Braimah Ramat Oyebunmi, Taiwo A O, Olasoji H O, Legbo J N, Amundson M, Ibikunle A A, Suleiman I K, Bala M, Ile-Ogedengbe B O
Department of Oral & Maxillofacial Surgery, Faculty of Dental Sciences, Usmanu Danfodiyo University, Sokoto, Nigeria.
Department of Oral and Maxillofacial Surgery, University of Maiduguri Teaching Hospital, Maiduguri, Nigeria.
Craniomaxillofac Trauma Reconstr. 2024 Dec;17(4):279-290. doi: 10.1177/19433875231214071. Epub 2023 Nov 15.
This was a retrospective study at Noma Children Hospital, Sokoto, Nigeria, from January 2018 to December 2021.
The main objective of this appraisal was to present Braimah-Taiwo et al's new classification system for mandibulo-maxillary synostosis secondary to noma and also to provide a guide to their treatment.
Noma with mandibulo-maxillary synostosis was the main inclusion criteria. Excluded were cases of acute noma and noma without mandibulo-maxillary synostosis. Data retrieved include demographics of patients and extent of bony ankylosis and mandibulo-maxillary synostosis.
A total of 64 patients (30 (46.9%) males and 34 (53.1%) females) were managed. Ages ranged from 6 to 40 years with mean ± SD (18.2 ± 7.6) years. Regarding the new classification system of mandibulo-maxillary synostosis, 6 (9.4%) patients presented with Type 1 (Mild joint obliteration)±Soft tissue scarring, 24 (37.5%) presented with Type II (Total joint obliteration)±Soft tissue scarring, 21 (32.8%) presented with Type III (Coronoid, zygoma and maxilla) ±Soft tissue scarring, 4 (6.3%) presented with Type IV (Condyle, glenoid fossa, coronoid, sigmoid notch and zygoma) ±Soft tissue scarring, 7 (10.9%) presented with Type V (Condyle, glenoid fossa, coronoid, sigmoid notch, zygoma and pterygo-maxilla) ±Soft tissue scarring, while 2 (3.1%) patients presented with Type VI (condyle, glenoid fossa, coronoid, sigmoid notch, zygoma, pterygo-maxilla and the orbit) ±Soft tissue scarring.
Pattern of tissue destruction in noma patients is complex involving both soft and hard tissues. This new classification will guide surgeons in the effective management of these patients.
这是一项于2018年1月至2021年12月在尼日利亚索科托的诺马儿童医院开展的回顾性研究。
本评估的主要目的是介绍Braimah-Taiwo等人针对坏疽性口炎继发的下颌-上颌骨融合提出的新分类系统，并为其治疗提供指导。
主要纳入标准为患有下颌-上颌骨融合的坏疽性口炎。排除急性坏疽性口炎病例和无下颌-上颌骨融合的坏疽性口炎病例。检索的数据包括患者的人口统计学信息以及骨融合和下颌-上颌骨融合的程度。
共治疗了64例患者（30例（46.9%）男性和34例（53.1%）女性）。年龄范围为6至40岁，平均±标准差为（18.2±7.6）岁。关于下颌-上颌骨融合的新分类系统，6例（9.4%）患者表现为1型（轻度关节闭塞）±软组织瘢痕形成，24例（37.5%）表现为II型（完全关节闭塞）±软组织瘢痕形成，21例（32.8%）表现为III型（喙突、颧骨和上颌骨）±软组织瘢痕形成，4例（6.3%）表现为IV型（髁突、关节窝、喙突、乙状切迹和颧骨）±软组织瘢痕形成，7例（10.9%）表现为V型（髁突、关节窝、喙突、乙状切迹、颧骨和翼突-上颌骨）±软组织瘢痕形成，而2例（3.1%）患者表现为VI型（髁突、关节窝、喙突、乙状切迹、颧骨、翼突-上颌骨和眼眶）±软组织瘢痕形成。
坏疽性口炎患者的组织破坏模式复杂，涉及软组织和硬组织。这种新分类将指导外科医生有效管理这些患者。
