Morimoto Yukiko, Sogabe Yusuke, Kawabata Akira, Takamatsu Kiyohito
Department of Orthopaedic Surgery, Yodogawa Christian Hospital, Kunijima, Higashiyodogawa-ku, Osaka, Japan.
J Hand Surg Glob Online. 2021 Dec 10;4(3):172-175. doi: 10.1016/j.jhsg.2021.11.002. eCollection 2022 May.
Leprosy is a chronic infection in humans that mainly affects the peripheral nerves and skin. Paraffin filling has been previously used for muscle atrophy treatment. However, the formation of paraffin granulomas (paraffinomas) can occur over the long term. We encountered a patient with leprosy who had hypothenar muscle atrophy caused by ulnar neuropathy. The patient was treated with paraffin injection at the hypothenar site for cosmetic appearance 60 years ago. Consequently, the paraffin formed a paraffinoma and a recurrent infected skin ulcer. Thus, paraffinoma removal and transfer of ulnar artery perforator adiposal flap (140 × 20 mm) were performed. The ulnar artery perforator adiposal flap was used for infection control and filling the dead space after paraffin removal. The skin healed without complications. Ultrasound confirmed residual adipose tissue and blood flow at the last follow-up.
麻风病是一种主要影响周围神经和皮肤的人类慢性感染病。石蜡填充以前曾用于肌肉萎缩治疗。然而，长期来看可能会形成石蜡肉芽肿（石蜡瘤）。我们遇到一名麻风病患者，其小鱼际肌萎缩由尺神经病变引起。60年前，为了改善外观，该患者在小鱼际部位接受了石蜡注射治疗。结果，石蜡形成了一个石蜡瘤以及一个反复感染的皮肤溃疡。因此，进行了石蜡瘤切除并转移了尺动脉穿支脂肪瓣（140×20毫米）。尺动脉穿支脂肪瓣用于控制感染并填充石蜡切除后的死腔。皮肤愈合且无并发症。在最后一次随访时，超声检查证实仍有残余脂肪组织和血流。
