Noma surgery

Shaye, David A.; Winters, Ryan; Rabbels, Jens; Adentunji, Adenyiyi Seminyu; Magee, Aidan; Vo, Daniel

doi:10.1002/lary.27230

Cited by 16 publications

(28 citation statements)

References 14 publications

(25 reference statements)

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“…Similarly, this area of the mandible can be disrupted by surgery to correct trismus (such as gap- or inter-positional arthroplasty). 20 , 35 This disruption is mitigated by delaying trismus release until the mid-teen years, to avoid, or at least decrease, the need for revision trismus surgery. Delaying trismus-release surgery until skeletal maturity is likely to be effective for noma patients, to reduce the postsurgical reduction in mouth opening.…”

Section: Discussionmentioning

confidence: 99%

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Outcomes at 18 mo of 37 noma (cancrum oris) cases surgically treated at the Noma Children's Hospital, Sokoto, Nigeria

Farley

Amirtharajah

Winters

et al. 2020

Transactions of the Royal Society of Tropical Medicine and Hygiene

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Background Noma is a rapidly progressing infection of the oral cavity frequently resulting in severe facial disfigurement. We present a case series of noma patients surgically treated in northwest Nigeria. Methods A retrospective analysis of routinely collected data (demographics, diagnosis and surgical procedures undergone) and in-person follow-up assessments (anthropometry, mouth opening and quality of life measurements) were conducted with patients who had surgery >6 mo prior to data collection. Results Of the 37 patients included, 21 (56.8%) were male and 22 (62.9%) were aged >6 y. The median number of months between last surgery and follow-up was 18 (IQR 13, 25) mo. At admission, the most severely affected anatomical area was the outer cheek (n = 9; 36.0% of patients had lost between 26% and 50%). The most frequent surgical procedures were the deltopectoral flap (n = 16; 43.2%) and trismus release (n = 12; 32.4%). For the eight trismus-release patients where mouth opening was documented at admission, all had a mouth opening of 0–20 mm at follow-up. All patients reported that the surgery had improved their quality of life. Conclusions Following their last surgical intervention, noma patients do experience some improvements in their quality of life, but debilitating long-term sequelae persist.

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Section: Discussionmentioning

confidence: 99%

“…Our study adds to the existing noma literature and is unique as we have followed up with the patients over a longer period (18 mo) in comparison with other studies, which had follow-up periods of 2–6 wk. 8 , 20 , 21 …”

Section: Introductionmentioning

confidence: 99%

Outcomes at 18 mo of 37 noma (cancrum oris) cases surgically treated at the Noma Children's Hospital, Sokoto, Nigeria

Farley

Amirtharajah

Winters

et al. 2020

Transactions of the Royal Society of Tropical Medicine and Hygiene

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“…Survivors and their families frequently suffer stigmatization [ 3 ]. Extensive reconstructive surgery is often utilized in an attempt to improve function and aesthetics for patients with sequelae [ 4 ]. Noma most frequently affects children between 2 and 5 years of age who live in low-income settings in Africa and Asia [ 1 ].…”

Section: Introductionmentioning

confidence: 99%

Noma, a neglected disease: A viewpoint article

et al. 2021

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“…pediatric patient having recovered from acute noma, now demonstrating a large, central facial defect that includes the entire anterior maxilla, nose, palate, and upper lip. Reproduced with permission of Shaye et al33 …”

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confidence: 99%

“…Lack of soft tissue of the lips and cheek has permitted dental anarchy or unrestricted dental growth. Reproduced with permission of Shaye et al33…”

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confidence: 99%

Noma and Necrotizing Fasciitis of the Face and Neck

Miller

Shaye

2021

Facial Plast Surg

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Necrotizing fasciitis (NF) is part of the class of necrotizing soft tissue infections characterized by rapid fascial spread and necrosis of the skin, subcutaneous tissue, and superficial fascia. If left untreated, NF can rapidly deteriorate into multiorgan shock and systemic failure. NF most commonly infects the trunk and lower extremities, although it can sometimes present in the head and neck region. This review provides an overview of NF as it relates specifically to the head and neck region, including its associated clinical features and options for treatment. Noma, a related but relatively unknown disease, is then described along with its relationship with severe poverty.

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Noma surgery

Abstract: 4. Laryngoscope, 2018.

Cited by 16 publications

References 14 publications

Outcomes at 18 mo of 37 noma (cancrum oris) cases surgically treated at the Noma Children's Hospital, Sokoto, Nigeria

Outcomes at 18 mo of 37 noma (cancrum oris) cases surgically treated at the Noma Children's Hospital, Sokoto, Nigeria

Noma, a neglected disease: A viewpoint article

Noma and Necrotizing Fasciitis of the Face and Neck

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