Successful Treatment and Long-term Follow-up of Parry-Romberg Syndrome with Anterolateral Thigh Adipofascial Flap.

Abstract

BACKGROUND:

Anterolateral thigh (ALT) adipofascial free flap transfer is a frequently used method to reconstruct the facial symmetry and restore facial soft-tissue contour in PRS patients. While its long-term prognosis and patient outcomes assessment are still lack of understanding.

METHOD:

The authors report their treatment experience in 42 patients between 2001 and 2017 using microsurgical free anterolateral thigh adipofascial flap transfer. The long-term follow-up results and final reconstructive outcomes were evaluated.

RESULTS:

A total of 42 patients were included. The follow-up ranged from 5 to 21 years. All patients were satisfied with the surgery. Photographic evaluation revealed significant enhancement of postoperative appearance. Numbness or hypesthesia of the local area was the most common symptom in the long-term follow up.

CONCLUSION:

This study has evaluated the long-term treatment results of Parry-Romberg disease with microsurgery using ALT free flap in our department. Over 20 years' experience and the significant enhancement of the overall appearance indicate a long-lasting, excellent outcome.

• Authors: Jingyi Zhao, Xiaoshuang Guo, Chenzhi Lai, Guodong Song, Xianlei Zong, Xiaolei Jin
• Journal: Plastic and reconstructive surgery (Plast Reconstr Surg) (Jun 07 2023) ISSN: 1529-4242 [Electronic] United States
• PMID: 37289941 (Publication Type: Journal Article)
• Copyright: Copyright © 2023 by the American Society of Plastic Surgeons.