Correction of hemifacial atrophy using free anterolateral thigh adipofascial flap

Microsurgical Correction of Progressive Facial Hemiatrophy Using Free Anterolateral Thigh Adipofascial Flap

“…The flap raising leave minimal morbidity and dysfunction at the donor site. 8 In addition, according to the series of patients, we observed that the injected fat tissue on the flap was more likely to survive than those without vascularized flap transplant maybe because the flap had more sufficient blood supply. At the same time, the texture and the color of the ipsilateral skin would be improved by the enhanced subcutaneous blood supply.…”

“…In our studies, the skin islands were designed like a spindle and on the edge of the flap, so it reflected the status of the whole flap basically and sensitively; furthermore, it is sutured vertically between the preauricular incision, so no excess incision would be added when the flap is removed postoperatively. What is more, our rhytidectomy incision possesses more advantages than the commonly used mandibular and temporal incisions that is set forth by Li et al 8,37,39 First, the anatomy in the SMAS plane becomes clearer and easier; in addition, the facial nerve could be protected effectively. Second, the preauricular scar is almost invisible, the same with the scar of the traditional SMAS rhytidectomy.…”

“…6 Various kinds of free flaps have been applied in clinical cases, among them the anterolateral thigh (ALT) flap stands out, which was first reported by Song et al in 1984, 7 for that it can provide sufficient tissue with reliable blood supply, pliability, ease of revision, and minimal morbidity and dysfunction at the donor site. 8 In this article, we would like to share our clinical experiences in the correction of hemifacial atrophy using free ALT adipofascial flaps in 14 patients.…”

Esthetic Restoration in Progressive Hemifacial Atrophy (Romberg Disease)

“…[1][2][3][4][5][6][7][8] Free Microsurgical Transfer to Volume Restoration Thirty-nine articles were included in this second group and were published from 1974 to 2011. 12,21,25,26,[30][31][32]45 Volume correction was achieved with a single free flap harvested from the trunk in 17 cases, 9,10,12,14,17,19,21,22,27,29,36,37,39,42,44,47 with a single free flap from the limbs in 8 cases, 26,[33][34][35]40,43,45,46 and with a single free flap from the abdomen in 3 cases. The mean age of correction was 24.7 years (range, 5-59 y) 9-11,13-20,22-24,27-29,33.44,46,47 and was not available in 8 articles.…”

“…13,15,38 The total number of patients who benefited from a single flap reconstruction was 154. Complications were reported in 21 articles 9,11,[13][14][15][16]20,22,27,28,30,31,34,[38][39][40][41][43][44][45]47 and included hematoma, 11,14,16,27,28,31,41,43 infection, 9,16,30 partial flap loss, 14,20,30,38 bulkiness, 15,16,39,40,45 atrophy, 34,41 dehiscence, 31 seroma, and 43 transient facial palsy. 25 In all cases, free flaps were harvested from the trunk and limbs.…”