01961nas a2200361   4500000000100000008004100001653001600042653001200058653001900070653002500089653003900114653000900153653001600162653003100178653000900209653002000218653001100238653001100249653001000260653001000270653001500280100001500295700001400310700001600324700001400340700001600354700001700370245003500387300001100422490000700433520114500440022001401585       2010                            d10aYoung Adult10aTrismus10aSurgical Flaps10aSkin Transplantation10aReconstructive Surgical Procedures10aNoma10aMiddle Aged10aMedical Missions, Official10aMale10aLogistic Models10aHumans10aFemale10aChild10aAdult10aAdolescent1 aBouman M A1 aMarck K W1 aGriep J E M1 aMarck R E1 aHuijing M A1 aWerker P M N00aEarly outcome of noma surgery.  a2052-60 v633 a<p><strong>INTRODUCTION: </strong>Reconstructive noma surgery is performed on many short-term medical missions. The treatment outcome, however, has rarely been studied.</p>

<p><strong>MATERIALS AND METHODS: </strong>We studied complications and clinical outcome of reconstructive noma surgery performed during four short-term medical missions. Logistic regression analysis was used to determine which factors influenced treatment outcome.</p>

<p><strong>RESULTS: </strong>A total of 74 treatments were performed on 63 patients. We found a complication rate of 64% (n=47) and a success percentage of 59% (n=44). Complexity of treatment procedure and occurrence of complete trismus were independent significant factors negatively influencing the outcome. Only 14 of the 36 complex procedures had a good outcome.</p>

<p><strong>CONCLUSIONS: </strong>Our study is one of the first to evaluate the early clinical outcome of reconstructive noma surgery in short-term medical missions. It shows that the outcome is not always favourable, particularly in complex reconstructions and in the subgroup of patients with complete trismus.</p>
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