PMC4802558_01
Acute noma. Extensive gangrenous necrosis extending through the perioral soft tissue and muscle. Photograph taken on hospital day 11.
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fig1
This necrosis extended superficially from the right philtral crest past the left nasolabial fold and invaded deep through the orbicularis oris to the alveolar mucosa, resulting in exposure of the oral cavity (Fig 1).