Leprosy control in an integrated Community Health Project (CHP) and in a conventional Survey , Education, Treatment (SET) pro gramme are compared over a period of 5 years.In the CHP priority was given to intensive, continuous health education on various subjects, including leprosy , by mainly illiterate Village Health Workers (VHW), I per 1,000 population.In the SET programme the emphasis was on house-to-house survey for leprosy patients only by well educated paramedical workers, I per 20,000 popula tion.Case fin ding in the SET was better than in the CHP. However, while the number of new patients in the SET remained fairly constant over the years, it more than doubled in the CHP. Case holding in the SET gradually increase d to 64% of the registered patients receiving regular treatment, while in the CHP the corresponding figure rose to 90%.The integrated approach with the emphasis on health education seems to lead to a better quality contact between the VHW and the leprosy patient. Supervised combined therapy of all patients, tuberculoid and lepro matous, in accord ance with the latest principles is now a distinct possibility.The National Leprosy Control Programme SET is a good programme. It has been shown that in competent hands it can control, if not eradicate leprosy. There are , however, some weaknesses in the scheme and as a result in many places leprosy has not been controlled.The causes of failure of a leprosy control programme are, of course, well known . There is in the first place the general public's ignorance and super stition, causing the patient to evade investigation of his disease at an early 0305-75 1 8/82/053 195 + 05 $1.00

Replacement of missing maxillary anterior tooth with localized residual alveolar ridge defect is challenging, considering the high esthetic demand. Various soft and hard tissue procedures were proposed to correct alveolar ridge deformities. Novel techniques have evolved in treating these ridge defects to improve function and esthetics. In the present case reports, a novel technique using long palatal connective tissue rolled pedicle graft with demineralized freeze-dried bone allografts (DFDBAs) plus Platelet-rich fibrin (PRF) combination was proposed to correct the Class III localized anterior maxillary anterior alveolar ridge defect. The present technique resulted in predictable ridge augmentation, which can be attributed to the soft and hard tissue augmentation with a connective tissue pedicle and DFDBA plus PRF combination. This technique suggests a variation in roll technique with DFDBA plus PRF and appears to promise in gaining predictable volume in the residual ridge defect and can be considered for the treatment of moderate to severe maxillary anterior ridge defects.

A 25-year-old man presented with nontraumatic cerebrospinal fluid rhinorrhea and meningitis. On investigation, he was found to have a multiloculated intracerebral cystic lesion of the right frontal lobe with a bony lesion inside the cyst, just above the right cribriform plate. Surgery revealed multiple grape-like cystic pedunculated lesions with narrow stalks attached to a bony outgrowth which was adherent to the right cribriform plate. Macroscopically and microscopically, the excised lesions were similar to nasal polyps.

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