Iñigo F, Rojo P, Ysunza A
Department of Plastic and Reconstructive Surgery, Hospital General Dr. Manuel Gea Gonzalez, Mexico D.F.
Br J Plast Surg. 1993 Apr;46(3):194-200. doi: 10.1016/0007-1226(93)90168-b.
Our experience with dermis-fat free flaps and conventional reconstructive procedures for 35 patients with Romberg's disease over a 7-year period is presented. The groin flap was used for increasing volume in 33 cases, the scapular flap in 3 cases, and 2 were treated with the latissimus dorsi free flap. To achieve better contour, secondary procedures such as defatting of the flap, pedicled temporal fascial flaps, cartilage and bone grafts, orthognathic surgery, and other conventional aesthetic procedures were performed in 32 patients. Excellent results were achieved in 9 mildly deformed patients, in 12 out of 16 moderately, and in 3 out of 10 severely affected patients. Four moderate and 5 severe cases were classified as good results. Poor results were achieved in 2 severe cases.
本文介绍了我们在7年时间里，对35例Romberg病患者采用真皮脂肪游离皮瓣和传统重建手术的经验。33例采用腹股沟皮瓣增加容量，3例采用肩胛皮瓣，2例采用背阔肌游离皮瓣治疗。为了获得更好的外形，32例患者进行了二次手术，如皮瓣去脂、带蒂颞筋膜皮瓣、软骨和骨移植、正颌手术以及其他传统美容手术。9例轻度畸形患者、16例中度畸形患者中的12例以及10例重度畸形患者中的3例取得了优异效果。4例中度和5例重度病例被归类为良好效果。2例重度病例效果不佳。
