Request of surgeon experienced in reconstructive surgery in Europe

Leprosy Mailing List – January 18^th, 2010

Ref.: Request of surgeon experienced in reconstructive surgery in Europe

From: G. Warren, Sydney, Australia

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Monday 18^th January., 2010.

Dear Dr Noto,

Thank you for the suggestion. I am trying to find a surgeon who is working in Europe, who is well experienced in reconstructive surgery and has good experience (and good results) in doing temporal muscle transfers to correct lagophthalmos.

In my experience it is most likely to be a surgeon who has good experience in leprosy surgery, but not of necessity. The earlier method used was that of Gillies, which unfortunately may leave a bulge above the ear. I personally prefer the Johnston method which attaches at the level of the maxillo-mandibilar joint and produces a horizontal pull rather than a diagonal one. I started doing this type of surgery 50 years ago but have not done one for the last ten years! And the patient is in Europe not Australia.

I am no longer up to date with regard to who is still doing it and I would like to find someone in Europe to whom we can send a non-leprosy patients for this type of service. I would appreciate any assistance from LML readers.

Thanking you.

Yours sincerely,

Grace Warren

Previously Adviser in Leprosy and Reconstructive Surgery for the Leprosy Mission In Asia ( 1975-1993).