Endo T, Nakayama Y, Matsuura E, Natsui H, Soeda S
Department of Plastic and Reconstructive Surgery, University of Tsukuba, Ibaraki, Japan.
Ann Plast Surg. 1994 Jan;32(1):93-6. doi: 10.1097/00000637-199401000-00014.
Facial lipodystrophy is a relatively rare disease and very little has been reported concerning the reconstruction of this facial deformity compared with Romberg's disease. In this article we report a new surgical procedure using a double paddle radial forearm dermis--fat free flap. By using this unique flap, we could reconstruct soft tissue defects on both cheeks in a one-stage operation using one flap. In the previous conventional procedure, two flaps are required for the reconstruction of bilateral defects on the face. Therefore, we also made a comparison between our flap and the conventional flap with regard to their advantages and disadvantages. Although this is a limited experience, we think using this flap is a preferable method of treating facial lipodystrophy.
面部脂肪营养不良是一种相对罕见的疾病，与进行性面部半侧萎缩症相比，关于这种面部畸形重建的报道非常少。在本文中，我们报告了一种使用双叶桡侧前臂真皮脂肪游离皮瓣的新手术方法。通过使用这种独特的皮瓣，我们可以在一期手术中用一个皮瓣修复双侧脸颊的软组织缺损。在以往的传统手术中，修复面部双侧缺损需要两个皮瓣。因此，我们还比较了我们的皮瓣与传统皮瓣的优缺点。虽然这只是有限的经验，但我们认为使用这种皮瓣是治疗面部脂肪营养不良的一种较好方法。
