Treatment options in hemifacial atrophy

Jackson, Ian T.; Grothaus, Peter C.; Ryan, Jackie; Fisher, Jack C.

doi:10.1007/bf00294793

Cited by 9 publications

(8 citation statements)

References 20 publications

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“…Polymethylmethacrylate, used in 2 cases, has produced unsatisfactory results difficult to correct at a later date. It was reported (Jackson et al, 1986) that bone grafts are the best material for hard tissue augmentation; because of poor blood supply to these tissues that interfere with any type of autograft, we are not totally in agreement with this author. Other options are the advancement osteotomy and osteogaleal temporal flap (Cutting et al, 1984;van der Meulen et al, 1984;Maillard, 1988).…”

Section: Discussioncontrasting

confidence: 52%

“…As in 1 of our cases infection is a severe complication necessitating removal of the implant. Fluid silicone injection, actually suspended by FDA, requires long-term investigation before continuing with clinical use (Pearl et al, 1978;Kumagai et al, 1979;Jackson et al, 1986). Polymethylmethacrylate, used in 2 cases, has produced unsatisfactory results difficult to correct at a later date.…”

Section: Discussionmentioning

confidence: 99%

“…However, because of this reduced survival, the fat graft was neglected and the method replaced, by the use of silicone and other alloplastic materials, promoted as modern inert implants for recontouring (Kiskadden and McGregor, 1946;Ashley et al, 1965;Pearl et al, 1978;Franz et al, 1988;Nerobyeyev et al, 1990). Nevertheless surgeons continued to use fatty tissue, including it in dermal fat grafts (Kazanjian and Sturgis, 1940;Peer, 1956;Peskova and Stockar, 1961 ;Sokolova, 1972;Hurwitz and Sarel, 1982;Jackson et al, 1986). Ellenbogen (1986) used free pearl fat autografts with a diameter of 4-6 mm.…”

Section: Introductionmentioning

confidence: 99%

“…Rogers (1964) considered the pedicled flap to be the best choice (Neumann, 1953;Peskova and Stockar, 1961;Converse and Betson, 1971 ;Pitanguy et al, 1971;Sharpe, 1971). Free omentum (Upton et al, 1980;Jurkiewicz and Nahai, 1985), groin (Harashina et al, 1977;Wells and Edgerton, 1977;Anderl, 1979;Dunkley and Stevenson, 1990;Smith and Manktelow, 1990), rectus abdominis (Jackson et al, 1986), parascapular (Nassifet al, 1982, radial forearm, and latissimus dorsi (Horl et al, 1991) flaps have all been used in the last decade. Furthermore bone temporalis flaps ha.ve been reported to fill hard tissue defects of the face (Cutting et al, 1984;van der Meulen et al, 1984;Fukuta et al, 1991).…”

Section: Introductionmentioning

confidence: 99%

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Clinical evaluation of techniques used in the surgical treatment of progressive hemifacial atrophy

Roddi

Riggio

Gilbert

et al. 1994

Journal of Cranio-Maxillofacial Surgery

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SUMMAR Y. We critically review 13 patients with progressive hemifacial atrophy treated with three basic surgical procedures (free flap transplantation, alloplastic implants, micro-fat injections 'lipofilling') and further ancillary techniques. In spite of the satisfactory results achieved with the procedures, with the exception of alloplasts, we feel that llpofilling may be considered an interesting solution for soft tissue augmentation of the face especially for moderate adipose defects, due to its repeatability, no donor site morbidity, no complications at the recipient site such as lesions resulting from dissection, bleeding, necrosis, etc. This technique can he performed in a day-hospital with short surgery time, at low cost and without a highly skilled team. For severe grades of adipose atrophy, because of the low blood supply to these tissues which interferes with take of any type of autograft, we think that free flaps actually represent one of the best solutions for soft tissue augmentation.

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Section: Discussioncontrasting

confidence: 52%

Section: Discussionmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

See 2 more Smart Citations

Clinical evaluation of techniques used in the surgical treatment of progressive hemifacial atrophy

Roddi

Riggio

Gilbert

et al. 1994

Journal of Cranio-Maxillofacial Surgery

View full text Add to dashboard Cite

show abstract

“…Edgerton [2] felt that liquid silicone could be used in selected cases. Jackson et al [7] described the use of silicone for fine contouring, although they mainly used vascularized free tissue transfer. The use of autologous liposuctioned fat has been suitable for the correction of small and medium sized defects, coup de sabre deformity and fine contouring following microvascular free tissue transfer.…”

Section: Discussionmentioning

confidence: 99%