NOMA
Answer. NOMA is also called as gangrenous stomatitis.
NOMA is rapidly spreading gangrene of oral and facial tissues occurring usually in debilitated or nutritionally deficient patients.
NOMA Predisposing Factors
- Occurs in undernourished persons.
- Debilitated from infections such as diphtheria, measles,pneumonia, scarlet fever,
- TB and blood dyscrasias.
- Excessive mechanical injury.
- It is a specific infection by Vincent’s organism.
NOMA Clinical Features
- NOMA is seen chiefly in malnourished children.
- Common sites are areas of stagnation around the fied bridge or crown.
- Commencement of gangrene is denoted by blackening of skin. Small ulcers of gingival mucosa spread rapidly and involves surrounding tissue of jaw, lips and cheeks by gangrenous necrosis.
- Odor is foul and patient have high temperature.
- Overlying skin is inflamed, edematous and finally necrotic.
NOMA Treatment
Reconstructive surgery should be done along with palliative treatment.
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