Catalogo Articoli (Spogli Riviste)

OPAC HELP

Titolo:
MICROSURGICAL CORRECTION OF FACIAL ASYMMETRY IN 60 CONSECUTIVE CASES
Autore:
SIEBERT JW; ANSON G; LONGAKER MT;
Indirizzi:
NYU,MED CTR,INST RECONSTRUCT PLAST SURG,560 1ST AVE NEW YORK NY 10016
Titolo Testata:
Plastic and reconstructive surgery
fascicolo: 2, volume: 97, anno: 1996,
pagine: 354 - 363
SICI:
0032-1052(1996)97:2<354:MCOFAI>2.0.ZU;2-S
Fonte:
ISI
Lingua:
ENG
Soggetto:
FREE SCAPULAR FLAP; RECONSTRUCTION; RESTORATION; ATROPHY;
Tipo documento:
Article
Natura:
Periodico
Settore Disciplinare:
Science Citation Index Expanded
Citazioni:
23
Recensione:
Indirizzi per estratti:
Citazione:
J.W. Siebert et al., "MICROSURGICAL CORRECTION OF FACIAL ASYMMETRY IN 60 CONSECUTIVE CASES", Plastic and reconstructive surgery, 97(2), 1996, pp. 354-363

Abstract

Restoring soft-tissue contour in patients with facial asymmetry is a difficult problem for plastic surgeons. The report our experience with57 consecutive patients who underwent 60 microvascular free flaps forthe correction of facial asymmetry between July of 1989 and June of 1994. Etiologies of facial asymmetry included hemifacial microsomia, hemifacial atrophy, postradiation sequelae, burns and trauma, and selected congenital anomalies. Thirty-eight patients were reconstructed witha customized parascapular flap incorporating extensions of dorsal thoracic fascia. Other donor sites utilized were as follows: six superficial inferior epigastric flaps, three myocutaneous flaps, seven muscle flaps, and six fasciocutaneous flaps with bone. To correct facial asymmetry, the recipient site was dissected through a limited preauricularincision whenever feasible, and the superficial temporal artery and rein were used as recipient vessels. A monitoring skin paddle was rarely used. There were no nap losses in this series. Six patients experienced a postoperative hematoma, three of which were drained at the bedside. Limited skin slough occurred in three patients. No donor-site complications other than hypertrophic scarring were encountered. Flap revisions were performed in 22 of the 57 patients to maximize aesthetic results. Based on our experience, the feel that the operative approach presented here allows excellent and stable correction of facial asymmetry due to a variety of etiologies. Furthermore, this technique is applicable to other congenital craniofacial deformities such as Treacher-Collins syndrome and orbital-facial clefts.

ASDD Area Sistemi Dipartimentali e Documentali, Università di Bologna, Catalogo delle riviste ed altri periodici
Documento generato il 28/11/20 alle ore 03:38:57