面部凹陷畸形的修复

Repair of facial concave deformity

目的探讨面部凹陷畸形的修复方法及其效果。方法对面部凹陷畸形患者11例，采用自体脂肪颗粒注射移植9例：其中1例注射4次，3例注射2次，其余5例均注射1次。同侧岛状颞筋膜瓣修复2例。结果9例自体脂肪颗粒注射移植者，效果满意。2例同侧岛状颞筋膜瓣修复者，其中1例术后形成血肿，予以清除，效果亦均较满意。结论自体脂肪颗粒注射移植及同侧岛状颞筋膜瓣移植对轻、中度面部凹陷畸形的修复不失为一良好方法，值得推广。

Objective To investigate two techniques and outcome in repairing facial concave deficits. Methods Eleven patients with facial concave deformity were included in this study： nine were treated with autologous fat granule injection, 1,3 and 5 patients were given fat granules injection fourth, twice and once, respectivly. The other 2 patients were repaired with homolateral temporal fascia flap. Results The implantation by using autologous fat granules in all 9 patients showed excellent results. Homolateral temporal fascia flaps were used in 2 eases, one of which was formed hematoma after operation and scavenged thereafter. All the patients had satisfactory results. Conclusion Both approaches well rehabilitate patients＇ facial contour, and thus are capable of repairing moderate or minimal facial concave deficit and worth recommendation.