Williams H B, Crepeau R J
Ann Plast Surg. 1979 Jul;3(1):1-12.
Patients with extensive facial asymmetry continue to be a challenge in reconstructive surgery. Surgical techniques using microvascular anastomoses and free flap transfers can now be applied in the management of patients with such conditions as Romberg disease, postirradiation hypoplasia of the face, and Goldenhar syndrome, and in patients with bronchial arch developmental defects. Four patients are presented in this paper to demonstrate the use of free dermal fat in reconstruction of facial asymmetry. One patient with a moderate facial defect was treated with a free dermal fat graft, and the other 3, who had more extensive defects, were treated with deepithelialized free dermal fat flaps using direct microvascular anastomoses between the donor and recipient vessels. The groin was the donor area in each case. Results appear to indicate that free dermal fat flaps are useful in reconstructive procedures for patients with extensive facial defects.
面部严重不对称的患者在重建手术中仍然是一项挑战。使用微血管吻合和游离皮瓣移植的外科技术现在可应用于诸如Romberg病、面部放疗后发育不全以及Goldenhar综合征等疾病患者的治疗，也可用于支气管弓发育缺陷的患者。本文介绍了4例患者，以展示游离真皮脂肪在面部不对称重建中的应用。1例面部中度缺损患者接受了游离真皮脂肪移植治疗，另外3例缺损更广泛的患者则接受了去上皮游离真皮脂肪瓣治疗，供体和受体血管之间采用直接微血管吻合。每例患者的供区均为腹股沟区。结果似乎表明，游离真皮脂肪瓣对面部广泛缺损患者的重建手术有用。
