Correction of a Latero Nasal Cancrum Oris Defect Using
the Webster Advancement Flap Technique; a Hypothesis
Volume 4 - Issue 5
Zilefac Brian Ngokwe1*, Cheboh Cho Fon1, Ntep Ntep David Bienvenue1, Elage Epie Macbrain1, Nokam Kamdem
Stephane1, Kouamou Tchiekou Audrey1 and Bengondo Messanga Charles1
- 1Department of Oral surgery, Maxillofacial surgery and Periodontology, Faculty of Medicine and Biomedical Sciences; University of Yaoundé
I, Cameroon
Received:June 22, 2021 Published:August 10, 2021
Corresponding author: Zilefac Brian Ngokwe, Department of Oral surgery, Maxillofacial surgery and Periodontology, Faculty of
Medicine and Biomedical Sciences; University of Yaoundé I, Cameroon
DOI: 10.32474/MADOHC.2021.04.000200
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Abstract
Background: The destructive facial effects of cancrum oris remain a major problem for surgeons and the patients themselves.
Although known since antiquity, the epidemiology, pathophysiology, and etiology of the disease remain a subject of debate. Further
research is needed to identify more exactly the causative agents. Only in the twentieth century were effective drugs (sulfonamides
and penicillin) against noma developed, as well as adequate surgical treatment for the sequelae of noma. These modes of treatment
remain inaccessible for the many present-day victims of noma because of their extreme poverty. The only truly effective approach
to the problem of noma throughout the world is prevention, namely, combating the extreme poverty with measures that lead to
economic progress. Here, we explore the potential use of a flap technique as a solution to the extensive facial tissue destruction that
occurs in Noma.
Objective: To propose the Webster advancement flap technique as a possible solution to latero nasal NOMA management.
Results: The potential benefits and results of using a flap technique could be the little chances of graft rejection, the good blood
supply associated with flaps and the esthetically conserved nature of the procedure. Thus, it could become an alternative to the
often radical and inesthetic solution of skin grafts.
Conclusion: Surgeons often have to make tough choices in the selection of an appropriate technique when faced with the
management of NOMA. Thus, we propose a conservative and esthetic method of going around this problem.
Keywords: Noma; Webster Flap
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