颞浅筋膜岛状瓣结合游离真皮脂肪修复单侧颜面萎缩症

Combined superficial temporal fascial flap with free dermis-fat graft to reconstruct hemifacial atrophy

目的探讨一种进行性单侧颜面萎缩症的修复方法。方法将颞浅筋膜岛状瓣翻转,远端携带游离的真皮脂肪组织,充填于面部凹陷区域。结果2000至2004年,我们共为6例患者实施了手术治疗,术后均恢复顺利。最长随访10个月,移植组织未发生明显吸收,效果满意。结论本手术操作简单,疗效可靠,是修复面部凹陷畸形的较好方法。

Objective To introduce a method to reconstruct hemifacial atrophy （Romberg＇s disease）. Methods Through a temporal incision, the compound grafts of pedicled superficial temporal fascial flap and free dermis-fat were inserted into the cheek to correct soft tissue depression on the face. The dermis-fat was harvested from gluteal crease site. Results 6 cases were treated with this technique. 3 to 10 months＇ follow-up showed satisfactory results and few resorption of the compound grafts. Conclusions The mentioned technique is simple and reliable in reconstructing bulk defects of the face.