Skeleton and soft tissue contour reconstruction for severe progressive hemifacial atrophy.
- Author:
Xiao-jun TANG
1
;
Zhi-yong ZHANG
;
Lei SHI
;
Lin YIN
;
Hong-yu YIN
;
Ren-kai YANG
;
Shu-jie RUAN
Author Information
- Publication Type:Journal Article
- MeSH: Adipose Tissue; transplantation; Facial Asymmetry; surgery; Facial Hemiatrophy; surgery; Humans; Mandible; surgery; Orthognathic Surgical Procedures; Osteogenesis, Distraction; methods; Osteotomy, Le Fort; methods; Reconstructive Surgical Procedures; methods; Skin Transplantation; methods; Surgical Flaps; transplantation
- From: Chinese Journal of Plastic Surgery 2012;28(6):411-415
- CountryChina
- Language:Chinese
-
Abstract:
OBJECTIVETo sum up the various procedures for skeleton and soft tissue contour reconstruction in severe progressive hemifacial atrophy.
METHODSFrom Jan 2004 to May 2012, 25 patients with severe progressive hemifacial atrophy underwent the procedures of lipoinjection, microsurgical flap transplantation, dermis grafting, distraction osteogenesis, orthognathic surgery and so on for both skeleton and soft tissue reconstruction.
RESULTSAmong them, zygomatic augmentation and lipoinjection were performed in 24 cases, anterolateral thigh adipofascial flap in 10 cases and latissimus dorsi flap in one case, orthognathic surgery in 17 cases, including Le Fort I osetoectomy in 3 cases, genioplasty in 4 cases, mandibular distraction osteogenesis combined with secondary Le Fort I osteotomy in 3 cases, genioplasty combined with mandibular augmentation with Medpor implant in 7 cases. The patients were followed up for 6 months to 5 years. Through skelton and soft tissue reconstruction, the oblique occlusion plane and malocclusion were corrected with great improvement in face asymmetry.
CONCLUSIONSFor severe progreassive hemifacial atrophy, comprehensive procedures should be adopted for both skelton and soft tissue reconstruction to achieve good results.
