Drs. Menick and Salibian discussed “primary intranasal lining injury” and mentioned that “repair is determined by site, depth of injury, and clinical deformity—not cause.”1 As noted by Menick and Salibian,1 there are several causes of the lining injury, including leishmaniasis. The authors would like to further discuss the specific leishmaniasis-related problem. The deformity caused by chronic leishmaniasis is usually severe and hard to repair.2 Adding to the general treatment plan proposed by Menick and Salibian,1 the curative treatment of the parasite is sometimes a more important issue than cosmetic consideration. Recurrence of leishmaniasis at the previous site is common,3 and this can be problematic for the repaired site. Close follow-up of the reconstructed nose and long-term use of an antileishmanial drug is needed.4,5
The authors have no financial interest to declare in relation to the content of this communication.
Beuy Joob, M.D.
Sanitation 1 Academic Medical Center
Hainan Medical University
Hainan, People’s Republic of China
1. Menick FJ, Salibian A.. Primary intranasal lining injury cause, deformities, and treatment plan. Plast Reconstr Surg. 2014;134:1045–1056
2. Ordaz-Farias A, Muñoz-Garza FZ, Sevilla-Gonzalez FK, et al. Case report: Transient success using prolonged treatment with miltefosine for a patient with diffuse cutaneous leishmaniasis infected with Leishmania mexicana mexicana
. Am J Trop Med Hyg. 2013;88:153–156
3. Sinagra A, Riarte A, Luna C, Campanini A, Segura EL.. Leishmania
: Biological behavior in golden hamsters of isolates from Argentine patients. Am J Trop Med Hyg. 1997;57:115–118
4. Ahmed B, Butt AM, Hussain M, Amin M, Yazdanie N.. Rehabilitation of nose using silicone based maxillofacial prosthesis. J Coll Physicians Surg Pak. 2010;20:65–67
5. Hashmi ZA, Bashir G, Alamsher, Shah H.. Reconstruction of postleishmaniasis scar with lateral cheek rotation flap. J Coll Physicians Surg Pak. 2003;13:405–407
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