TY - JOUR
KW - Young Adult
KW - Trismus
KW - Surgical Flaps
KW - Skin Transplantation
KW - Reconstructive Surgical Procedures
KW - Noma
KW - Middle Aged
KW - Medical Missions, Official
KW - Male
KW - Logistic Models
KW - Humans
KW - Female
KW - Child
KW - Adult
KW - Adolescent
AU - Bouman M A
AU - Marck K W
AU - Griep J E M
AU - Marck R E
AU - Huijing M A
AU - Werker P M N
AB - <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>

BT - Journal of plastic, reconstructive & aesthetic surgery : JPRAS
C1 - <p>http://www.ncbi.nlm.nih.gov/pubmed/20332070?dopt=Abstract</p>

DO - 10.1016/j.bjps.2010.02.012
IS - 12
J2 - J Plast Reconstr Aesthet Surg
LA - eng
N2 - <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>

PY - 2010
SP - 2052
EP - 6
T2 - Journal of plastic, reconstructive & aesthetic surgery : JPRAS
TI - Early outcome of noma surgery.
VL - 63
SN - 1878-0539
ER -