Reconstruction of postleishmaniasis scar with lateral cheek rotation flap.

[OBJECTIVE] the aim of this study was to find a simple and economical technique to remove postleishmaniasis scar from the face.

[DESIGN] a non-randomized descriptive case series.

[PLACE AND DURATION OF STUDY] the study was conducted between 1st January 1998 to 31st July 2000 in a private hospital of D.I.Khan.

[PATIENTS AND METHODS] Ten patients with postleishmaniasis scar on the face were selected for excision and reconstruction in this study. They were operated as day care under local anesthesia. Their age ranged between 18-30 years, with an average of 23.5 years. The size of scar varied from 2 cm2 to 6 cm2 with an average of 4.1 cm(2). After scar excision, lateral cheek rotation flap (reverse face-lift) was used to reconstruct the defect. Results were statistically analyzed.

[RESULTS] No major complications were encountered. However, minor complications like edema of the flap, seroma under the flap, flap tip necrosis and temporary neurapraxia were noted in two patients.

[CONCLUSION] This is an excellent technique, which can be done on a day care basis under local anesthesia. Larger studies will help to explore this technique further.