Imaging Sci Dent.  2015 Sep;45(3):193-198. 10.5624/isd.2015.45.3.193.

Bony fusion of the maxilla and mandible as a sequelae of noma: A rare case report

• Bagewadi S
• Awasthi UR
• Mody BM
• Suma GN
• Garg S

• KMID: 2045028
• DOI: http://doi.org/10.5624/isd.2015.45.3.193

Abstract

Noma is a gangrenous disease of the orofacial region that leads to severe facial tissue destruction and is a significant cause of death among children. With the advent of modern antibiotics and improved nutrition, children with noma may survive into adulthood, but must face the challenge of undergoing repair of the sequelae of noma. This report describes a case of bony fusion of the maxilla and mandible in a 28-year-old female patient, which was a sequelae of a childhood case of noma.

Keyword

Noma; Jaw Diseases; Tomography, X-ray Computed

MeSH Terms

Adult
Anti-Bacterial Agents
Cause of Death
Child
Female
Humans
Jaw Diseases
Mandible*
Maxilla*
Noma*
Tomography, X-Ray Computed
Anti-Bacterial Agents

Figure

• 

  Fig. 1 A. A frontal extraoral photograph shows the scars on both right and left cheeks. B. An extraoral photograph on the right side reveals the scar. C. An intraoral photograph shows grossly decayed anterior teeth with no mouth opening.

• 

  Fig. 2 A panoramic radiograph reveals the fusion of the maxilla and mandible extending from the right upper second premolar to the tip of coronoid process of mandible.

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  Fig. 3 A. An axial CT image shows the continuous fusion between the maxilla and mandible on the right side. B. A coronal CT image shows the similar features of axial section. C. A coronal CT image shows no fusion of the condylar head of both sides.

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  Fig. 4 Three-dimensional CT images. A. Anterior facial area reveals the fused bone. B. Right oblique anterior view indicates bony fusion extending from the right premolar region to the anterior border of ramus of mandible. C. Left oblique anterior view shows no bony fusion.

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  Fig. 5 Post-operative follow-up after 3 month reveals 25 mm mouth opening.

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