Nath S, Jovic G
Department of Surgery, School of Medicine, University Teaching Hospital, Lusaka, Zambia.
Plast Reconstr Surg. 1998 Aug;102(2):350-7. doi: 10.1097/00006534-199808000-00008.
The University Teaching Hospital is situated in the Zambian capital, Lusaka. In a 15-year period (1979 to 1993), 81 child patients with cancrum oris were admitted to the pediatric plastic surgery unit. There were 29 boys and 52 girls, of whom 58 were below 3 years of age. The majority of them were from certain provinces where the population is comparatively much lower than in other provinces of Zambia. The dietary habits in cancrum orisprone provinces are quite different than those of other provinces of Zambia. Of 81 patients, 3 refused surgery, 11 died during early medical treatment, and 12 died following early minor surgery. A total of 55 patients had reconstructive surgery by one of the authors (Nath). Problems encountered during management, such as anesthesia, trismus, and choice of appropriate flaps, are discussed in this paper. The implication of human immunodeficiency virus is also addressed.
大学教学医院位于赞比亚首都卢萨卡。在15年期间（1979年至1993年），81名患走马疳的儿童患者被收治到小儿整形外科病房。其中有29名男孩和52名女孩，58名年龄在3岁以下。他们大多数来自赞比亚某些人口相对比其他省份少得多的省份。走马疳高发省份的饮食习惯与赞比亚其他省份有很大不同。81名患者中，3人拒绝手术，11人在早期治疗期间死亡，12人在早期小手术后死亡。共有55名患者由作者之一（纳特）进行了重建手术。本文讨论了治疗过程中遇到的问题，如麻醉、牙关紧闭和合适皮瓣的选择。还探讨了人类免疫缺陷病毒的影响。
