Drommer R B, Mende U
Centre of Plastic Reconstructive and Aesthetic Facial Surgery, ATOS Hospital Heidelberg, Germany.
J Craniomaxillofac Surg. 1995 Aug;23(4):228-32. doi: 10.1016/s1010-5182(05)80212-4.
Several operative procedures have been described for correction of soft tissue defects in the face. Free fat transplantation has been criticised many times. In a twelve-year period, we have carried out 19 free fat transfers from the gluteal fold, of a size ranging from the palm of a child's hand to the size of an adult hand. Follow-up has been possible in 12 patients with 14 such transfers. Initially, grafts tended to be too large and subsequent fat reduction was required. It is apparent that the tendency to resorption of non-vascularised fat can only be estimated to a limited extent. Ultrasound examination in the course of long-term follow-up showed structural changes within the grafts but none was particularly striking. The fat has a good consistency on palpation particularly for the cheeks and remains in situ after healing. This technique still has a role in suitable cases.
已经描述了几种用于矫正面部软组织缺损的手术方法。游离脂肪移植多次受到批评。在十二年的时间里，我们进行了19次从臀褶处的游离脂肪转移，其大小从儿童手掌大小到成人手掌大小不等。12例患者进行了14次此类转移，均得以随访。最初，移植的脂肪往往过大，随后需要进行脂肪减量。显然，对于未血管化脂肪的吸收倾向只能在有限程度上进行估计。长期随访过程中的超声检查显示移植脂肪内部有结构变化，但均无特别明显的变化。触摸时脂肪质地良好，尤其是脸颊部位，愈合后仍留在原位。该技术在合适的病例中仍有一定作用。
