Parascapular Free Flap and Fat Grafts: Combined Surgical Methods in Morphological Restoration of Hemifacial Progressive Atrophy

Vaienti, Luca; Soresina, Massimo; Menozzi, Andrea

doi:10.1097/01.prs.0000177449.12366.48

Cited by 74 publications

(53 citation statements)

References 59 publications

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“…The major disadvantage of groin flap was by macroscopic increase in volume during growth and with weight gain, especially in upper limb reconstructive surgery. 11 Although we did not observe this finding for facial augmentation cases, some patients which were reconstructed with free SCIA/SIEA flaps had flap size alteration depending on body weight change. However, even these changes were acceptable to patients.…”

Section: Discussionmentioning

confidence: 83%

Soft tissue augmentation for restoration of facial contour deformities using the free SCIA/SIEA flap

et al. 2008

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Reconstruction for facial contour deformities is still a challenging process and treatment for most cases is achieved only by soft tissue augmentation. The use of free tissue transfer offers the advantage of one step vascularized soft tissue augmentation. This article summarized the authors' use of de-epithelialized free superficial circumflex iliac artery/superficial inferior epigastric artery flap for facial contour deformities. Of these patients, two had hemifacial microsomia, one depressed scar, and one had hemifacial progressive atrophy. Stable restoration of the facial contour was achieved in all patients. The advantages of this flap are numerous. Two surgical teams may work at the same time for flap harvesting and recipient area preparation. A wide flap may be planned for large contour deformity to achieve one single stage augmentation. Pedicle course of this flap allows primary de-fating without disturbing distal flap circulation when in need of a thin flap for mild contour deformity. Donor site may be closed with bikini (abdominoplasty) incision, which has excellent esthetic outcome compared to other flaps.

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Section: Discussionmentioning

confidence: 83%

Soft tissue augmentation for restoration of facial contour deformities using the free SCIA/SIEA flap

et al. 2008

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“…Various free flaps has been used including omentum, rectus abdominis, groin, radial forearm, deep inferior epigastric perforator, anterolateral thigh, scapular, and parascapular flaps. [1][2][3][4][5][6] Many flaps have a typical characteristics, which may cause problems. The omentum flap, which consists of loose fat tissue, tends to gravitate downwards.…”

Section: Introductionmentioning

confidence: 99%

Free latissimus dorsi perforator flap for reconstruction of hemifacial atrophy: Case report

et al. 2007

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Progressive hemifacial atrophy (PHA) is characterized by slow and progressive atrophy usually of one side of the face. PHA affects primarily the subcutaneous fat and muscle tissues, but may involve the bone. The cause is unknown. The treatment is symptomatic and directed at augmentation of the deficient soft-tissue volume. The reconstructive procedures may combine fat grafts, dermis fat grafts, pedicle flaps, bone grafts, microvascular free flaps, and alloplastic implants. We report a patient with of PHA whose condition was treated with a free latissimus dorsi (LD) perforator flap. The LD perforator flap was suitable for the large defect of the patient. It could easily be tailored and thinned to follow the facial contour. Minor revisions were needed for esthetic reasons. There was neither significant downward gravitation nor wasting of the flap. 23 months later, the natural appearance of the face was maintained.

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“…The emergence of microsurgical procedures has changed the treatment of a number of disorders, offering innovative techniques for facial reconstruction, with good long-term results as well as the improvement of morphologic and functional aspects [26]. However, their use can be restricted to severe type 3 and type 4 disease as it requires special microvascular armamentarium and surgical expertise.…”

Section: Discussionmentioning

confidence: 99%

A New Minimally Invasive Aesthetic Procedure for Correction of Frontal Coup de Sabre Deformity in Romberg’s Syndrome

Agrawal

Desai

Choudhary

et al. 2014

J. Maxillofac. Oral Surg.

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Parascapular Free Flap and Fat Grafts: Combined Surgical Methods in Morphological Restoration of Hemifacial Progressive Atrophy

Cited by 74 publications

References 59 publications

Soft tissue augmentation for restoration of facial contour deformities using the free SCIA/SIEA flap

Soft tissue augmentation for restoration of facial contour deformities using the free SCIA/SIEA flap

Free latissimus dorsi perforator flap for reconstruction of hemifacial atrophy: Case report

A New Minimally Invasive Aesthetic Procedure for Correction of Frontal Coup de Sabre Deformity in Romberg’s Syndrome

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