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Necrotizing ulcerative stomatitis (NUS), also called “noma” (from the Greek word nome, meaning a pastureland for grazing), is often considered a rare disease, but it is commonly found in malnourished or unhygienic children in developing countries [1]. Its etiology is not completely understood, but one possibility is that malnourishment, unhygienic conditions, and immune system complications might lead to multibacterial facial gangrene [2,3]. Some of the recognized predisposing factors for this gangrenous orofacial disease involve mucosal and systemic immunosuppression, such as poor oral hygiene, inadequate protein consumption, vitamin deficiencies, poverty, and infections, including malaria, human immunodeficiency virus (HIV), and measles. While noma is difficult to treat in developing countries and is often associated with high mortality rates, it is a reconstructive challenge in developed countries, rather than a matter of survival. Central noma is associated with defects of the upper lip and nasomaxillary region, which contain cartilaginous structures and soft tissue. Because of the functional importance and complex multidimensional structure of the involved Yu Gil Park, Sang Hun Kim, Eun Soo Park

Restoration of an Upper Lip Affected by Necrotizing Ulcerative Stomatitis Using Bilateral Cheek Advancement with a Crescentic Perialar Excision