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Titolo:
MICROVASCULAR FREE-FLAP CORRECTION OF SEVERE HEMIFACIAL ATROPHY
Autore:
LONGAKER MT; SIEBERT JW;
Indirizzi:
NYU,MED CTR,INST RECONSTRUCT PLAST SURG,560 1ST AVE NEW YORK NY 10016 NYU,MED CTR,INST RECONSTRUCT PLAST SURG NEW YORK NY 10016
Titolo Testata:
Plastic and reconstructive surgery
fascicolo: 4, volume: 96, anno: 1995,
pagine: 800 - 809
SICI:
0032-1052(1995)96:4<800:MFCOSH>2.0.ZU;2-5
Fonte:
ISI
Lingua:
ENG
Soggetto:
FACIAL CONTOUR RESTORATION; FREE SCAPULAR FLAP; PARASCAPULAR FLAP; RECONSTRUCTION; INJECTIONS; EXTREMITY;
Tipo documento:
Article
Natura:
Periodico
Settore Disciplinare:
Science Citation Index Expanded
Citazioni:
26
Recensione:
Indirizzi per estratti:
Citazione:
M.T. Longaker e J.W. Siebert, "MICROVASCULAR FREE-FLAP CORRECTION OF SEVERE HEMIFACIAL ATROPHY", Plastic and reconstructive surgery, 96(4), 1995, pp. 800-809

Abstract

Romberg's disease is a progressive hemifacial atrophy of unknown etiology. Microsurgical reconstruction, focusing on the correction of facial asymmetry and restoration of contour, has become the ''gold standard. '' We report our experience with 15 patients involving 16 free-tissue transfers with a minimum of 1 year of follow-up who were treated from July of 1989 to January of 1993. All patients were classified as having severe atrophy. There were 7 males and 8 females in the series. Distribution of disease was a coup de sabre type or segmental pattern in6 patients, whereas 9 patients had a hemifacial distribution. Fourteen patients had unilateral disease (7 right and 7 left), and 1 patient had bilateral atrophy. The average age of onset of disease was 11.9 years. The average duration of atrophy was 6.7 years. No patient was operated on with a quiescent interval of less than 2 years. Average age at operation was 28.7 years, with a range from 6 to 46 years. Follow-upranged from 1 to 4.5 years. Two patients had facial hematomas as the only complication. No flaps were lost. Flap revisions consisting of minor contour corrections were performed in 10 patients. Limited recurrence of facial atrophy was seen in a single patient 2 years postoperatively. All patients rated their improvement as excellent. The deepithelialized extended parascapular flap with large fascial extensions of dorsal thoracic fascia is our procedure of choice. This fascia can be folded into variable thicknesses to correct subtle contour defects of the upper lip, medial canthus, eyelids, and ear that have reportedly been difficult to reconstruct. These extensions can be placed easily across the midline to interdigitate with normal tissues at the boundary ofthe facial deformity. As such, the transition from augmented areas ofthe face to uninvolved areas is natural in contour.

ASDD Area Sistemi Dipartimentali e Documentali, Università di Bologna, Catalogo delle riviste ed altri periodici
Documento generato il 25/11/20 alle ore 04:40:16