title: [Lipostructure® for morphologic restauration in Parry-Romberg syndrome: about 12 cases].
abstract: BACKGROUND
  Progressive hemifacial atrophy, widely referred to as Parry-Romberg syndrome, is rare pathologic process characterized by idiopathic, self-limited, unilateral atrophy of different anatomic layers of the face. Restoration of contour and symmetry is the main challenge in cases of Parry-Romberg syndrome. Several means are tested but with a few satisfactions. Through this work, the authors report their personal experience with lipofilling in surgical treatment of this affection where sociopsychological impacts cannot be underestimated.
  
  
  METHODS
  A retrospective study during one period being spread out over 4 years, undertaken on 12 patients presenting Parry-Romberg syndrome who profited from a lipofilling as described by S.R. Coleman "Lipostructure®".
  
  
  RESULTS
  The average age of our patients was of 32 years old with a clear female prevalence. The right and left sides of the face was involved with equal frequency. The second territory of the trigeminal nerve was the most affected (75 % of cases). The moderate forms were found in 58,3 % of cases the results were collected after an average retreat 18 months. A subjective satisfaction was noted in 83 % of cases. Complications with type of pseudokystes and hypercorrection were observed in 16,4 % of cases.
  
  
  CONCLUSIONS
  The lipofilling is a simple and reproducible process to established subcutaneous defect in hemifacial progressive atrophy. It constitutes for us a very good means in primary treatment of volumetric facial restoration in Parry-Romberg syndrome making it possible to obtain good results and to preserve some patients from hard surgery.
authors.affiliation: Service de chirurgie plastique, réparatrice, esthétique et brûlés, CHU Mohammed VI, Marrakech, Morocco.
authors.forename: Y
authors.initials: Y
authors.lastname: Benchamkha
authors.forename: S
authors.initials: S
authors.lastname: Ettalbi
authors.forename: H
authors.initials: H
authors.lastname: Droussi
authors.forename: N
authors.initials: N
authors.lastname: Bahechar
authors.forename: E H
authors.initials: EH
authors.lastname: Boukind
mesh_terms: D000273:Adipose Tissue / Q000637:transplantation*; D000328:Adult; D005149:Facial Expression; D005150:Facial Hemiatrophy / Q000601:surgery*; D005260:Female; D006801:Humans; D007271:Injections, Intradermal; D008297:Male; D017060:Patient Satisfaction; D019651:Plastic Surgery Procedures / Q000379:methods*; D012086:Reoperation; D012189:Retrospective Studies; D013396:Suction / Q000379:methods; D020858:Tissue and Organ Harvesting / Q000379:methods; D055815:Young Adult