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

Abstract

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.

Facial Soft Tissues Reconstruction Methods After Tumor Resection in Soedarso General Hospital 2017 - 2022

“…Surgical resection of facial tumors leads to significant facial asymmetry with irregularities. 1 The unique anatomy of face offers a wide variety of defect situations depending on the extent and location of the resection to be performed. 2 Facial soft tissue tumors can be benign or malignant.…”

“…These techniques use alloplastic materials, such as silicone injection, or autologous tissue transfers, such as grafts and flaps. 1 There is currently no literature reporting the methods of Facial Soft Tissue Reconstruction after Tumor Resection at Soedarso General Hospital, West Kalimantan.…”