Free Dermal Fat Graft for Restoration of Soft Tissue Defects in Maxillofacial Surgery

Kumar, Nidhish; Thapliyal, G. K.

doi:10.1007/s12663-012-0358-6

Cited by 12 publications

(11 citation statements)

References 16 publications

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“…In contrast to the above-mentioned strategies, fat grafts, reported as early as 1893, were found to be effective in preserving facial cosmesis. 20 Using fat as a reconstruction material has many advantages: it resists infection, remains supple, does not elicit a foreign body reaction and accommodates facial development and growth in the pediatric population. 21 One of the most robustly reported methods of fat autograft reconstruction is abdominal free fat grafting which has been shown to be effective in filling head and neck defects including parotidectomy defects across different surgical techniques.…”

Section: Introductionmentioning

confidence: 99%

Autologous Free Dermal-Fat-Fascial Graft for Parotidectomy Defects: A Case Series

Mianroodi

Mohtashami

Romero

et al. 2021

Ann Otol Rhinol Laryngol

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Background: Frey’s syndrome and facial asymmetry from loss of parotid tissue are long-term sequelae of parotid surgeries causing significant morbidity. Various techniques have been used to fill the parotidectomy defect, preserve facial contour symmetry, and prevent Frey’s syndrome. Free dermal-fat-fascial graft (DFFG) is one such technique; however, its use is largely undocumented in the literature. In this case series, we investigate the efficacy of free DFFG in reconstructing parotidectomy defects at 2 tertiary care centers. Materials and methods: Medical records of 54 patients who underwent primary parotidectomy and immediate reconstruction with autologous abdominal free DFFG by 2 surgeons in George Washington University Hospital and McGill University Health Centre between 2007 and 2019 were collected prospectively. Patients responded to 2 questionnaires addressing postoperative outcomes. Results: Fifty-four patients were included; 32 superficial parotidectomies and 22 total parotidectomies were performed for 39 benign and 15 malignant tumors. Thirty-seven patients could be reached. Out of 37 patients who responded to the first questionnaire, 59% (22) reported complete facial symmetry, 27% (10) reported mild hollowness, and 14% (5) reported mild fullness. None declared noticeable hollowness or fullness. While 81% (30) did not experience Frey’s syndrome, 5.4% (2) experienced mild symptoms without disability, and 13.5% (5) experienced debilitating symptoms. Out of 37 patients, 8 patients responded to a second questionnaire addressing the outcome of the abdominal graft donor site. In regard to the donor site, 87.5% (7) were satisfied or very satisfied from its cosmetic appearance, 75% (6) were not bothered by its cosmetic appearance, and 87.5% (7) had no discomfort at the graft donor site. Patients did not report any other symptom at the graft donor site. Conclusion: In this large series of total parotidectomies including malignant pathologies, autologous abdominal free DFFG effectively prevented Frey’s syndrome and preserved facial cosmesis in most patients.

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Section: Introductionmentioning

confidence: 99%

Autologous Free Dermal-Fat-Fascial Graft for Parotidectomy Defects: A Case Series

Mianroodi

Mohtashami

Romero

et al. 2021

Ann Otol Rhinol Laryngol

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“…Many patients suffer from maxillofacial bone tissue defects. 1 Scaffolds have the ability to induce tissue formation. 2 Scaffolds for the maxillofacial area need to fulfill functions that include activating bone formation and preventing infections during bone formation.…”

Section: Introductionmentioning

confidence: 99%

The bone-mimicking effect of calcium phosphate on composite chitosan scaffolds in maxillofacial bone tissue engineering

Sangkert

Kamolmatyakul

Meesane

2020

Journal of Applied Biomaterials & Functional Materials

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“…Since then, it has been widely used for corrective surgeries, including corrections of post-traumatic depression defects, hemifacial atrophy, post-ablative defects, and correction of congenital defects. 3,7 FDFG is free graft of fat with its overlying dermis connected to each other and harvested as a composite graft. FDFG tends to provide better longevity and predictability of the final outcomes than fat graft alone.…”

Section: Introductionmentioning

confidence: 99%

“…1 Common causes of facial contour deformities include trauma, post-ablative defects, congenital defects, and degenerative disease. 2,3 The resection of head and neck tumors often leads to significant cervical and facial asymmetry with irregularities. 4 There are many techniques used for correction of facial soft tissue deficiency and asymmetry.…”

Section: Introductionmentioning

confidence: 99%

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Free Dermal Fat Graft for Reconstruction of Soft Tissue Defects in the Maxillofacial Region

Issa

Jameel

2020

Craniomaxillofacial Trauma & Reconstruction

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Study Design: Facial contour deformities are a very challenging issue for aesthetic and reconstructive surgeons. Free dermal fat graft is a composite graft used for the reconstruction of soft tissue defects in the maxillofacial region. The free dermal fat graft is easily adapted and contoured intraoperatively and provides a soft, natural, and favorable appearance after augmentation of the soft tissue defects. Objective: To assess the use of free dermal fat graft for reconstruction of soft tissue defects in the maxillofacial region in regard to graft success, percentage of overcorrection, any associated complications, and cone beam computed tomography scan linear measurements for defect’s depth. Methods: This is a prospective study that included a patients were grafted with free dermal fat graft for correction of facial soft tissue defects from November 2017 to July 2019. All patients possess a depression defect and facial asymmetry due to congenital facial deformities, post-traumatic deformities, and post-ablative surgical deformities. Results: Eleven patients (8 males and 3 females) with a mean age of 33.7 years were enrolled in this study. Five regions in the maxillofacial area were grafted in 11 patients. The mean of the postoperative follow-up was 6 months. The percentage of graft overcorrection was 15%. The mean for graft survival was 94.4% with no serious complications reported. Conclusions: The autologous FDFG is a versatile and less invasive method in the reconstruction of facial soft tissue defects with a very good survival rate.

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Free Dermal Fat Graft for Restoration of Soft Tissue Defects in Maxillofacial Surgery

Cited by 12 publications

References 16 publications

Autologous Free Dermal-Fat-Fascial Graft for Parotidectomy Defects: A Case Series

Autologous Free Dermal-Fat-Fascial Graft for Parotidectomy Defects: A Case Series

The bone-mimicking effect of calcium phosphate on composite chitosan scaffolds in maxillofacial bone tissue engineering

Free Dermal Fat Graft for Reconstruction of Soft Tissue Defects in the Maxillofacial Region

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