Course of the disease

Noma starts with the infection of gums or mucous tissue, mostly on the cheek. From there, the infection will continue rapidly within a few days, affecting deep tissues such as muscles and even bones. They may affect the entire face in only five to six weeks. Accordingly, important functions such as breathing, chewing, swallowing, speaking, smelling and seeing will be permanently impaired.

The affected children suffer not only with great pain and loss of essential functions, but also from the death of the tissue, which deforms the face of the child and complicates the social interaction in addition.