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Facial Plast Surg 2021; 37(04): 439-445
DOI: 10.1055/s-0041-1722894
Original Article

Noma and Necrotizing Fasciitis of the Face and Neck

Lauren E. Miller
1   Department of Otolaryngology—Head and Neck Surgery, Massachusetts Eye and Ear, Harvard Medical School, Boston, Massachusetts
,
David A. Shaye
1   Department of Otolaryngology—Head and Neck Surgery, Massachusetts Eye and Ear, Harvard Medical School, Boston, Massachusetts
2   Division of Facial Plastic and Reconstructive Surgery, Department of Otolaryngology—Head and Neck Surgery, Massachusetts Eye and Ear, Harvard Medical School, Boston, Massachusetts
3   Doctors without Borders, Noma Project, Sokoto, Nigeria
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Abstract

Necrotizing fasciitis (NF) is part of the class of necrotizing soft tissue infections characterized by rapid fascial spread and necrosis of the skin, subcutaneous tissue, and superficial fascia. If left untreated, NF can rapidly deteriorate into multiorgan shock and systemic failure. NF most commonly infects the trunk and lower extremities, although it can sometimes present in the head and neck region. This review provides an overview of NF as it relates specifically to the head and neck region, including its associated clinical features and options for treatment. Noma, a related but relatively unknown disease, is then described along with its relationship with severe poverty.

Keywords

noma - necrotizing fasciitis - reconstructive surgery


Publication History

Article published online:
31 January 2021

© 2021. Thieme. All rights reserved.

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