■Noma,一种被忽视的传染病,造成严重的面部组织损伤,对患者护理构成重大挑战。这项研究探讨了在埃塞俄比亚治疗的坏疽性口炎病例中的手术并发症和随后的翻修手术。
■这项研究采用了从“面对非洲”数据库检索的2007年至2019年期间接受治疗的医疗记录的横断面回顾性审查。
■该综述涵盖235例坏疽性口炎病例。24例(19名女性和5名男性)经历了各种并发症,主要是导致后续翻修手术的主要并发症。确定的并发症包括皮瓣坏死,脓肿形成,压痛,移植部位感染,襟翼膨胀,牙齿错位,嘴角开裂,感染的骨和板,皮瓣错位,强直张口受限,神经性疼痛,复发性皮瓣感染,和难闻的气味。修正手术包括伤口清洗,脓肿引流,皮肤移植物去除,探索性手术,伤口护理,扣减,疤痕去除,清创术,释放刺身,共用成形术,和襟翼重新定位。
■这些发现阐明了埃塞俄比亚坏瘤手术的复杂性,强调了解并发症的性质和频率对于优化治疗结果的重要性。这项研究的见解可以指导医疗保健提供者,尤其是新手外科医生,和政策制定者,在完善手术干预措施和提高坏疽性口炎患者的预后方面。在这一领域提高知识对于推进患者护理和制定有针对性的干预措施至关重要。
■5.
UNASSIGNED: Noma, an overlooked infectious disease, inflicts severe facial tissue damage, posing substantial challenges in patient care. This study delves into surgical complications and subsequent revision surgeries among noma cases treated in Ethiopia.
UNASSIGNED: The research employed a cross-sectional retrospective review of medical records treated between 2007 and 2019 retrieved from the Facing Africa database.
UNASSIGNED: The review encompasses 235 noma cases. Twenty-four cases (19 females and 5 males) experienced various complications, predominately major complications leading to subsequent revision surgeries. The identified complications included flap necrosis, abscess formation, tenderness, graft site infection, flap bulking, dental misalignment, corner of the mouth dehiscence, infected bone and plate, flap malpositioning, restricted mouth opening with ankylosis, neuropathic pain, recurrent flap infection, and offensive odor. Revision surgeries included wound cleansing, abscess drainage, skin graft removal, exploratory surgery, wound care, debulking, scar removal, debridement, trismus release, commisuroplasty, and flap repositioning.
UNASSIGNED: These findings illuminate the intricacies of noma surgery in Ethiopia, emphasizing the importance of understanding the nature and frequency of complications for optimizing treatment outcomes. Insights from this study can guide healthcare providers, especially novice surgeons, and policymakers, in refining surgical interventions and enhancing outcomes for noma patients. Improved knowledge in this realm is crucial for advancing patient care and developing targeted interventions.
UNASSIGNED: 5.