Maxillofacial Plastic and Reconstructive Surgery

Korean Association of Maxillofacial Plastic and Reconstructive Surgeons (대한악안면성형재건외과학회)
권호 표지

A Case Report of Progressive Hemifacial Atrophy

진행성 반안면위축환자의 치험례

  • Choi, Moon-Gi (Department of Oral and Maxillofacial Surgery, School of Dentistry, Wonkwang University)
  • 최문기 (원광대학교 치과대학 구강악안면외과학교실)
  • Received : 2010.04.06
  • Accepted : 2010.06.23
  • Published : 2010.07.30
Download PDF
⟨ Previous Next ⟩

Abstract

A progressive hemifacial atrophy is characterized by progressive atrophy of subcutaneous fat and rarely muscle and bone. Its contour follows the underlying muscle. Unilateral involvement is common. The treatment goal has been focused on the augmentation of the soft tissue. Many materials such as implants, collagen, fat graft, fat injection, dermal fat graft, filler and vascualized autogenous graft have been used. Although these materials have been used, the best treatment hasn't been achived. In severe cases underlying soft tissue, muscle and bone may be atrophied and massive soft tissue graft, implant and orthognathic surgery must be used. The author used the dermal-fat tissue for the pupose of soft tissue augmentation. We can get the massive soft tissue by the dermolipectomy procedure through the mini-abdominoplsty. The facial augmentation was done by augmentation of the dermal-fat tissue. The progressive hemifacial atrophy is hard to treat by only one procedure and many modalites must be considered.

Keywords

References

  1. Magalini SI, Magalini SC, de Francisci G et al : Dictionary of medical syndromes. 3rd ed. Philadelphia, J B Lippincott, 1990, p.672.
  2. Nicholas Mazzeo BS : Progressive hemifacial atropy(parry- Romger's symdrome) Case report. Oral Surg Oral Med Oral Pathol Oral Radiol Endo 79 : 30,1995. https://doi.org/10.1016/S1079-2104(05)80069-1
  3. Pensler JM, Murphy GF, Muliken JB et al : Clinical and unltrasutructural studies of Romberg's hemifacial atrophy. Plast Reconstr Surg 85 : 669, 1990. https://doi.org/10.1097/00006534-199005000-00001
  4. Glass D : Hemifacial atrophy. Br J Oral Surg 1 : 194, 1963. https://doi.org/10.1016/S0007-117X(63)80071-2
  5. Monica G : Lipostructure technique in Romberg syndrome. The journal of craniofacial surgery 19 : 1089, 2008. https://doi.org/10.1097/SCS.0b013e318176354a
  6. Rees TD, Ashley FL, Delgado JD et al : Silicon fluid injections for facial atrophy : A 10-year study. Plast Reconstr Surg 52 : 118, 1973. https://doi.org/10.1097/00006534-197308000-00002
  7. Rushton M : Asymmetry of tooth size in congenital hypoplasia of one side of the body. Br Dent J 95 : 309, 1953.
  8. Serdar Ozturk : Treatment of' En coup de sabre'deformity with porous polyethylene implant. The journal of craniofacial surgery 17 : 696, 2006. https://doi.org/10.1097/00001665-200607000-00016
  9. Yavuz D : Linear scleroderma 'En coup de sabre'of the cheek. J Oral Maxillofac Surg 61 : 109, 2003. https://doi.org/10.1016/S0278-2391(03)00414-2
  10. Alexander J : Hemifacial microsomia : Clinical and pictographic representations of the OMENS classification system. Plastic & Reconstructive Surg 120 : 112, 2007. https://doi.org/10.1097/01.prs.0000287383.35963.5e
  11. Koshy CE : Facial contour reconstruction in localized lipodystrophy using free radial forearm adipofascial flaps. British Journal of Plastic Surgery 51 : 499, 1998. https://doi.org/10.1054/bjps.1998.0101
  12. Jon stone MB : A global survey of 205 patients using the internet, Neurology 61 : 674, 2003. https://doi.org/10.1212/WNL.61.5.674
  13. Jurkiewicz MJ, Nahai F : The use of free revascularized grafts in the amelioration of hemifacial atrophy. Plast Reconstr Surg 76 : 44, 1985. https://doi.org/10.1097/00006534-198507000-00007
  14. Jeremy A : Common craniofacial anomalies: Conditions of craniofacial/Hypoplasia and Neoplasia. Plast Reconstr Surg 111 : 1497, 2003. https://doi.org/10.1097/01.PRS.0000049646.25757.BE
  15. Jin SG : Plastic surgery, 3rd ed. Koonja, 2004, p.3173.
  16. Bryant TC, Christine G : Free abdominoplasty fact transfer for reconstruction of total parotidectomy defect. Laryngoscope 118 : 1186, 2008. https://doi.org/10.1097/MLG.0b013e31816dd2e9
  17. Isao Koshima : One stage facial contour augmentation wth intraoral transfer of a paraumblical perforator adipose flap. Plastic Rreconstr Surg 15 : 2001, 1988.
  18. Chajchir A : Fat injection : Long term follow up. Aesth Plast surg 20 : 291, 1996. https://doi.org/10.1007/BF00228458
  19. Guerrerosnatos J : Fat autografting : A technique to enhance aesthetic and reconstructive procedures. Instructional course # 610, 30th Meeting of American society for Aesthetic and Plastuc Surgery. New York City, Hilton Hotel, May 2-7, 1997.
  20. O Onur Erol : Facial autologus soft tissue contouring by adjunction of tissue cocktail injection(Micrograft & Minigraft mixture of dermis, fascia & fat). Plast Reconstr Surg 106 : 1375, 2000. https://doi.org/10.1097/00006534-200011000-00026
  21. Hartrampf CR Jr. : Autologus fat from liposuction for breast augmentation. Plast reconstruct surg 80 : 646, 1987. https://doi.org/10.1097/00006534-198710000-00045
  22. Inigo F : Aesthetic treatment of Romberg,s disease : Experience with 35cases. Br J Plast Surg 46 : 1944, 1993.
  23. Mordick TG, II, Larossa D, Whitaker L et al : Soft tissue reconstruction of face : A comparison of dermal-fat grafting and vascularized tissue transfer. Ann Plast. Surg 29 : 390, 1992. https://doi.org/10.1097/00000637-199211000-00002
  24. Sabaphathy SR : Romber's disease : Modified washio flap for facial contour reconstruction. Plast Reconstr surg 108 : 705, 2001. https://doi.org/10.1097/00006534-200109010-00016