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自体脂肪移植治疗半侧颜面萎缩
宋建星白晋乌兰哈斯
0
(第二军医大学长海医院整形外科,上海200433)
摘要:
目的:探讨自体颗粒脂肪移植在半侧颜面萎缩的临床效果,寻求半侧颜面萎缩治疗的有效方法。方法:采用肿胀吸脂技术获得自体颗粒脂肪,纯化后采用多层次、多隧道、多点的注射方法,修复颜面部凹陷畸形。对充填区体积稳定后凹陷尚未完全改善的患者,进行二次或多次脂肪颗粒移植手术,直至效果满意为止。结果:本组7例半侧颜面萎缩患者,充填后原凹陷部位丰满,基本达到形态对称。最长随访期2年,移植效果良好。结论:应用自体颗粒脂肪移植修复半侧颜面萎缩创伤小、并发症少、手术效果明显,相对现有其他治疗方法,是一种较为理想的治疗颜面部单纯软组织萎缩畸形的方法。[
关键词:  移植,自体 脂肪类 面部单侧萎缩
DOI:10.3724/SP.J.1008.2007.00306
基金项目:
Treatment of hemifacial atrophy by autologous fat injection
SONG Jian-xing, BAI Jin, WULAN Hasi
(Department of Plastic Surgery, Changhai Hospital, Second Military Medical University, Shanghai 200433, China)
Abstract:
Objectlve:To assess the clinical outcome of autologous fat injection in treatment of hemifacial atrophy, so as to search for an ideal treatment of hemifacial atrophy. Methods: Autologous fat granules were obtained by tumescent liposuction. After purification, the fat granules were injected in a multi-strata, multi-tunnel, and multi-spot manner to repair facial introcession abnormality. Patients whose introcession was not improved after the stabilization of the fillings were re-injected with autologous fat granules twice or more until satisfactory outcomes were achieved. Results: All the 7 patients in this study obtained satisfactory outcomes after fat injection and basically reached symmetry. The follow-up result was good after 2 years. Conclusion: Local injection transplantation of autologous fat granules is effective for the treatment of facial depression and hemifacial atrophy, with slight trauma, little complication, and satisfactory outcome.[
Key words:  transplantation,autologous  fats  facial hemiatrophy