Kantanen Dennis J, Closmann James J, Rowshan Henry H
Division of Oral & Maxillofacial Surgery, Division of Oral and Maxillofacial Surgery, Tripler Army Medical Center, Honolulu, Hawaii, USA.
Oral Surg Oral Med Oral Pathol Oral Radiol Endod. 2010 Mar;109(3):367-71. doi: 10.1016/j.tripleo.2009.09.037. Epub 2010 Jan 8.
Abdominal fat harvest and augmentation to the maxillofacial region is a relatively inexpensive, safe, and readily available procedure. The use of abdominal fat free transfer has been well documented for cosmetic, trauma, and temporomandibular joint reconstruction. Fat is the closest we have to an ideal filler, it is readily available and inexpensive, it is autologous and therefore lacks a host immune response, it is safe and noncarcinogenic, and it is easily acquired with a minimally invasive procedure. Abdominal fat donor site is the most commonly used owing to ease of access and availability of fat stores. Complications are rare and easily managed in the office. Free abdominal fat harvest is a predictable surgical technique that allows the maxillofacial surgeon access to autologous graft material that is ideal for multiple facial procedures.
腹部脂肪采集并移植至颌面区域是一种相对廉价、安全且易于实施的手术。腹部游离脂肪移植在美容、创伤修复及颞下颌关节重建方面的应用已有充分记载。脂肪是最接近理想填充材料的物质,它易于获取且成本低廉,是自体组织因而不会引发宿主免疫反应,安全且无致癌性,并且通过微创手术即可轻松获取。由于易于操作且脂肪储备丰富,腹部脂肪供区是最常用的。并发症罕见,在门诊即可轻松处理。腹部游离脂肪采集是一种可预测的手术技术,使颌面外科医生能够获得适用于多种面部手术的理想自体移植材料。