Laurent F, Capon-Dégardin N, Martinot-Duquennoy V, Dhellèmmes P, Pellerin P
Service de Chirurgie Plastique, Centre des Brûlés, Hôpital Roger-Salengro, CHU de Lille, boulevard du Professeur-Jules-Leclercq, 59037 Lille cedex, France.
Ann Chir Plast Esthet. 2006 Dec;51(6):512-6. doi: 10.1016/j.anplas.2006.02.008. Epub 2006 Apr 21.
This study presents an innovative technique of correction of cranioplasty sequelae by lipo-filling in 9 patients treated for cranioplasty in childhood with a long-term follow-up.
A prospective study was conducted from January 2001 to February 2005, including all patients treated with lipo-filling technique in the Plastic Surgery department of Lille. For a period of 4 years and 5 months, 144 patients were operated on with 206 lipo-filling procedures: 30 patients for cosmetic purposes and 114 patients for reconstructive surgery. In the current investigation, we examined the 9 cases of lipo-filling which were performed in complement to craniofacial surgery. All patients presented with a sub-cutaneous fronto-temporal deformation which in 3 of the cases was associated to a frontal medial defect. The assessment of results was performed in the context of post-operative follow-up visits by an observer.
Nine patients, with a mean age of 16,7 years and a ratio of 1 female for 2 males underwent a total of 17 lipo-filling procedures. The mean time lapse was 15,06 months. 9 patients judged the result to be good. No complication was observed.
The S.R. Coleman technique of fat grafting seems to offer several advantages, namely the simplicity of the procedure itself, its apparent innocuity, its reproducibility, as well as patients and surgeons satisfaction. It appears to be an alternative of choice in the corrective surgery of craniosynostosis.
本研究介绍了一种创新技术，即通过脂肪填充来矫正颅骨修补后遗症，该研究对9例童年期接受颅骨修补术的患者进行了长期随访。
2001年1月至2005年2月进行了一项前瞻性研究，纳入了里尔整形外科学部所有接受脂肪填充技术治疗的患者。在4年零5个月的时间里，144例患者接受了206次脂肪填充手术：30例用于美容目的，114例用于重建手术。在本研究中，我们检查了作为颅面外科补充手术进行的9例脂肪填充病例。所有患者均出现皮下额颞部变形，其中3例伴有额部内侧缺损。结果评估由一名观察者在术后随访时进行。
9例患者，平均年龄16.7岁，男女比例为1:2，共接受了17次脂肪填充手术。平均时间间隔为15.06个月。9例患者认为结果良好。未观察到并发症。
S.R. 科尔曼脂肪移植技术似乎具有几个优点，即手术本身简单、明显无害、可重复性强，以及患者和外科医生满意度高。它似乎是颅缝早闭矫正手术中的一种首选替代方法。
