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Radial forearm fasciocutaneous free flap as a solution in case of Noma
Author(s) -
Del Bene Massimo,
Amadei Federico,
Petrolati Maurizio,
Vittorio Rovati Luca,
Confalonieri Pier Luigi,
Pietro Caronni Ernesto
Publication year - 1999
Publication title -
microsurgery
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 1.031
H-Index - 63
eISSN - 1098-2752
pISSN - 0738-1085
DOI - 10.1002/(sici)1098-2752(1999)19:1<3::aid-micr2>3.0.co;2-e
Subject(s) - noma , medicine , craniofacial , surgery , forearm , cheek , free flap , mandible (arthropod mouthpart) , computer network , telecommunications link , botany , psychiatry , computer science , biology , genus
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. © 1999 Wiley‐Liss, Inc. MICROSURGERY 19:3–6, 1999