Boschetti Ciro Emiliano, Vitagliano Rita, Cornacchini Nicola, Santagata Mario, Caliendo Valentina, Belfiore Maria Paola, Colella Giuseppe, Tartaro Gianpaolo, Cappabianca Salvatore
Oral and Maxillofacial Surgery Unit, Multidisciplinary Department of Medical-Surgical and Dental Specialties, University of Campania "Luigi Vanvitelli", 80131 Naples, Italy.
Department of Precision Medicine, University of Campania Luigi Vanvitelli, Piazza Luigi Miraglia, 80138 Naples, Italy.
J Pers Med. 2023 Jul 28;13(8):1200. doi: 10.3390/jpm13081200.
(1) Background: In surgical procedures for maxillofacial tumours, it is challenging to preserve functional and cosmetic properties in the affected patients. The use of fat grafting is considered as a valuable alternative to overcome postoperative aesthetic asymmetry problems. (2) Methods: In this study, we enrolled thirty patients with parotid gland tumours in which a partial or complete parotidectomy was performed with positioning in the parotid bed of autologous dermis-fat grafts. We evaluated the satisfaction rate of the patients and the objective efficacy in solving the deformity by comparing MRI data before and after surgery. (3) Results: Twenty-six patients showed a satisfying cosmetic result with proper facial symmetry between the affected side and the healthy one. Two patients presented mild postsurgical complications such as haematomas, and two patients reported temporary weakness of the facial nerve related to the parotidectomy. (4) Conclusions: Based on the imaging data obtained via MRI before and after surgery, we can assess that the employment of fat grafts in parotidectomy surgical procedures gives good cosmetic results and does not affect the post operative management and follow up of oncologic patients.
(1) 背景：在颌面肿瘤的外科手术中，保留患者的功能和美观特性具有挑战性。脂肪移植被认为是克服术后美学不对称问题的一种有价值的替代方法。(2) 方法：在本研究中，我们纳入了30例腮腺肿瘤患者，对其进行了部分或全腮腺切除术，并将自体真皮脂肪移植物置于腮腺床。通过比较手术前后的MRI数据，我们评估了患者的满意率以及解决畸形问题的客观疗效。(3) 结果：26例患者获得了满意的美容效果，患侧与健侧面部对称良好。2例患者出现了轻微的术后并发症，如血肿，2例患者报告了与腮腺切除术相关的面神经暂时麻痹。(4) 结论：基于手术前后通过MRI获得的影像数据，我们可以评估在腮腺切除手术中使用脂肪移植物能取得良好的美容效果，并且不影响肿瘤患者的术后管理和随访。
