Back to search
Publication

Early outcome of noma surgery.

Abstract

INTRODUCTION: Reconstructive noma surgery is performed on many short-term medical missions. The treatment outcome, however, has rarely been studied.

MATERIALS AND METHODS: 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.

RESULTS: 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.

CONCLUSIONS: 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.

More information

Type
Journal Article
Author
Bouman M A
Marck K W
Griep J E M
Marck R E
Huijing M A
Werker P M N
Year of Publication
2010
Journal
Journal of plastic, reconstructive & aesthetic surgery : JPRAS
Volume
63
Issue
12
Number of Pages
2052-6
Language
eng
ISSN Number
1878-0539
DOI
10.1016/j.bjps.2010.02.012
Alternate Journal
J Plast Reconstr Aesthet Surg
Publication Language
eng