Early outcome of noma surgery

J Plast Reconstr Aesthet Surg. 2010 Dec;63(12):2052-6. doi: 10.1016/j.bjps.2010.02.012. Epub 2010 Mar 23.


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.

Publication types

  • Research Support, Non-U.S. Gov't

MeSH terms

  • Adolescent
  • Adult
  • Child
  • Female
  • Humans
  • Logistic Models
  • Male
  • Medical Missions
  • Middle Aged
  • Noma / complications
  • Noma / surgery*
  • Reconstructive Surgical Procedures*
  • Skin Transplantation
  • Surgical Flaps
  • Trismus / etiology
  • Trismus / surgery
  • Young Adult