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

Early outcome of noma surgery.

Author information

1
Department of Plastic Surgery, University Medical Centre Groningen, Antonius Deusinglaan 1, 9713 AV, Groningen, The Netherlands. mariabouman@gmail.com

Abstract

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.

PMID:
20332070
DOI:
10.1016/j.bjps.2010.02.012
[Indexed for MEDLINE]

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