Abstract
The scarring stage of noma disease often presents with composite tissue loss involving hard and soft tissues with resultant fibrosis making reconstruction a challenge. Microvascular reconstruction option is associated with good outcomes when the expertise is available. Trismus, which is caused by either soft tissue fibrosis or the union of the coronoid to the zygomatic complex, is also a common presentation. Effective treatment necessitates the involvement of a diverse team of specialists and the establishment of clear treatment objectives. This report presents a case of an extensive composite noma defect with trismus in a 9-year-old female managed using local flaps.