Adipofascial anterolateral thigh free flap for hemifacial atrophy.
نویسندگان
چکیده
Restoration of a harmonious and pleasant appearance is a crucial aspect of surgical treatment for many congenital and acquired deformities of the face. A 38-year-old female patient with residual scarring on the right hemiface following evacuation of a odontogenic phlegmon underwent microsurgical reconstruction with a free adipofascial anterolateral thigh free flap. A stable result was achieved 7 years later. Thanks to adipofascial anterolateral thigh free flap fixation onto the periosteum a very good long-lasting aesthetic and dynamic result was obtained; this approach can be used in patients both with severe and mild abnormalities. Whereas many methods of facial contour restoration are described in the literature, in Authors' opinion, microsurgical techniques are the gold standard unless contraindications; fasciocutaneous flaps, in particular, have shown the best aesthetic results since they can be sculptured to match the defect and stable anchoring is possible thanks to the thick fascia of the anterolateral thigh free flap.
منابع مشابه
Abstract: The Usage Of Adipofascial Anterolateral Thigh Flap For The Reconstruction Of Soft Tissue Defects At Extremities
IntroductIon: Although reconstruction with adipofascial anterolateral thigh flap (ALTA) is commonly recommended treatment alternative for the extremity defects there are a few studies published in the literature. In this study it was aimed to show the advantageous and disadvantageous of ALTA flap due to experiences that we got from 9 patients at whom superficial extremity defects were reconstru...
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ورودعنوان ژورنال:
- Acta otorhinolaryngologica Italica : organo ufficiale della Societa italiana di otorinolaringologia e chirurgia cervico-facciale
دوره 29 2 شماره
صفحات -
تاریخ انتشار 2009