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Clinical evaluation of techniques used in the surgical treatment of progressive hemifacial atrophy.

Abstract
We critically review 13 patients with progressive hemifacial atrophy treated with three basic surgical procedures (free flap transplantation, alloplastic implants, micro-fat injections 'lipofilling') and further ancillary techniques. In spite of the satisfactory results achieved with the procedures, with the exception of alloplasts, we feel that lipofilling may be considered an interesting solution for soft tissue augmentation of the face especially for moderate adipose defects, due to its repeatability, no donor site morbidity, no complications at the recipient site such as lesions resulting from dissection, bleeding, necrosis, etc. This technique can be performed in a day-hospital with short surgery time, at low cost and without a highly skilled team. For severe grades of adipose atrophy, because of the low blood supply to these tissues which interferes with take of any type of autograft, we think that free flaps actually represent one of the best solutions for soft tissue augmentation.
AuthorsR Roddi, E Riggio, P M Gilbert, S E Hovius, J M Vaandrager, J C van der Meulen
JournalJournal of cranio-maxillo-facial surgery : official publication of the European Association for Cranio-Maxillo-Facial Surgery (J Craniomaxillofac Surg) Vol. 22 Issue 1 Pg. 23-32 (Feb 1994) ISSN: 1010-5182 [Print] Scotland
PMID8175994 (Publication Type: Journal Article)
Topics
  • Adipose Tissue (transplantation)
  • Adolescent
  • Adult
  • Face (pathology, surgery)
  • Facial Hemiatrophy (pathology, surgery)
  • Female
  • Follow-Up Studies
  • Graft Survival
  • Humans
  • Injections, Subcutaneous
  • Male
  • Reoperation
  • Surgical Flaps
  • Transplantation, Autologous

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