 cases (88.89%). Discussion: The wounds on the face created by human bite can be effectively treated via primary repair while reserving systematic secondary closure to an initially necrotic wound

Post-traumatic superolateral temporo-mandibular dislocation with intact condyle: case series and literature review

Introduction: Supero-lateral temporomandibular dislocations with intact condyles are very rare, particularly in countries of sub-Saharan Africa where they are poorly documented. Materials and method: This was a retrospective study that included all patients received for superolateral temporomandibular dislocation with intact condyle following a maxillofacial trauma. The period covered by the study was from January 2011 to July 2021. Results: 3 patients were studied. According the classification of temporomandibular superolateral dislocation with intact condyle, the first patient had a Type II A, the second and the third patient, type II B. The manual reduction of the first patient luxation was unstable requiring an osteosynthesis of mandibular symphysis to stabilise the reduction of the temporomandibular dislocation. The second patient manual reduction was unsuccessful requiring an open reduction by preauricular approach. The third left against medical advice. Discussion: The occurrence of temporomandibular superolateral dislocation with intact condyle in an underdeveloped city like Bouaké, is not related to the density of road traffic but to the indiscipline of the many motorcyclists who do not wear helmets. Early reduction of the dislocation, early mobilisation of the joint and mechanotherapy positively influence the postoperative outcome