Abstract

Necrosis is the death of cells in a tissue and may be caused by the lack of blood supply due to a trauma. A 55-year-old man with recurrent epilepsy was referred for evaluation of an extensive lesion in the buccal mucosa with 15 days of evolution. The patient reported that he had bitten this region during an epileptic seizure. Intraoral examination revealed a painless grayish-white necrotic area in the posterior region of buccal mucosa on the left side measuring about 3 × 2 cm. The diagnosis of tissue necrosis was defined, and surgical debridement of the region was performed. A 2-month follow-up showed complete healing associated to the formation of a fibrous submucosal tissue. Areas of necrosis in the oral cavity can be related to mechanical traumas arising from recurrent epileptic seizures. An adequate anamnesis and correct identification of these mucosal changes are needed for management of these oral lesions.

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