Abstract

VELEZ BERNAL, F.; VELEZ TRUJILLO, J.A.  and  VELEZ BERNAL, I.D.. Surgical reconstruction after nasal destruction by Leishmania Panamensis. Cir. plást. iberolatinoam. [online]. 2013, vol.39, n.1, pp.73-80. ISSN 1989-2055.  https://dx.doi.org/10.4321/S0376-78922013000100010.

Species of Leishmania of Viannia subgenus, mainly L. braziliensis and L. panamensis, may invade the nasooro-pharyngeal mucosal after spread from the skin lesion via lymph and blood, causing lesions in the nasal septum, soft palate, uvula, tonsillar pillars, larynx, pharynx, nasal dorsum, lips and cheeks. The mucosal membrane most frequently affected is the nasal septum, mainly in the anterior region. The invasion of mucosa may occur simultaneously with active skin lesions, but most often appear 1 or 2 years after the skin lesion; nevertheless, in 16 % of cases there is no history of skin lesions suggesting that the primary infection coursed with few symptoms and then was spread to mucosal membranes. In this article 2 cases of L panamensis mucosal leishmaniasis and the reconstructive surgery used are presented. A discussion of the differential diagnosis of oro-nasal tissues is also presented.

Keywords : Mucosal leishmaniasis; Leishmania panamensis; Nasal reconstruction.

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