Noma cancrum oris (documenting reality)
What is noma cancrum oris?
noma Cancrum Orisis a rapid, grossly mutilating gangrenous stomatitis of the oro-facial tissues, which occur in young children aged 2-6 years, mainly in the underdeveloped countries in Africa and East Asia and part of America, but particularly in West Africa, with Nigeria, Senegal and Burkina Faso having the highest incidence.
Cancrum Oris Flip Book
Causes of noma cancrum oris?
|Source: Internet achieved books|
Treatment of noma Cancrum Oris
Mortality due to noma cancrum oris can be reduced with prompt, appropriate treatment. Noma is one of the most devastating human diseases worldwide and has been designated a health priority by the WHO.
- Prevention is the treatment of choice.
- Once Noma is established, no other form of treatment is really satisfactory.
- The progression of the disease can be treated with the use of antibiotics suchas penicillin, tetracycline, metronidazole and clindamycinand improved nutrition.
- And it may require oral and maxillofacial surgery to repair.
- There may be delayed in full recovery it usually takes several months.
WHO has set up a five-point STRATEGY, against NOMA
|Noma-disease-affecting-young-child (documenting reality)|
1. Prevention – involving information and education to make parents especially mothers, and health workers aware of the early sign of NOMA and the need for urgent treatment.
5. Surgery and rehabilitation.
Noma Cancrum Oris Video
- Devi SR, Gogoi M. Aesthetic restoration of facial defect caused by cancrum oris: A case report. Indian J Plast Surg. 2003;36:131–133.
- Adams-Ray WE, James JH. Cancrum oris: functional and cosmetic reconstruction in patients with ankylosis of the jaws. Br J Plast Surg. 1992;45(3):193–8. doi: 10.1016/0007-1226(92)90075-9 [PubMed][Cross Ref]
- Oluwasanmi JO, Lagundoye SB, Akinyemi OO. Ankylosis of the mandible from cancrum oris. Plast Reconstr Surg. 1976;57(3):342–50. doi: 10.1097/00006534-197603000-00011. [PubMed] [Cross Ref]
- Enwonwu CO, Falkler WA, Idigbe EO. Oro-facial gangrene (noma/ cancrum oris): pathogenetic mechanisms. Crit Rev Oral Biol Med. 2000;11(2):159–71. doi: 10.1177/10454411000110020201.[PubMed] [Cross Ref]
- Smith I. Vincent angina and fusiform bacillus; Cancrum Oris. J Maxillofacial Surg. 1970;7:293–8. doi: 10.1016/S0301-0503(79)80054-5. [Cross Ref]
- Folayan MO. The epidemiology, etiology, pathophysiology of acute necrotising ulcerative gingivitis associated with malnutrition. J Contemp Dent Pract. 2004;5(3):028–31.
- Falkler WA, Enwonwu CO, Idigbe EO. Isolation of Fusobacterium necrophorum from cancrum oris (noma) Am J Trop Med Hyg. 1999;60(1):150–156. [PubMed]
- Enwonwu CO, Falkler WA, Idigbe EO, Afolabi BM, Ibrahim M, Onwujekwe D, Savage O, Meeks VI. Pathogenesis of cancrum oris (noma): Confounding interactions of malnutrition with infection. Am J Trop Med Hyg. 1999;60(2):223–232. [PubMed]
- Dean JA, Magee W. One-stage reconstruction of defects caused by cancrum oris (noma) Ann Plast Surg. 1997;38:29–35. doi: 10.1097/00000637-199701000-00006. [PubMed] [Cross Ref]