| Protocol for managing acute cancrum oris in children: an experience in five cases. | |
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MedLine Citation:
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PMID: 19661634 Owner: NLM Status: MEDLINE |
Abstract/OtherAbstract:
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BACKGROUND: Acute cancrum oris (NOMA) is a major health concern in most parts of northern Nigeria, affecting children aged 2-9 years. The management of the acute phase/condition poses a great clinical challenge. We present our protocol for the management of acute NOMA in a referral health facility in northern Nigeria. MATERIALS AND METHODS: The management of five consecutive children with acute NOMA managed at the maxillo-facial department of Ahamdu Bello University Teaching Hospital, Kaduna, is presented. The initial management is conservative, followed later by multiple reconstructions. RESULTS: NOMA thrives in children with poor nutritional status and/or compromised immune status. Aggressive wound debridement, antibiotic therapy and nutritional rehabilitation limited the spread of the orofacial tissue destruction and produced rapid wound healing. CONCLUSION: The management of acute NOMA should be nonoperative; surgery is only indicated to debride the ulcer. Efforts to boost patient's immune and nutritional status limit further tissue destruction and produced satisfactory wound healing. |
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Authors:
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D S Adeola; A C Obiadazie |
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Publication Detail:
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Type: Case Reports; Journal Article |
Journal Detail:
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Title: African journal of paediatric surgery : AJPS Volume: 6 ISSN: 0974-5998 ISO Abbreviation: Afr J Paediatr Surg Publication Date: 2009 Jul-Dec |
Date Detail:
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Created Date: 2009-08-07 Completed Date: 2009-12-22 Revised Date: - |
Medline Journal Info:
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Nlm Unique ID: 101255062 Medline TA: Afr J Paediatr Surg Country: Nigeria |
Other Details:
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Languages: eng Pagination: 77-81 Citation Subset: IM |
Affiliation:
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Department of Maxillo-Facial, Ahamadu Bello University Teaching Hopsital, Zaria, Nigeria. adeolad@hotmail.com |
Export Citation:
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| MeSH Terms | |
Descriptor/Qualifier:
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Acute Disease Aged, 80 and over Child Child, Preschool Female Humans Male Nigeria Noma / therapy* Treatment Outcome |
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