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Title: Long-term results of trismus release in noma patients.
Author(s): Bisseling, P.; Bruhn, J. ; Erdsach, T.; Ettema, A.M. ; Sautter, R.; Berge, S.J.
Publication year: 2010
Source: International Journal of Oral and Maxillofacial Surgery, vol. 39, iss. 9, (2010), pp. 873-877
ISSN: 0901-5027
DOI: https://doi.org/10.1016/j.ijom.2010.05.002
Annotation: 1 september 2010
Publication type: Article / Letter to editor

Please use this identifier to cite or link to this item : http://hdl.handle.net/2066/87296   http://hdl.handle.net/2066/87296

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Subject: DCN 1: Perception and Action
NCEBP 2: Evaluation of complex medical interventions
Organization: Surgery
Anesthesiology
Oral and Maxillofacial Surgery
Journal title:
International Journal of Oral and Maxillofacial Surgery
Volume: vol. 39
Issue: iss. 9
Page start: p. 873
Page end: p. 877
Abstract:
Noma, also known as cancrum oris, is an infectious disease that results in a loss of orofacial tissue, due to gangrene of soft and bony tissue. It is especially seen in young children in the sub-Saharan region. Among the sequelae of patients who survive noma, trismus is one of the most disabling. This retrospective research studied the long-term results of trismus release in noma patients. Thirty-six patients could be traced in the villages and were included in the study. The mean mouth opening in this group was 10.3mm (95% CI: 7.0; 13.6mm) and the mean period after discharge from hospital was 43 months. Better mouth opening was observed in patients who continued physiotherapy after discharge, were older, and those with a 'soft' (vs. 'hard') inner and outer cheek on palpation. The result of trismus release in noma patients in the long term was extremely poor in this study.

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