Del Bene M, Amadei F, Petrolati M, Rovati L V, Confalonieri P L, Caronni E P
Unità Operativa di Chirurgia Plastica e della Mano Ospedale di Legnano (MI), Azienda, Italy.
Microsurgery. 1999;19(1):3-6. doi: 10.1002/(sici)1098-2752(1999)19:1<3::aid-micr2>3.0.co;2-e.
The authors describe a case of Noma or Cancrum Oris, an oral gangrenous disease, features more frequently found in children from developing countries. The clinical features, its ethiopathogenesis, and its particular link with different geographic and economic areas of the world, its clinical evolution as well as surgical treatment are all discussed. Underlined is the functional and organic aspect of this disease, in particular the distortion of the face, which commonly involves the full thickness of the cheek skin and bone, mandibular ankylosis and craniofacial dismorphisms, and the modern approach in reconstructive microsurgery. The authors report a case of a patient affected by Noma, with a very evident left face dismorphism, where we found a brilliant solution using a left radial forearm fasciocutaneous free flap, appropriately shaped.
作者描述了一例走马疳或口颊坏疽病例，这是一种口腔坏疽性疾病，在发展中国家的儿童中更为常见。文中讨论了其临床特征、病因发病机制、与世界不同地理和经济区域的特殊联系、临床演变以及外科治疗。着重强调了该疾病的功能和器质性方面，特别是面部畸形，这通常涉及脸颊皮肤和骨骼的全层、下颌关节强直和颅面畸形，以及重建显微外科的现代治疗方法。作者报告了一例患有走马疳的患者，其左脸畸形非常明显，通过使用形状合适的左桡侧前臂游离筋膜皮瓣，我们找到了一个出色的解决方案。
