Department of Dental Sciences and Surgery, University of Bari, Bari, Italy.
Head Face Med. 2012 Dec 5;8:33. doi: 10.1186/1746-160X-8-33.
Grafting of autologous adipose tissue can be recommended in some cases of facial plastic surgery. Rhabdomyosarcoma is a type of cancer that can also affect the orbit. Enucleation of the eye can cause atrophy of the corresponding hemiface and decreased orbital growth.
We report a case of a female patient with a medical history of surgical enucleation of the right eyeball, who had received rhabdomyosarcoma radiation therapy in her youth. The patient presented with a depression in the right zygomatic region. We took a dermal-fat flap from the abdominal region, which had been previously treated.
The surgical outcome, 48 hours, and much clearly 31 days after the surgery, revealed that the right zygomatic region had returned to its proper anatomical shape, although there were still signs of postoperative edema.
Very damaged tissues, like those exposed to radiation therapy, are generally not suitable for grafting of adipose tissue.
In the described case, we achieved a technically and aesthetically satisfying result despite the patient's medical history involving several perplexities about the use of autologous dermal-fat tissues, because of prior radiation therapy exposure. The clinical case shows that even a region exposed to radiation therapy can be a valid receiving bed for dermal-fat grafting.
在某些情况下，自体脂肪组织移植可用于面部整形手术。横纹肌肉瘤是一种可影响眼眶的癌症。眼球摘除会导致相应半侧面部萎缩和眶内生长减少。
我们报告了一例女性患者，该患者有右眼眼球摘除的手术史，年轻时曾接受过横纹肌肉瘤放射治疗。该患者的右侧颧骨区域出现凹陷。我们从之前治疗过的腹部区域取了一块真皮脂肪瓣。
术后 48 小时和 31 天后的手术结果显示，右侧颧骨区域已恢复到适当的解剖形状，尽管仍有术后水肿的迹象。
非常受损的组织，如接受放射治疗的组织，通常不适合脂肪移植。
在描述的病例中，尽管患者的病史涉及到先前的放射治疗暴露，对使用自体真皮脂肪组织存在一些困惑，但我们仍获得了技术和美学上都令人满意的结果。该临床病例表明，即使是接受过放射治疗的区域，也可以成为真皮脂肪移植的有效接受床。
