title: Burned-out endemic syphilis (Bejel): facial deformities and defects in Saudi Arabia.
abstract: Endemic syphilis (bejel) is an endemic, contagious, non-sexually transmitted treponematosis of primitive communities which, if not treated, can cause deformities and defects of the face in its late stage. Several burned-out cases from Saudi Arabia are shown, and the techniques of plastic surgical repair are presented by word and illustrations. We describe in detail a total rhinoplasty (with panfacial reconstruction) in which a scalping flap was used as outer cover and superimposed on a classical island forehead flap based on a subcutaneous pedicle containing both frontal vessels for inner lining.
mesh_terms: D000293:Adolescent; D000328:Adult; D002648:Child; D002675:Child, Preschool; D005145:Face / Q000002:abnormalities / Q000601:surgery; D005260:Female; D006801:Humans; D008297:Male; D009059:Mouth Diseases / Q000473:pathology / Q000601:surgery; D009668:Nose Diseases / Q000473:pathology / Q000601:surgery; D012529:Saudi Arabia; D016038:Skin Transplantation; D013587:Syphilis / Q000473:pathology* / Q000601:surgery; D014211:Treponemal Infections / Q000473:pathology* / Q000601:surgery