Long-term results of trismus release in noma patients

Bisseling, Pepijn; Bruhn, Jørgen; Erdsach, T.; Ettema, Anke M.; Sautter, Richard D.; Bergé, Stefaan

doi:10.1016/j.ijom.2010.05.002

Cited by 20 publications

(30 citation statements)

References 9 publications

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“…Access to health care in this part of Nigeria is difficult, especially in the rainy season, as poor infrastructure makes transportation to health facilities challenging. A lack of access to healthcare has been widely reported as a risk factor for noma development [4,[29][30][31][32][33][34][35], and our results add weight to these assertions in that caretakers mention the difficulties they experienced accessing care for this disease. The rapid progression of noma, lack of access to care, and the delays caused by caretakers having to progress through several facilities (clinics or traditional healers), means that resulting morbidity and mortality can be severe.…”

Section: Risk and Consequences Of Nomasupporting

confidence: 74%

Language and beliefs in relation to noma: a qualitative study, northwest Nigeria

et al. 2020

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Section: Risk and Consequences Of Nomasupporting

confidence: 74%

Language and beliefs in relation to noma: a qualitative study, northwest Nigeria

et al. 2020

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“…Trismus (restriction of mouth opening) is one of the most disabling sequelae of noma 12 and can lead to complications such as aspiration pneumonia, malnutrition, poor oral hygiene, speech deficits, airway compromise and pain. 13 Trismus associated with noma can be caused by scarring around the temporomandibular joint capsule (extra-articular ankylosis) or by destruction and scarring of the temporomandibular joint itself (intra-articular ankylosis).…”

Section: Introductionmentioning

confidence: 99%

“…13 Trismus associated with noma can be caused by scarring around the temporomandibular joint capsule (extra-articular ankylosis) or by destruction and scarring of the temporomandibular joint itself (intra-articular ankylosis). 12 , 14–17 …”

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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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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“…Une étude a été publiée en 2010 par P. Bisseling et al [11] sur les résultats à long terme de la libération de la CPM. Elle a montré que seulement 39 % des 36 patients ont eu une amélioration de l'ouverture buccale en comparaison avec leur score en préopératoire.…”

Section: Discussionunclassified