Early outcome of noma surgery.

Autor: Bouman MA; Department of Plastic Surgery, University Medical Centre Groningen, Antonius Deusinglaan 1, 9713 AV, Groningen, The Netherlands. mariabouman@gmail.com, Marck KW, Griep JE, Marck RE, Huijing MA, Werker PM
Jazyk: angličtina
Zdroj: Journal of plastic, reconstructive & aesthetic surgery : JPRAS [J Plast Reconstr Aesthet Surg] 2010 Dec; Vol. 63 (12), pp. 2052-6. Date of Electronic Publication: 2010 Mar 23.
DOI: 10.1016/j.bjps.2010.02.012
Abstrakt: Introduction: Reconstructive noma surgery is performed on many short-term medical missions. The treatment outcome, however, has rarely been studied.
Materials and Methods: We studied complications and clinical outcome of reconstructive noma surgery performed during four short-term medical missions. Logistic regression analysis was used to determine which factors influenced treatment outcome.
Results: A total of 74 treatments were performed on 63 patients. We found a complication rate of 64% (n=47) and a success percentage of 59% (n=44). Complexity of treatment procedure and occurrence of complete trismus were independent significant factors negatively influencing the outcome. Only 14 of the 36 complex procedures had a good outcome.
Conclusions: Our study is one of the first to evaluate the early clinical outcome of reconstructive noma surgery in short-term medical missions. It shows that the outcome is not always favourable, particularly in complex reconstructions and in the subgroup of patients with complete trismus.
(Copyright © 2010 British Association of Plastic, Reconstructive and Aesthetic Surgeons. Published by Elsevier Ltd. All rights reserved.)
Databáze: MEDLINE