Protocol for managing acute cancrum oris in children: An experience in five cases
<b>Background: </b> 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 referr...
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| Main Authors: | , |
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| Format: | Book |
| Published: |
Wolters Kluwer Medknow Publications,
2009-01-01T00:00:00Z.
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| Online Access: | Connect to this object online. |
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| Summary: | <b>Background: </b> 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.<b> Materials and Methods: </b> 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.<b> Results: </b> NOMA<b> </b> 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. <b> Conclusion</b> : The management of acute NOMA should be nonoperative; surgery is only indicated to debride the ulcer. Efforts to boost patient′s immune and nutritional<b> </b> status limit further tissue destruction and produced satisfactory wound healing. |
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| Item Description: | 0189-6725 |