Duteille F, Duport G, Dufour X, Larrègue M
Service de Chirurgie Plastique Reconstructrice et Esthétique, Chirurgie de la Main, CHRU, Poitiers, France.
Ann Chir Plast Esthet. 1997 Aug;42(4):344-9; discussion 350.
The authors report a case of facial hemiatrophy, secondary to linear scleroderma, and review the various possible causes of facial hemiatrophy. The various treatments proposed to correct facial hemiatrophy are described. The advantages and disadvantages of each technique together with their indications as a function of the severity of the lesions are then discussed. Free flap currently appears to be the treatment of choice in severe forms and the main question concerns the choice of flap. The authors prefer an inverted dermal fat flap because of its advantages (absence of long-term ptosis, better facial contours) and the absence of laparotomy.
作者报告了一例继发于线状硬皮病的面部半侧萎缩病例，并回顾了面部半侧萎缩的各种可能病因。描述了为矫正面部半侧萎缩而提出的各种治疗方法。然后讨论了每种技术的优缺点及其根据病变严重程度的适应症。目前，游离皮瓣似乎是严重病例的首选治疗方法，主要问题在于皮瓣的选择。由于其优点（无长期上睑下垂、面部轮廓更佳）且无需开腹手术，作者更倾向于使用倒置真皮脂肪瓣。
