Leprosy is a chronic granulomatous infection of the skin and peripheral nerves that often leads to gross deformation of the nasal skeleton and subsequent formation of a saddle-nose deformity. Reconstruction of the nose following Mycobacterium leprae infection has challenged surgeons for centuries. As a result, a number of different techniques have been attempted with varying outcomes. This article describes the case and surgical treatment of a 37-year old female who presented with a subtotal nasoseptal perforation and saddle-nose deformity secondary to previous infection with leprosy. Reconstruction was achieved via an open septorhinoplasty approach using autologous costal cartilage grafts, yielding a successful postoperative result.
BT - Otolaryngologic clinics of North America C1 - http://www.ncbi.nlm.nih.gov/pubmed/19486749?dopt=Abstract DA - 2009 Jun DO - 10.1016/j.otc.2009.03.009 IS - 3 J2 - Otolaryngol. Clin. North Am. LA - eng N2 -Leprosy is a chronic granulomatous infection of the skin and peripheral nerves that often leads to gross deformation of the nasal skeleton and subsequent formation of a saddle-nose deformity. Reconstruction of the nose following Mycobacterium leprae infection has challenged surgeons for centuries. As a result, a number of different techniques have been attempted with varying outcomes. This article describes the case and surgical treatment of a 37-year old female who presented with a subtotal nasoseptal perforation and saddle-nose deformity secondary to previous infection with leprosy. Reconstruction was achieved via an open septorhinoplasty approach using autologous costal cartilage grafts, yielding a successful postoperative result.
PY - 2009 SP - 547 EP - 55 T2 - Otolaryngologic clinics of North America TI - Nasal reconstruction of the leprosy nose using costal cartilage. VL - 42 SN - 1557-8259 ER -