Browse > Article

Facial Reconstruction Using Groin Dermo-Fat Free Flap in Romberg's Disease: Case Report  

Lee, Yoon Jung (Department of Plastic and Reconstructive Surgery, Institute of Health Sciences, College of Medicine, Gyeongsang National University)
Kim, Jun Sik (Department of Plastic and Reconstructive Surgery, Institute of Health Sciences, College of Medicine, Gyeongsang National University)
Kim, Nam Gyun (Department of Plastic and Reconstructive Surgery, Institute of Health Sciences, College of Medicine, Gyeongsang National University)
Lee, Kyung Suk (Department of Plastic and Reconstructive Surgery, Institute of Health Sciences, College of Medicine, Gyeongsang National University)
Publication Information
Archives of Craniofacial Surgery / v.12, no.1, 2011 , pp. 43-47 More about this Journal
Abstract
Purpose: Romberg's disease manifests as progressive hemifacial atrophy of the skin, soft tissue and bone, which usually begins in the first or second decade of life. When present, atrophy may originate from the cutaneous stigmata and may become so sharply delimited by the midline. Methods: A 10-year-old girl, who had suffered from right mandibular area atrophy for 3 years, visited us and was diagnosed with Romberg's disease. The depressed lesion of the face was augmented successfully using a deepithelialized groin free flap. The superficial circumflex iliac vessels were used as the donor pedicle and the facial artery and vein were used as the recipient vessels. Results: After surgery, the flap survived well and she was satisfied with the result. Although there are various methods of facial augmentation using free flaps, this flap has some advantages. First, there is a considerable amount of fat tissue components for augmentation. Second, flap elevation with thinning is possible. Third, the donor site can be hidden. Conclusion: The groin dermo-fat free flap is a good method for the facial augmentation of Romberg's disease.
Keywords
Romberg's disease; Groin free flap;
Citations & Related Records
연도 인용수 순위
  • Reference
1 Hunt JA, Hobar PC: Common craniofacial anomalies: conditions of craniofacial atrophy/hypoplasia and neoplasia. Plast Reconstr Surg 111: 1497, 2003   DOI   ScienceOn
2 Pensler JM, Murphy GF, Mulliken JB: Clinical and ultrastructural studies of Romberg's hemifacial atrophy. Plast Reconstr Surg 85: 669, 1990   DOI   ScienceOn
3 Siebert JW, Soltanian H, Hazen A: Hemifacial atrophy. In Mathes SJ (eds): Plastic surgery. 2nd ed, Philadelphia, Saunders, 2006, vol IV, p 555
4 Ha BJ, Minn KW: Facial soft tissue augmentation in progressive hemifacial atrophy with serratus anterior muscle free flap. J Korean Soc Plast Reconstr Surg 21: 601, 1994.
5 Mordick TG 2nd, Larossa D, Whitaker L: Soft tissue reconstruction of the face: a comparison of dermal-fat grafting and vascularized tissue transfer. Ann Plast Surg 29: 390, 1992   DOI   ScienceOn
6 Shintomi Y, Ohura T, Honda K, Iida K: The reconstruction of progressive facial hemi-atrophy by free vascularized dermis-fat flaps. Br J Plast Surg 34: 398, 1981   DOI   ScienceOn
7 Kang DK, Choi EJ, Kim JB, Choi JK, Ahn DK: Treatment of Romberg's disease with de-epithelialized groin free flap. The Kon-Kuk J of Medical Sciences 3: 229, 1993
8 Harashina T, Fujino T: Reconstruction in Romberg's disease with free groin flap. Ann Plast Surg 7: 289, 1981   DOI   ScienceOn
9 Koh KS, Leem PJ, Park SH, Lee TJ, Yoon KC: Microvascular free tissue transfer for aesthetic facial contouring. J Korean Soc Plast Reconstr Surg 27: 276, 2000