Noma neonatorum: an airway challenge in Paediatrics

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Jun 8, 2017407 views

Cancrum oris (Noma) is a devastating gangrenous disease involving mucocutaneous junctions of oral, nasal and anal areas and occasionally, the eyelids and scrotum. Noma Neonatorum (NN) is a completely different disease than Noma and is commonly seen in pre-term, low birth weight neonates. It is rarely seen in full term neonates.The anatomic deformities of Noma sequelae in those surviving children present formidable challenges in perioperative airway control. We describe the anaesthetic management of a 13-month-old child with sequelae of NN. The child underwent reconstructive surgery of nose and upper lip with orotracheal intubation. We describe the features of NN and review techniques of intubation in difficult paediatric airway...

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