Use of Various Free Flaps in Progressive Hemifacial Atrophy

Baek, Rong Min; Heo, Chan Yeong; Kim, Baek Kyu

doi:10.1097/scs.0b013e318232784a

Cited by 19 publications

(11 citation statements)

References 29 publications

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“…Further insight into the pathogenesis of progressive hemifacial atrophy, standardization of patient classification, and objective outcome reporting strategies will serve to better inform clinical decision-making and guide optimal management. [50][51][52][53][54][55][56][57][58][59][60][61][62][63][64][65]…”

Section: Discussionmentioning

confidence: 99%

“Soft Tissue Reconstruction in Progressive Hemifacial Atrophy: Current Evidence and Future Directions”

Abi‐Rafeh¹,

Jaberi²,

Cattelan³

et al. 2022

Plastic &Amp; Reconstructive Surgery

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rogressive hemifacial atrophy, or Parry-Romberg syndrome, is a rare disorder characterized by gradual, unilateral atrophy of soft tissue in the face within regions innervated by branches of the trigeminal nerve. 1 One widely used classification system, attributed to Iñigo et al., 2 denotes the disease as mild if atrophy is limited to one trigeminal nerve branch, or moderate if it involves two branches. Severe cases are either those involving all three trigeminal nerve branches, or if there exists any bony involvement. 2,3 Degeneration may persist over the course of 2 to 20 years, until spontaneous quiescence, with an earlier age of onset associated with more severe bony involvement and poorer outcomes, especially in pediatric patients. [4][5][6][7] Although treatment with agents such as steroids, methotrexate, antimalarials, and retinoids may be initiated early on during the disease process in an attempt to curb progression, 8 softtissue reconstruction is often necessary for restoration of form and function. 4,9 Although there exists a

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Section: Discussionmentioning

confidence: 99%

“Soft Tissue Reconstruction in Progressive Hemifacial Atrophy: Current Evidence and Future Directions”

Abi‐Rafeh¹,

Jaberi²,

Cattelan³

et al. 2022

Plastic &Amp; Reconstructive Surgery

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show abstract

“…Parry‐Romberg syndrome is typically a superficial condition however, muscle or bony involvement with eye and trigeminal nerve complications have been reported . Surgical reconstruction is often required to help skeleton and ocular growth once the symptoms are stable . Fat transfer, dermal grafts, and medpore /silicone implants can be used with free flaps, canthoplasty, or rhinoplasty in more complicated cases.…”

Section: Discussionmentioning

confidence: 99%

“…The treatment depends on the severity of the symptoms; for mild cases, fat/dermal grafts or fillers including hyaluronic acid and calcium hydroxyapatite may be used . For more severe cases, intervention is delayed until symptoms are stable . Several invasive procedures have been proposed such as, free flap transfer, canthopexy, septo‐rhinoplasty, or implantation of alloplastic materials.…”

Section: Introductionmentioning

confidence: 99%

Parry‐Romberg syndrome treatment with fat transfer and a new bleaching formula

Liapakis¹,

Tzouganakis

Paschalis

et al. 2019

J of Cosmetic Dermatology

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“…Various methods for correcting facial depressed deformities have been described in the literature (6,9). Silicone and Gore-Tex are the most widely used implant materials for skeletal augmentation.…”

Section: Discussionmentioning

confidence: 99%

The use of expanded polytetrafluoroethylene in depressed deformities of the face

Liu

Zhang

Wang

et al. 2016

Experimental and Therapeutic Medicine

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Expanded polytetrafluoroethylene (ePTFE) has been extensively used for facial soft tissue augmentation procedures, and is regarded as safe and reliable and suitable as a permanent implant. This implant is generally used in the lower third of the face for lips filling, nasal augmentation, nasolabial folds and chin augmentation, and rarely for congenital or acquired depressed deformities of the face. The aim of the present study was to assess the effects of ePTFE in congenital or acquired depressed deformities of the face. From September, 2008 to January, 2014, 26 patients were implanted with the material ePTFE to correct depressed deformities of the face. The average age at operation was 23.2 years, with a range of 17–45 years. The depressed deformities were lateralized. The follow-up period was 6–18 months (average 9 months). The etiologies of the depressed deformities included stable hemifacial atrophy (3 cases), craniofacial microsomia (13 cases), bony depression after trauma (8 cases), and other unclear reasons (2 cases). The operations were performed under local anesthesia. ePTFE was inserted in different tissue planes that varied among the different subanatomical areas in the face: beneath the superficial temporal fascia in the temporal area, and on the surface of the superficial musculoaponeurotic system in the zygomatic area, cheek and mandibular area. All of the patients were followed up. Most of the patients [25 of 26 patients (96.2%)] were satisfied with the results, while 1 patient (3.8%) was not satisfied for incomplete correction of the depressed deformity. In conclusion, aside from lipofilling and a free flap transfer, the results showed that ePTFE was an alternative treatment for facial depressed deformity.

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Use of Various Free Flaps in Progressive Hemifacial Atrophy

Abstract: We believe that a free flap transfer is the requisite treatment modality for severe degree of facial asymmetry in Romberg disease.

Cited by 19 publications

References 29 publications

“Soft Tissue Reconstruction in Progressive Hemifacial Atrophy: Current Evidence and Future Directions”

“Soft Tissue Reconstruction in Progressive Hemifacial Atrophy: Current Evidence and Future Directions”

Parry‐Romberg syndrome treatment with fat transfer and a new bleaching formula

The use of expanded polytetrafluoroethylene in depressed deformities of the face

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