ArticleTransactions of the Royal Society of Tropical Medicine and Hygiene2020
Outcomes at 18 mo of 37 noma (cancrum oris) cases surgically treated at the Noma Children's Hospital, Sokoto, Nigeria.
Article in Transactions of the Royal Society of Tropical Medicine and Hygiene, 2020. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 7 papers.
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7 citing papers in PubMed, 15 citations in OpenAlex.
- Surgical complications and subsequent revision surgeries among noma cases treated in Ethiopia.Laryngoscope investigative otolaryngology · 2024Article
- Physiotherapy and associated factors affecting mouth opening changes in noma patients during initial hospitalization at an MSF-supported hospital in Northwest Nigeria-A retrospective cohort study.PLOS global public health · 2023Article
- Noma: a PubMed-based informetric analysis of a neglected tropical orofacial disease in Nigeria.Sudanese journal of paediatrics · 2023Article
- A retrospective clinical, multi-center cross-sectional study to assess the severity and sequela of Noma/Cancrum oris in Ethiopia.PLoS neglected tropical diseases · 2022Review
- Noma (cancrum oris): A scoping literature review of a neglected disease (1843 to 2021).PLoS neglected tropical diseases · 2021Article
- Model of care, Noma Children's Hospital, northwest Nigeria.Tropical medicine & international health : TM & IH · 2021Article
- Noma disease among internally displaced persons in Northeast Nigeria: a retrospective descriptive study.Therapeutic advances in infectious diseaseArticle
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Authors and funding
10 authors at 6 institutions in 4 countries.
Funding
No grant is acknowledged in the PubMed record.
Abstract
backgroundNoma 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.
methodsA 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.
resultsOf 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.
conclusionsFollowing 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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