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[联合脂肪填充方法治疗面部半侧萎缩患者的可行性]

[The feasibility of combined lipofilling methods in the treatment of patients with facial hemiatrophy].

作者信息

Chkadua T Z, Visaitova Z Yu, Strukova O O, Krechina E K, Hodyachij A E, Belkov P A

机构信息

Central Research Institute of Dentistry and Maxillofacial Surgery, Moscow, Russia.

出版信息

Stomatologiia (Mosk). 2019;98(3):35-41. doi: 10.17116/stomat20199803135.

DOI:10.17116/stomat20199803135
PMID:31322592
Abstract

The basis of Central Research Institute of Dentistry and Maxillofacial Surgery in the period from 2015 to 2018 years there were 30 patients with primary hemiatrophy (group 1) and patients with hemiatrophy after reconstructive operations (group 2) who were examined and treated. The elimination of deformation of soft tissues was performed by combination of micro-, nano- and classical lipofilling in two sessions with an interval of 6 months. To determine the deficit of tissue volume on the affected side before and at the treatment stages, a computer tomography was performed with the construction of the mathematical surface of the face. A study of the nature of the changes in the underlying structures in each group was carried out using ultrasound scanning and LDF studies. The use of non-invasive research methods allows us to track the dynamics of skin transformation. Based on the results of the treatment in 2 groups, a combination of micro-, nano- and classical lipofilling did not only increase the volume and eliminate deformation soft tissue, but also transform the quality of the skin. Thus, the combination of various lipofilling methods allowed to achieve a more stable result and increase the efficiency of treatment.

摘要

2015年至2018年期间,牙科学与颌面外科学中央研究所对30例原发性半侧萎缩患者(第1组)和重建手术后半侧萎缩患者(第2组)进行了检查和治疗。通过在两个阶段联合进行微脂肪填充、纳米脂肪填充和经典脂肪填充(间隔6个月)来消除软组织变形。为了确定治疗前和治疗阶段患侧的组织体积缺损,进行了计算机断层扫描并构建了面部数学曲面。使用超声扫描和激光多普勒血流仪研究对每组基础结构的变化性质进行了研究。使用非侵入性研究方法使我们能够追踪皮肤变化的动态过程。基于两组的治疗结果,微脂肪填充、纳米脂肪填充和经典脂肪填充的联合应用不仅增加了体积并消除了软组织变形,还改善了皮肤质量。因此,各种脂肪填充方法的联合应用能够取得更稳定的效果并提高治疗效率。

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