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局部皮瓣在广泛性前外侧走马疳缺损修复中的作用：一例报告

Role of Local Flaps in the Reconstruction of Extensive Anterolateral Noma Defect: A Case Report.

作者信息

Abdullahi Mohammed Adam Sheikh, Alhaji Ahmed Mohammed, Mbaya Kefas Mari, Bala Mujtaba, Tahir Chubado

机构信息

Oral and Maxillofacial Surgery Department, University of Maiduguri Teaching Hospital, Maiduguri, Borno State, Nigeria.

Anaesthesia Department, University of Maiduguri Teaching Hospital, Maiduguri, Borno State, Nigeria.

出版信息

J West Afr Coll Surg. 2025 Jan-Mar;15(1):106-109. doi: 10.4103/jwas.jwas_182_23. Epub 2024 Aug 23.

DOI:10.4103/jwas.jwas_182_23
PMID:39735811
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC11676026/
Abstract

The scarring stage of noma disease often presents with composite tissue loss involving hard and soft tissues with resultant fibrosis making reconstruction a challenge. Microvascular reconstruction option is associated with good outcomes when the expertise is available. Trismus, which is caused by either soft tissue fibrosis or the union of the coronoid to the zygomatic complex, is also a common presentation. Effective treatment necessitates the involvement of a diverse team of specialists and the establishment of clear treatment objectives. This report presents a case of an extensive composite noma defect with trismus in a 9-year-old female managed using local flaps.

摘要

坏疽性口炎疾病的瘢痕形成阶段常表现为包括硬组织和软组织的复合组织缺失，随之而来的纤维化使得重建成为一项挑战。当具备专业技术时，微血管重建方案会带来良好的效果。牙关紧闭，无论是由软组织纤维化还是喙突与颧复合体的融合引起，也是一种常见表现。有效的治疗需要多学科专家团队的参与以及明确治疗目标的制定。本报告介绍了一例9岁女性广泛复合性坏疽性口炎缺损伴牙关紧闭的病例，采用局部皮瓣进行治疗。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/43eb/11676026/c5d0bbfe69aa/JWACS-15-106-g004.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/43eb/11676026/e36767fa9d83/JWACS-15-106-g001.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/43eb/11676026/bbedf187ab68/JWACS-15-106-g002.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/43eb/11676026/9df78396925f/JWACS-15-106-g003.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/43eb/11676026/c5d0bbfe69aa/JWACS-15-106-g004.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/43eb/11676026/e36767fa9d83/JWACS-15-106-g001.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/43eb/11676026/bbedf187ab68/JWACS-15-106-g002.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/43eb/11676026/9df78396925f/JWACS-15-106-g003.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/43eb/11676026/c5d0bbfe69aa/JWACS-15-106-g004.jpg

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本文引用的文献

1
Why is noma a neglected-neglected tropical disease?为什么坏疽性口炎是一种被忽视的热带病？
PLoS Negl Trop Dis. 2020 Aug 20;14(8):e0008435. doi: 10.1371/journal.pntd.0008435. eCollection 2020 Aug.
2
The prevalence of noma in northwest Nigeria.尼日利亚西北部坏疽性口炎的流行情况。
BMJ Glob Health. 2020 Apr 14;5(4):e002141. doi: 10.1136/bmjgh-2019-002141. eCollection 2020.
3
Loco regional flaps a boon for Surgeons in Head and Neck Reconstruction even in the Era of Microvascular flaps.局部皮瓣即使在微血管皮瓣时代，仍是头颈重建外科医生的福音。
Indian J Surg Oncol. 2019 Dec;10(4):575-576. doi: 10.1007/s13193-019-01022-4. Epub 2019 Nov 28.
4
Twenty-Five Years of Experience with the Submental Flap in Facial Reconstruction: Evolution and Technical Refinements following 311 Cases in Europe and Africa.面颈部皮下蒂皮瓣修复 311 例的 25 年经验：欧洲和非洲 311 例的演变和技术改进。
Plast Reconstr Surg. 2019 Jun;143(6):1747-1758. doi: 10.1097/PRS.0000000000005678.
5
Soft Tissue Reconstruction for Head and Neck Ablative Defects.头颈部切除术后缺损的软组织重建
Oral Maxillofac Surg Clin North Am. 2019 Feb;31(1):39-68. doi: 10.1016/j.coms.2018.08.004.
6
Local Free-Style Perforator Flaps in Head and Neck Reconstruction: An Update and a Useful Classification.头颈部重建中的局部随意型穿支皮瓣：最新进展及实用分类
Plast Reconstr Surg. 2016 Jun;137(6):1863-1874. doi: 10.1097/PRS.0000000000002163.
7
Special article: airway management in reconstructive surgery for noma (cancrum oris).专题文章：口坏疽（口颊坏疽）重建手术中的气道管理。
Anesth Analg. 2013 Jul;117(1):211-8. doi: 10.1213/ANE.0b013e3182908e6f. Epub 2013 Jun 3.
8
Microsurgical free flap in head and neck reconstruction.头颈部重建中的显微外科游离皮瓣。
Head Neck. 2010 Sep;32(9):1236-45. doi: 10.1002/hed.21284.
9
Noma (cancrum oris).坏疽性口炎（走马疳）。
Lancet. 2006 Jul 8;368(9530):147-56. doi: 10.1016/S0140-6736(06)69004-1.
10
A history of noma, the "Face of Poverty".坏疽性口炎病史，即“贫困之脸”。
Plast Reconstr Surg. 2003 Apr 15;111(5):1702-7. doi: 10.1097/01.PRS.0000055445.84307.3C.