email   Email Us: info@lupinepublishers.com phone   Call Us: +1 (914) 407-6109   57 West 57th Street, 3rd floor, New York - NY 10019, USA

Lupine Publishers Group

Lupine Publishers

  Submit Manuscript

ISSN: 2637-4692

Modern Approaches in Dentistry and Oral Health Care

Review Article(ISSN: 2637-4692)

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

Fulltext PDF

To view the Full Article   Peer-reviewed Article PDF

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

Abstract| Introduction| Objective| Discussion| Conflict Of Interest| Conclusion| References|

https://www.high-endrolex.com/21