Yamani Venkata Ramana, Gurindagunta Swamy Vivek, Raju Rama Linga, Kumar Shree, Valluri Mukesh Krishna, Sharma Mrigya
Department of Plastic Surgery, Contours Plastic and Aesthetic Clinic, Hyderabad, Telangana, India.
Department of Anaesthesia, Consultant, Contours Plastic and Aesthetic Clinic, Hyderabad, Telangana, India.
Indian J Plast Surg. 2024 Nov 4;57(6):461-468. doi: 10.1055/s-0044-1791943. eCollection 2024 Dec.
Contemporary medical science has been using fat grafting in aesthetic and reconstructive procedures, consistently achieving successful outcomes. Hansen's disease, caused by , leads to hand deformities due to peripheral neuropathy, resulting in soft-tissue atrophy, volume loss, and compromised hand function. Tendon transfer surgery is a common remedy for functionality, but it often does not address aesthetic concerns and the patient's psychological impact of living with an atrophic hand. Autologous fat grafting can effectively address these concerns. This prospective study evaluates the efficacy of fat grafting for hand rejuvenation in patients with Hansen's disease posttendon transfer surgery, focusing on aesthetic and psychological outcomes. We recorded data from 12 patients who underwent the procedure between 2015 and 2024. Using the Coleman technique, fat was harvested from the paraumbilical region of the abdomen and injected into various hand regions. Autologous fat grafting showed high patient satisfaction with significant improvements in hand contour, skin texture, and psychological health. The benefits of the procedure included improved self-esteem, enhanced quality of life, reduced social stigma, and psychological well-being. Autologous fat grafting is a safe and effective technique for hand rejuvenation in patients with Hansen's disease, after functional treatment addressing both physical deformities and their psychological impacts. It could be considered one of the components in the comprehensive management of Hansen's disease-related hand deformities, significantly enhancing patients' overall quality of life.
当代医学科学一直在美学和重建手术中使用脂肪移植，并始终取得成功的结果。由……引起的麻风病，由于周围神经病变导致手部畸形，进而导致软组织萎缩、体积丧失和手部功能受损。肌腱转移手术是恢复功能的常用方法，但它往往无法解决美学问题以及患者因手部萎缩而产生的心理影响。自体脂肪移植可以有效解决这些问题。 这项前瞻性研究评估了脂肪移植对麻风病患者肌腱转移手术后手部年轻化的疗效，重点关注美学和心理结果。我们记录了2015年至2024年间接受该手术的12名患者的数据。采用科尔曼技术，从腹部脐旁区域采集脂肪并注入手部各个区域。 自体脂肪移植显示出患者的高度满意度，手部轮廓、皮肤质地和心理健康有显著改善。该手术的益处包括自尊心增强、生活质量提高、社会耻辱感减轻和心理健康状况改善。 自体脂肪移植是一种安全有效的技术，用于在针对身体畸形及其心理影响进行功能治疗后，使麻风病患者的手部年轻化。它可被视为麻风病相关手部畸形综合管理的组成部分之一，显著提高患者的整体生活质量。
