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游离带血管蒂腹股沟脂肪瓣治疗面部发育不全和半侧萎缩(三年观察)

Free vascularized groin fat flap in hypoplasia and hemiatrophy of the face (a three years observation).

作者信息

Anderl H

出版信息

J Maxillofac Surg. 1979 Nov;7(4):327-32. doi: 10.1016/s0301-0503(79)80059-4.

DOI:10.1016/s0301-0503(79)80059-4
PMID:292748
Abstract

Two female patients with facial malformation are presented: one with microsomia (17 years old) and the other (35 years old) with a very severe form of Rhomberg-Parry facial hemiatrophy. The defect in one side of the face was augmented in both cases by means of a free inguinal fat flap connected to the local vascular system with microvascular anastomoses. After a follow up of three years (first patient) and 18 months (second patient) no sign of resorption could be observed and the fat shows a normal histological structure. The arterial flow is proved with the Doppler flowmeter and in one patient with arteriography. The operative technique is described, the advantages and disadvantages in contrast to other procedures are discussed.

摘要

本文介绍了两名面部畸形的女性患者

一名患有小颌畸形(17岁),另一名(35岁)患有非常严重的罗姆伯格-帕里面部半侧萎缩症。在这两个病例中,面部一侧的缺损均通过游离腹股沟脂肪瓣进行修复,该脂肪瓣通过微血管吻合与局部血管系统相连。经过三年(首例患者)和18个月(第二例患者)的随访,未观察到脂肪吸收的迹象,且脂肪显示出正常的组织结构。用多普勒流量计证实了动脉血流情况,并对一名患者进行了动脉造影。描述了手术技术,并讨论了与其他手术方法相比的优缺点。

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Free vascularized groin fat flap in hypoplasia and hemiatrophy of the face (a three years observation).游离带血管蒂腹股沟脂肪瓣治疗面部发育不全和半侧萎缩(三年观察)
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引用本文的文献

1
Facial contouring with parascapular free flap: A case series of 22 cases.肩胛旁游离皮瓣面部轮廓整形:22例病例系列
Indian J Plast Surg. 2013 Sep;46(3):561-7. doi: 10.4103/0970-0358.122020.
2
Craniofacial microsomia.颅面骨发育不全。
Semin Plast Surg. 2012 May;26(2):91-104. doi: 10.1055/s-0032-1320067.
3
The contribution of microsurgical reconstruction to craniofacial surgery.显微外科重建在颅面外科手术中的作用。
World J Surg. 1989 Jul-Aug;13(4):454-64. doi: 10.1007/BF01660757.