Special article: airway management in reconstructive surgery for noma (cancrum oris).

Abstract:

:Noma (cancrum oris) is a disease of poverty and malnutrition, which predominantly affects children younger than 10 years in developing countries. Although the majority of sufferers die of sepsis at the time of the initial infection, or of subsequent starvation due to severe trismus and an inability to eat, a small minority of patients survive and require reconstructive surgery for severe facial scarring and deformity. These patients present significant problems to the anesthesiologist with regard to airway management. We present a series of 26 patients undergoing primary and subsequent reconstructive surgery, with particular focus on airway management. We show that airway management, while challenging, can be performed safely and successfully by using individualized airway plans but may require advanced techniques and equipment. Traditional tests focusing on the anterior/superior airway are helpful in assessing patients with facial deformity due to noma.

journal_name

Anesth Analg

journal_title

Anesthesia and analgesia

authors

Coupe MH,Johnson D,Seigne P,Hamlin B

doi

10.1213/ANE.0b013e3182908e6f

subject

Has Abstract

pub_date

2013-07-01 00:00:00

pages

211-8

issue

1

eissn

0003-2999

issn

1526-7598

pii

ANE.0b013e3182908e6f

journal_volume

117

pub_type

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