Therapeutic efficacy of the buccal masses after temporal autologous fat grafting
10.3760/cma.j.issn.1671-0290.2022.01.013
- VernacularTitle:颞部自体脂肪移植术后颊部肿物的治疗效果
- Author:
Fangwei LI
1
;
Shengkang LUO
;
Zhongsheng SUN
Author Information
1. 广东省第二人民医院整形科，广州 510317
- Keywords:
Cheek;
Transplantation, autologous;
Temporal;
Autologous fat grafting;
Treatment
- From:
Chinese Journal of Medical Aesthetics and Cosmetology
2022;28(1):49-51
- CountryChina
- Language:Chinese
-
Abstract:
Objective:To investigate the causes of buccal masses after temporal autologous fat grafting, and to summarize the therapeutic methods to avoid medical disputes.Methods:Ten female patients (25-40 years; mean age, 33.1±7.5 years) with buccal mass complication after temporal autologous fat grafting were retrospectively analyzed, and statistics was done on their fat injection history, postoperative buccal mass symptom onset time, intraoperative mass conditions, postoperative pathological and fluid bacterial culture results, and postoperative recovery.Results:The unilateral temporal fat injection volume was 15-30 ml, and the buccal masses occurred 1-6 months after temporal autologous fat grafting. Lipoid masses were found in the buccal space during the operation, and some of them contained liquid. The postoperative pathological results indicated local necrosis in fibrotic adipose tissues. All the fluid bacteria cultures were negative, only one showed positive culture of acid-fast bacilli. 6-12 months postoperative follow-up visit was performed, and 9 patients recovered and 1 patient recovered after re-operation.Conclusions:The overfilled fat and liquefied necrotic fat after temporal fat grafting may move down to buccal space to form buccal masses, which should be treated by operation early to achieve a good prognosis.
