A survey of cases of cancrum oris seen in Ile‐Ife, Nigeria

Oginni, F.O.; Oginni, Adeleke Oke; Ugboko, V.I.; Otuyemi, O D

doi:10.1046/j.1365-263x.1999.00110.x

Cited by 20 publications

(33 citation statements)

References 7 publications

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“…1) and B3 (Fig. 2) noma noted in this study is consistent with findings from previous studies [7,14] . There were no cases of A1, A2, B1 (Fig.…”

Section: Discussionsupporting

confidence: 93%

“…Majority of the cases (64.5%) were noted in patients below 5 years of age, similar to previous findings [7,14] However, orofacial gangrene have also been reported in preterm/term neonates [15,16] and in adults [5,6] . The interval between the active phase of the disease and presentation for secondary deformities by the patients in this study ranged from 2 weeks to 19 years with a mean of 9.8 ± 6.7 years.…”

Section: Discussionsupporting

confidence: 89%

See 1 more Smart Citation

Treatment of complications following orofacial gangrenous infection in a resource limited setting: Experiences and a proposed classification

Rowland¹,

Fometeb

Omejec

et al. 2018

Egyptian Journal of Ear, Nose, Throat and Allied Sciences

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Background: Orofacial gangrenous infection may result in a devastating acquired facial tissue defect which is often challenging to manage. Objective: We present our experience in the management of noma defects in a resource limited setting. Patients and Methods: All cases of noma that were surgically managed for secondary deformities at the oral and maxillofacial surgery unit of our hospital between 1991 and 2006 were retrospectively studied. Information retrieved included age, sex, site of orofacial gangrene, nature of orofacial defects, treatment given, duration of hospital stay and complications. Data retrieved was analyzed using Statistical Package for Social Sciences (SPSS) version 16 (SPSS Inc., Chicago, IL, USA). Results: A total of 21 patients were treated within the period reviewed and this consisted of 18 males and 3 females. Most patients (n=19, 90.5%) presented with defect involving both facial and oral tissues. The forehead and platysma flaps were the most commonly used flaps for soft tissue defect reconstruction. The duration of hospital stay ranged from 8 days to 120 days with a mean of 42.6 ± 27.7 days. One patient had reankylosis one year postoperatively. Conclusion: Orofacial gangrenous infection remains a threat to economically less developed countries such as in sub-Sahara Africa. Its management is further complicated by the existing poor human and non human health resources in these environments. Emphasis should be on prevention, and an improvement in the current level of health resources to effectively manage these cases.

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“…1) and B3 (Fig. 2) noma noted in this study is consistent with findings from previous studies [7,14] . There were no cases of A1, A2, B1 (Fig.…”

Section: Discussionsupporting

confidence: 93%

Section: Discussionsupporting

confidence: 89%

Treatment of complications following orofacial gangrenous infection in a resource limited setting: Experiences and a proposed classification

Rowland¹,

Fometeb

Omejec

et al. 2018

Egyptian Journal of Ear, Nose, Throat and Allied Sciences

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show abstract

“…The epidemiology of noma globally is uncertain . Even though most cases have been reported from African countries , the incidence and prevalence of noma in Africa are not clear for several reasons. Firstly, most data have been obtained from retrospective studies based on case reports and not from well‐designed prospective studies.…”

Section: Epidemiology Of Noma In Africamentioning

confidence: 99%

Noma (cancrum oris) in the South African context

Feller

Altini

Chandran

et al. 2013

J Oral Pathology Medicine

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Noma (cancrum oris) is a destructive necrotising disease affecting orofacial tissues predominantly of malnourished young children. It is characterised by a rapid acute onset which usually starts in the mouth, spreads intra-orally destroying soft tissue and bone and progresses to perforate the facial skin, causing disfigurement. Polybacterial anaerobic infection is critical too, but is not alone sufficient for the initiation of noma. Cofactors, first and foremost malnutrition, but also systemic viral and bacterial infections are crucial to the development of noma. A patient with necrotising stomatitis or noma must be admitted to hospital for antibiotic treatment, fluid and electrolytes as well as nutritional supplementation and general supportive treatment. The epidemiology of noma in the South African population is unknown, and the clinicopathological features are poorly characterised. Although worldwide there is no evidence that HIV infection is a strong risk factor for noma, HIV infection may play a substantial role in the pathogenesis of noma in South Africa.

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“…Most reports on African populations point to the fact that necrotizing gingivitis and its serious sequela, noma (cancrum oris), is confined to children (8, 56, 58, 101, 129, 159, 164, 191). However, the prevalence estimates vary considerably depending on country and region.…”

Section: Special Forms Of Periodontal Diseases Among African Populationsmentioning

confidence: 99%

“…It is widely held that noma (cancrum oris) develops from a precursor lesion in the form of necrotizing ulcerative gingivitis, but little is known about the frequency of this transition. Noma has been observed in Sierra Leone (37), South Africa (115), Gambia (129), Nigeria (60, 101, 159, 164, 190) and Senegal (150) and prevalence estimates in the order of magnitude of 0.1% among 0–6‐year‐old children have been quoted (62). These estimates corroborate the findings of Sheiham (190) who observed 2 cases of noma and 6 cases with evidence of past cancrum oris among 3,507 Nigerian children examined.…”

Section: Special Forms Of Periodontal Diseases Among African Populationsmentioning

confidence: 99%

Periodontal diseases in Africa

Bælum¹,

Scheutz²

2002

Periodontology 2000

101

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A survey of cases of cancrum oris seen in Ile‐Ife, Nigeria

Abstract: The findings of this and other studies demonstrate the need for major initiatives to address the underlying causes of cancrum oris and to promote the utilization of health care.

Cited by 20 publications

References 7 publications

Treatment of complications following orofacial gangrenous infection in a resource limited setting: Experiences and a proposed classification

Treatment of complications following orofacial gangrenous infection in a resource limited setting: Experiences and a proposed classification

Noma (cancrum oris) in the South African context

Periodontal diseases in Africa

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