Azab A S, Kamal M S, el-Haggar M S, Metawaa B A, Hindawy D S
J Dermatol Surg Oncol. 1983 Dec;9(12):1007-12. doi: 10.1111/j.1524-4725.1983.tb01055.x.
Cutaneous leishmaniasis, treated or untreated, is known to leave disfiguring scars. These scars are usually on exposed parts, for which plastic surgery may be required. The present work deals with the treatment of cutaneous leishmaniasis using surgical techniques from the onset. In 20 patients, 35 lesions were excised down to the deep fascia. To cover the resulting defect, subcuticular sutures were used in 7 small lesions. Dufourmental (LLL flap) and Limberg flaps were used in 23 lesions of moderate size. Free grafting was resorted to in five large lesions. Using these techniques, morbidity was reduced and cosmetic results were satisfactory.
已知无论是否接受治疗，皮肤利什曼病都会留下毁容性疤痕。这些疤痕通常位于暴露部位，可能需要进行整形手术。本研究从一开始就采用手术技术治疗皮肤利什曼病。对20例患者的35处病损进行了切除，直至深筋膜。对于7处小病灶，采用皮下缝合来覆盖所形成的缺损。对23处中等大小的病灶采用了杜福尔芒（LLL皮瓣）和林贝格皮瓣。对5处大病灶采用了游离植皮。使用这些技术降低了发病率，美容效果令人满意。
