Malaviya G N, Husain S
Central Jalma Institute for Leprosy, Tajganj, India.
Acta Leprol. 1994;9(2):76-82.
In twenty-four leprosy patients having mild to moderate nasal deformity, a corticoperiosteal bone graft obtained from second metatarsal bone was placed in a pocket created between the lining and cover of the nose. The cases were evaluated later, mean follow-up period being 4 1/2 years. The results were satisfactory in 13 patients. Improved shape was reported in 7 and poor in 3. The bone graft got incorporated and consolidated at the recipient site in 16 cases. The main donor site problem was overriding of the donor toe. The operated cases need health education for after-care of nose since nasal mucosa is atrophic.
在24例有轻度至中度鼻畸形的麻风病患者中，取自第二跖骨的骨膜骨移植片被置于鼻内衬与外覆层之间形成的袋状间隙中。随后对这些病例进行了评估，平均随访期为4年半。13例患者的结果令人满意。7例报告鼻形改善，3例较差。16例中骨移植片在受植部位融合并巩固。主要的供区问题是供趾重叠。由于鼻黏膜萎缩，接受手术的病例需要进行关于鼻部术后护理的健康教育。
