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游离背阔肌肌瓣联合自体脂肪填充序列治疗修复半侧颜面萎缩

唐泓波 陈雪 周芳 冯幼平

中国美容医学2012,Vol.21Issue(5):705-707,3.
中国美容医学2012,Vol.21Issue(5):705-707,3.

游离背阔肌肌瓣联合自体脂肪填充序列治疗修复半侧颜面萎缩

Reconstruction of hemifacial atrophy using free latissimus dorsi muscular flap and injected autologous fat transplantation

唐泓波 1陈雪 1周芳 1冯幼平1

作者信息

  • 1. 华中科技大学同济医学院附属同济医院整形外科 湖北 武汉 430030
  • 折叠

摘要

Abstract

Objective To investigate the effect of free latissimus domi muscular flap and injected autologous fat transplantation in reconstruction of hemifacial atrophy. Methods 9 patients with hemifacial atrophy were treated with free latissimus domi muscular flap at first stage. Then injected autologous fat transplantation was applied in the second stage after 6 to 12 months, Once to three times atuologous fat filling was applied according to the operation effect, and the clinic effects were observed. Results 9 flaps survived completely. Mild ptosis of muscular flap was observed after 6 to 12 months. Local depression was visible either. Facial appearance was improved obviously after one to three times of autologous fat transplantation. No obvious dysfunction was showed in donor site. Conclusion Combined application of free latissimus domi muscular flap and injected autologous fat transplantation is the best option for moderate and severe hemifacial atrophy. Comprehensive therapy combined with characteristics of the different operations can improve the treatment efficacy on moderate and severe hemifacial atrophy.

关键词

背阔肌肌瓣/自体脂肪/半侧颜面萎缩

Key words

latissimus muscular flap/autologous fat/hemifacial atrophy

分类

医药卫生

引用本文复制引用

唐泓波,陈雪,周芳,冯幼平..游离背阔肌肌瓣联合自体脂肪填充序列治疗修复半侧颜面萎缩[J].中国美容医学,2012,21(5):705-707,3.

中国美容医学

1008-6455

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