Assuntos
Cirurgia Geral , Cirurgia Plástica/efeitos adversos , Cirurgia Plástica/métodos , Criocirurgia , Doenças da Unha/cirurgia , Eletrocirurgia , Pele/anatomia & histologia , Pele/cirurgia , Unhas/anormalidades , Unhas/cirurgia , Cabelo/anormalidades , Dermabrasão , Dermatologia , Dermatopatias/cirurgia , Doenças do Cabelo , Lábio/cirurgia , Nariz/cirurgia , Orelha/cirurgia , Terapia a Laser , Transplante de Pele/métodosRESUMO
We present a retrospective review (from 1959 to 1975) of 86 patients who were treated surgically for nasal leprosy deformities at the Tata Department of Plastic Surgery. The postnasal skin graft inlay was the most frequent procedure, and it seems best suited for these repairs in developing countries where the patients often present late with major deformities. For minor and early nasal deformities, the insertion of a bone graft or a silicone rubber implant is recommended.
Assuntos
Hanseníase/complicações , Deformidades Adquiridas Nasais/cirurgia , Rinoplastia , Adolescente , Adulto , Transplante Ósseo , Feminino , Humanos , Lábio/cirurgia , Masculino , Pessoa de Meia-Idade , Deformidades Adquiridas Nasais/etiologia , Complicações Pós-Operatórias , Próteses e Implantes , Transplante de Pele , Transplante AutólogoRESUMO
The communication is based on the experience with 380 reconstructive operations in the face fo patients at the residual stage of leprosy. A classification of the sequelae of leprosy in the face, which includes all types of disfigurement and facilitates selection of the most rational method of surgical treatment for each group, has been elaborated. in most patients who have overcome leprosy, a combination of all kinds of deformations and defects in the facecan be observed, which requires a whole complex of plastic operations in order to take off the mask of leprosy. Reconstructive operations in the face are indicated at the stage of deep regression or in residual leprosy. The paper deals with the successful repair of deformations of the nose by means of dividing the subcutaneous scar contractures and of constructing a supporting cartilage scaffolding, of reconstructing the nose and lips with a Filatov pedicle flap, of repairing facila-muscle palsy with a tape of fascia and lagophthalmos with a myofascial-band plasty, of reconstructing the eye browns with arterialized flaps on subcutaneous pedicles, and of other reconstructive and cosmetic operations. The skin wounds have healed well in leprosy patients, and no hypertrophic or kelloid scar formation has been observed.
Assuntos
Masculino , Feminino , Humanos , Adulto , Pessoa de Meia-Idade , Adolescente , Cirurgia Plástica , Face/cirurgia , Hanseníase/cirurgia , Lábio/cirurgia , Nariz/cirurgia , Paralisia Facial/cirurgia , Sobrancelhas/cirurgiaAssuntos
Face/cirurgia , Hanseníase/complicações , Cirurgia Plástica , Adolescente , Adulto , Cartilagem/transplante , Cicatriz/cirurgia , Deformidades Adquiridas da Orelha/cirurgia , Sobrancelhas/cirurgia , Paralisia Facial/cirurgia , Feminino , Humanos , Lábio/cirurgia , Masculino , Pessoa de Meia-Idade , Nariz/cirurgia , Transplante de Pele , Aderências Teciduais/cirurgia , Transplante HomólogoAssuntos
Face/cirurgia , Hanseníase/cirurgia , Cirurgia Plástica , Feminino , Humanos , Lábio/cirurgia , Métodos , Nariz/cirurgiaRESUMO
In cases of leprosy presenting abnormal septolabial angle and scaphoid facies as result of destruction of the nasal spine and atrophy of the alveolar process of the maxillary bone, the following technique is adopted: after ink delineation of the nasolabial flaps with a nasal upper pedicle, flaps are obtained through masions and remotion of the epidermis; the nasal floor is undermined over the anterior maxilla; the fatdermal flaps are passed through the undermined area until they appear under the opposite external nose. With such technique nasolabial angle and the atrophied contour of the anterior maxilla are adequately corrected.At the same time the restracted nose is relined by means of the median forehead flap.