Noma is a severe disfiguring disease of the mouth and face that starts as a gingival ulcer and spreads rapidly through the tissues of the mouth and face. It most often occurs in young, severely malnourished children between the ages of 2 and 5 living in underdeveloped countries. While the exact cause is unknown, it may be due to certain bacteria and is often preceded by illnesses like measles or tuberculosis. Treatment involves antibiotics and improved nutrition to stop the disease from progressing further, and plastic surgery may be needed to reconstruct facial tissues and bones. Preventive measures focus on improving nutrition, sanitation, and cleanliness.

1. CANCRUM ORIS OR NOMA
BY Guadalupe M. & Andre M.
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2. WHAT THE DISEASE IS?
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Noma is a severe disfiguring of the mouth and face that starts as a gingival ulcer and
spreads rapidly through the tissues of the mouth and face. Unlike other infectious
processes of the face, which may progress along anatomic spaces of the head and
neck, noma can disrupt anatomic barriers and spread through muscle and bone.
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3. CAUSES AND RISK FACTORS OF NOMA
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The exact cause is unknown, but may be due to bacteria called fusospirochetal bacteria.
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Often followed from other illness such as measles or tuberculosis.
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This disorder most often occurs in young, severely malnourished children between the
ages of 2 and 5 and is mostly found in African children.
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Risk factors include Kwashiorkor and other forms of severe protein malnutrition, poor
sanitation and poor cleanliness, and living in an underdeveloped country.
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4. TREATMENT
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Antibiotics and proper nutrition helps stop the disease from getting worse.
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Plastic surgery may be necessary to remove destroyed tissues and reconstruct facial
bones. This will improve facial appearance and the function of the mouth and jaw.
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5. PREVENTIONS
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Measures to improve nutrition, cleanliness, and sanitation may be helpful.
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6. YOUTUBE VIDEO
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http://www.youtube.com/watch?v=2xlQLFXCJog
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7. PODCAST
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http://download.thelancet.com/flatcontentassets/audio/langlo/2013/langlo_august.mp3
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8. GRAPH ON NOMA DISEASE CAUSE
DEATH EVERY 2 YEARS
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9. BIBLIOGRAPHY
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http://www.uptodate.com/contents/noma-cancrum-oris
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http://en.wikipedia.org/wiki/Noma_(disease)
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http://www.nlm.nih.gov/medlineplus/ency/article/001342.htm
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http://www.rightdiagnosis.com/n/noma/
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http://www.youtube.com
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http://www.google.com
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http://www.patient.co.uk/doctor/Cancrum-Oris-(Noma).htm
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http://www.globalhealthhub.org/2013/08/01/podcast-the-most-neglected-of-neglecteddiseases-from-lancetgh/
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