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[Reconstruction of severe facial defects due to noma].

Publication ,  Journal Article
Erdmann, D; Schierle, H; Sauerbier, M; Germann, G; Lemperle, G
Published in: Chirurg
November 1998

Noma is an ulcerative-necrotizing gingivo-stomatitis eventually leading to severe destruction of the midface, including lips and cheek, maxilla/mandible, nose and rarely the orbit. The defects are usually unilateral. Children from economically underdeveloped countries are predominantly affected. Medically untreated the disease has a high mortality rate, which can be dramatically lowered by adequate antibiotic therapy started in time. Predisposing factors include malnourishment, immunosuppression, and poor oral hygiene. Forty-eight noma patients were surgically treated in Sokoto, Nigeria during October 1997 by an Interplast Germany team sponsored by AWD Stiftung Kinderhilfe. Interdisciplinary surgical strategies and results, e.g. ankylosis release, local flap coverage and 12 pedicled musculocutaneous latissimus dorsi island flaps, as well as a noma classification (NOMAC), are presented.

Duke Scholars

Published In

Chirurg

DOI

ISSN

0009-4722

Publication Date

November 1998

Volume

69

Issue

11

Start / End Page

1257 / 1262

Location

Germany

Related Subject Headings

  • Surgical Flaps
  • Surgery
  • Patient Care Team
  • Noma
  • Nigeria
  • Male
  • Humans
  • Follow-Up Studies
  • Female
  • Face
 

Citation

APA
Chicago
ICMJE
MLA
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Erdmann, D., Schierle, H., Sauerbier, M., Germann, G., & Lemperle, G. (1998). [Reconstruction of severe facial defects due to noma]. Chirurg, 69(11), 1257–1262. https://doi.org/10.1007/s001040050565
Erdmann, D., H. Schierle, M. Sauerbier, G. Germann, and G. Lemperle. “[Reconstruction of severe facial defects due to noma].Chirurg 69, no. 11 (November 1998): 1257–62. https://doi.org/10.1007/s001040050565.
Erdmann D, Schierle H, Sauerbier M, Germann G, Lemperle G. [Reconstruction of severe facial defects due to noma]. Chirurg. 1998 Nov;69(11):1257–62.
Erdmann, D., et al. “[Reconstruction of severe facial defects due to noma].Chirurg, vol. 69, no. 11, Nov. 1998, pp. 1257–62. Pubmed, doi:10.1007/s001040050565.
Erdmann D, Schierle H, Sauerbier M, Germann G, Lemperle G. [Reconstruction of severe facial defects due to noma]. Chirurg. 1998 Nov;69(11):1257–1262.
Journal cover image

Published In

Chirurg

DOI

ISSN

0009-4722

Publication Date

November 1998

Volume

69

Issue

11

Start / End Page

1257 / 1262

Location

Germany

Related Subject Headings

  • Surgical Flaps
  • Surgery
  • Patient Care Team
  • Noma
  • Nigeria
  • Male
  • Humans
  • Follow-Up Studies
  • Female
  • Face