TITLE:
Mandibular Sequela Noma: Metal Plate Repair Associated with a Submental Flap, about One Case
AUTHORS:
Saliou Adam, Hamza Dolès Sama, Haréfétéguéna Bissa, Palokina Agoda, Winga Foma, Essobozou Plaoudézina Pegbessou, Bathokédéou Amana, Essoham Boko, Eyawèlohn Kpemissi
KEYWORDS:
Noma, Sequelae, Plastic Surgery, Metal Plate, Sub-Mental Flap
JOURNAL NAME:
Open Journal of Stomatology,
Vol.9 No.7,
July
12,
2019
ABSTRACT: Introduction: Noma is a severe and mutilating gangrenous stomatitis of the orofacial sphere, starting on periodontal side. It is rare and occurs mainly in children that land is weakened by malnutrition. We report a case of mandibular sequela noma requiring plastic surgery. Clinical case: This was a 7-year-old patient with moderate acute malnutrition. She was referred from a peripheral care facility for gangrene of the left cheek, communicating the oral cavity with the outside, through an orostoma. This lesion had been evolving for two months, with a tendency towards progressive destruction of the soft tissues of the cheek and the mandibular bone. The neck and facial CT-Scan demonstrated destruction of the mandibular bone exposed on the left side, without signs of tumor invasion. After correction of nutritional status and local infection, the patient was treated with a metal plate recovered by sub-mental flap. Conclusion: Noma is a severe gangrenous stomatitis that transforms patients’ faces into ghosts by destroying soft tissues and underlying bone planes. The management of his sequelae is surgical, sometimes using complex techniques of plastic surgery.