title: [Skeleton and soft tissue contour reconstruction for severe progressive hemifacial atrophy].
abstract: OBJECTIVE
  To sum up the various procedures for skeleton and soft tissue contour reconstruction in severe progressive hemifacial atrophy.
  
  
  METHODS
  From Jan 2004 to May 2012, 25 patients with severe progressive hemifacial atrophy underwent the procedures of lipoinjection, microsurgical flap transplantation, dermis grafting, distraction osteogenesis, orthognathic surgery and so on for both skeleton and soft tissue reconstruction.
  
  
  RESULTS
  Among them, zygomatic augmentation and lipoinjection were performed in 24 cases, anterolateral thigh adipofascial flap in 10 cases and latissimus dorsi flap in one case, orthognathic surgery in 17 cases, including Le Fort I osetoectomy in 3 cases, genioplasty in 4 cases, mandibular distraction osteogenesis combined with secondary Le Fort I osteotomy in 3 cases, genioplasty combined with mandibular augmentation with Medpor implant in 7 cases. The patients were followed up for 6 months to 5 years. Through skelton and soft tissue reconstruction, the oblique occlusion plane and malocclusion were corrected with great improvement in face asymmetry.
  
  
  CONCLUSIONS
  For severe progreassive hemifacial atrophy, comprehensive procedures should be adopted for both skelton and soft tissue reconstruction to achieve good results.
authors.affiliation: Department of Maxillofacial Surgery, Plastic Surgery Hospital, Chinese Academy of Medical Sciences and Peking Union Medical College, Beijing 100144, China.
authors.forename: Xiao-jun
authors.initials: XJ
authors.lastname: Tang
authors.forename: Zhi-yong
authors.initials: ZY
authors.lastname: Zhang
authors.forename: Lei
authors.initials: L
authors.lastname: Shi
authors.forename: Lin
authors.initials: L
authors.lastname: Yin
authors.forename: Hong-yu
authors.initials: HY
authors.lastname: Yin
authors.forename: Ren-kai
authors.initials: RK
authors.lastname: Yang
authors.forename: Shu-jie
authors.initials: SJ
authors.lastname: Ruan
mesh_terms: D000273:Adipose Tissue / Q000637:transplantation; D005146:Facial Asymmetry / Q000601:surgery; D005150:Facial Hemiatrophy / Q000601:surgery*; D006801:Humans; D008334:Mandible / Q000601:surgery; D056948:Orthognathic Surgical Procedures; D019857:Osteogenesis, Distraction / Q000379:methods; D019340:Osteotomy, Le Fort / Q000379:methods; D019651:Plastic Surgery Procedures / Q000379:methods*; D016038:Skin Transplantation / Q000379:methods; D013524:Surgical Flaps / Q000637:transplantation*