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首页> 外文期刊>Open Journal of Urology >Mandibular Sequela Noma: Metal Plate Repair Associated with a Submental Flap, about One Case
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Mandibular Sequela Noma: Metal Plate Repair Associated with a Submental Flap, about One Case

机译：下颌后遗症：伴有皮下瓣的金属板修复，约一例

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Introduction : Noma is a severe and mutilating gangrenous stomatitis of the orofacial sphere, starting on periodontal side. It is rare and occurs mainly in children that land is weakened by malnutrition. We report a case of mandibular sequela noma requiring plastic surgery. Clinical case : This was a 7-year-old patient with moderate acute malnutrition. She was referred from a peripheral care facility for gangrene of the left cheek, communicating the oral cavity with the outside, through an orostoma. This lesion had been evolving for two months, with a tendency towards progressive destruction of the soft tissues of the cheek and the mandibular bone. The neck and facial CT-Scan demonstrated destruction of the mandibular bone exposed on the left side, without signs of tumor invasion. After correction of nutritional status and local infection, the patient was treated with a metal plate recovered by sub-mental flap. Conclusion : Noma is a severe gangrenous stomatitis that transforms patients’ faces into ghosts by destroying soft tissues and underlying bone planes. The management of his sequelae is surgical, sometimes using complex techniques of plastic surgery.
机译：简介：Noma是一种严重的，残破的口面部球状坏疽性口腔炎，始于牙周侧。罕见，主要发生在儿童因营养不良而土地变弱的情况下。我们报告需要整形手术的下颌后遗症一例。 临床病例：这是一名7岁的中度急性营养不良患者。她从一个左脸的坏疽的外围护理机构被转介，通过口腔口将口腔与外界连通。该病变已经发展了两个月，有逐渐破坏脸颊和下颌骨软组织的趋势。颈部和面部CT扫描显示左侧下颌骨受到破坏，没有肿瘤侵袭迹象。在纠正营养状况和局部感染后，用金属板将其恢复，该金属板可通过心理下皮瓣恢复。 结论：Noma是一种严重的坏疽性口腔炎，可通过破坏软组织和下面的骨平面将患者的面部变成鬼影。他的后遗症的治疗是外科手术，有时使用复杂的整形技术。

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