Abstract
Cancrum Oris is acute gangrenous stomatitis of oral and para-oral structures in age group between 2 to 16 years particularly in sub-Saharan Africa with high morbidity and mortality. Exact bacteriology is uncertain. Acute necrotising gingivitis and oral herpetic ulcers are considered to be antecedent lesions. The treatment of cancrum oris is penicillin, tetracycline, metronidazol and clindamycin. second step of management includes reconstructive surgery for the treatment of the functional and cosmetic problems. The authors are reporting a case of cancrum oris in a 1.5-year-old child.
Keywords: Cancrum Oris, Soma, Acute Gangrenous Stomatitis, Acute Necrotising Gingivitis
Full Text
The Full Text of this article is available as a PDF (1,022.2 KB).
References
- 1.Devi SR, Gogoi M. Aesthetic restoration of facial defect caused by cancrum oris: A case report. Indian J Plast Surg. 2003;36:131–133. [Google Scholar]
- 2.Adams-Ray WE, James JH. Cancrum oris: functional and cosmetic reconstruction in patients with ankylosis of the jaws. Br J Plast Surg. 1992;45(3):193–8. doi: 10.1016/0007-1226(92)90075-9. [DOI] [PubMed] [Google Scholar]
- 3.Oluwasanmi JO, Lagundoye SB, Akinyemi OO. Ankylosis of the mandible from cancrum oris. Plast Reconstr Surg. 1976;57(3):342–50. doi: 10.1097/00006534-197603000-00011. [DOI] [PubMed] [Google Scholar]
- 4.Enwonwu CO, Falkler WA, Idigbe EO. Oro-facial gangrene (noma/ cancrum oris): pathogenetic mechanisms. Crit Rev Oral Biol Med. 2000;11(2):159–71. doi: 10.1177/10454411000110020201. [DOI] [PubMed] [Google Scholar]
- 5.Smith I. Vincent angina and fusiform bacillus; Cancrum Oris. J Maxillofacial Surg. 1970;7:293–8. doi: 10.1016/s0301-0503(79)80054-5. [DOI] [PubMed] [Google Scholar]
- 6.Folayan MO. The epidemiology, etiology, pathophysiology of acute necrotising ulcerative gingivitis associated with malnutrition. J Contemp Dent Pract. 2004;5(3):028–31. [PubMed] [Google Scholar]
- 7.Falkler WA, Enwonwu CO, Idigbe EO. Isolation of Fusobacterium necrophorum from cancrum oris (noma) Am J Trop Med Hyg. 1999;60(1):150–156. doi: 10.4269/ajtmh.1999.60.150. [DOI] [PubMed] [Google Scholar]
- 8.Enwonwu CO, Falkler WA, Idigbe EO, Afolabi BM, Ibrahim M, Onwujekwe D, Savage O, Meeks VI. Pathogenesis of cancrum oris (noma): Confounding interactions of malnutrition with infection. Am J Trop Med Hyg. 1999;60(2):223–232. doi: 10.4269/ajtmh.1999.60.223. [DOI] [PubMed] [Google Scholar]
- 9.Dean JA, Magee W. One-stage reconstruction of defects caused by cancrum oris (noma) Ann Plast Surg. 1997;38:29–35. doi: 10.1097/00000637-199701000-00006. [DOI] [PubMed] [Google Scholar]