Soft-tissue reconstruction of the face: a comparison of dermal-fat grafting and vascularized tissue transfer.
Eight patients treated with dermal-fat grafts and 8 patients treated with vascularized tissue transfer were retrospectively reviewed to determine the efficacy of the two methods in the treatment of the soft-tissue defects in Romberg's disease, clefting syndromes including hemifacial microsomia, and traumatic defects. Follow-up averaged 4 years and ranged from 1 to 9 years for the vascularized transfers and 1.5 to 11 years for the dermal-fat grafts. Both techniques were able to provide enduring augmentation. The vascularized transfers were able to provide a greater amount of augmentation. We conclude that dermal-fat grafting is a satisfactory technique for mild to moderate defects, but that vascularized transfers are required for moderate to severe defects.
Mordick
T G
TG
Division of Plastic and Reconstructive Surgery, University of Pennsylvania, Philadelphia.
Larossa
D
D
Whitaker
L
L
D000293:Adolescent; D000328:Adult; D002648:Child; D005145:Face / Q000601:surgery*; D005150:Facial Hemiatrophy / Q000601:surgery; D005151:Facial Injuries / Q000601:surgery; D005153:Facial Neoplasms / Q000601:surgery; D005354:Fibrosarcoma / Q000601:surgery; D005500:Follow-Up Studies; D006053:Goldenhar Syndrome / Q000601:surgery; D006391:Hemangioma / Q000601:surgery; D006801:Humans; D008875:Middle Aged; D012189:Retrospective Studies; D013524:Surgical Flaps; D013997:Time Factors; D014948:Wounds, Gunshot / Q000601:surgery