Hurwitz P J, Sarel R
Ann Plast Surg. 1982 Mar;8(3):253-7. doi: 10.1097/00000637-198203000-00018.
Lipodystrophy is a rare disease characterized by progressive disappearance of the subcutaneous fat of the upper part of the body. Accompanying abnormalities of carbohydrate and lipid metabolism, diabetes, nephritis, and low levels of complement are frequent. The most striking clinical features are the extremely hollow cheeks, making the normal facial skeleton rather prominent. Very little has been reported on facial reconstruction in such patients. A 16-year-old girl is presented who was successfully reconstructed after the atrophic process arrested spontaneously. Bilateral dermal fat grafts from the buttocks were used in a one-stage procedure. Nine months later, when no more resorption of fat occurred, some trimming of the grafts was necessary. A good result was achieved.
脂肪营养不良是一种罕见疾病，其特征为身体上部皮下脂肪进行性消失。常伴有碳水化合物和脂质代谢异常、糖尿病、肾炎以及补体水平降低。最显著的临床特征是脸颊极度凹陷，使正常的面部骨骼显得颇为突出。关于此类患者面部重建的报道极少。本文介绍了一名16岁女孩，其萎缩过程自发停止后成功接受了重建手术。采用一期手术，使用来自臀部的双侧真皮脂肪移植。九个月后，当脂肪不再吸收时，需要对移植组织进行一些修整。取得了良好效果。
