Transplante de múltiplos enxertos cilíndricos de couro cabeludo para correção de madarose superciliar da hanseníase / ?

ABSTRACT

Leprosy remains a serious health problem among us. The social stigna attached to the diseases is strong and visible deformities may prevent the patients adequate rehabilitation. Loss of eyebrows (madarosis) is a well recognised althougt not pathognomonic sign of leprosy. It's very frequent, bilateral and permanent. In this study, the missing eyebrows were reconstructed by transplantation of multiple punch full thickness scalp grafts. The cosmetic results observed on 17 patients were determined by some freatures 8 months after each operation. Of the 34 reconstructed eyebrows 22 (64,70 percents) looked GOOD, 6 (17,65 percents) looked ACCEPTABLE and 6 (17,65 percents)looked POOR. The cosmetic appearence was SATISFACTORY in 14 (82,35 percents) patients ans UNSATISFACTORY in 3 (17,65 percents) patients. The full thickness cylindric grafts showed a sucessful take to the recipient sites. The technique proved to be simple, safe, eficient and didn't lead to any important complication. These advantages assure the possibility of eyebrows reconstruction in a large number of patients, helping their reahabilitation and reitegration in normal society