title: Autologous Fat Grafting in the Treatment of Painful Postsurgical Scar of the Oral Mucosa.
abstract: Background. Persistent pain as a consequence of surgical treatment has been reported for several common surgical procedures and represents a clinical problem of great magnitude. Material and Methods. We describe the case of a 47-year-old female who presented a retractile scar that adhered to deep planes at the upper right of the vestibule due to surgical removal of maxillary exostosis, which determined important pain symptoms extending till the right shoulder during both chewing and rest. We subsequently treated her with autologous fat grafting according to Coleman's technique. Results. Clinical assessments were performed at 5 and 14 days, 1, 3, and 6 months, and 1 year after surgical procedure. We observed a progressive release of scar retraction together with an important improvement of pain symptoms. Conclusion. The case described widens the possible application of autologous fat grafting on a new anatomical site as buccal vestibule and in one specific clinical setting confirming its promising biological effects.
authors.affiliation: Department of Medical Biotechnology and Translational Medicine BIOMETRA, Plastic Surgery Unit, Humanitas Research Hospital, Reconstructive and Aesthetic Plastic Surgery School, University of Milan, Rozzano, 20089 Milan, Italy.
authors.forename: Andrea
authors.initials: A
authors.lastname: Lisa
authors.affiliation: Department of Medical Biotechnology and Translational Medicine BIOMETRA, Plastic Surgery Unit, Humanitas Research Hospital, Reconstructive and Aesthetic Plastic Surgery School, University of Milan, Rozzano, 20089 Milan, Italy.
authors.forename: Valeria
authors.initials: V
authors.lastname: Summo
authors.affiliation: Department of Medical Biotechnology and Translational Medicine BIOMETRA, Plastic Surgery Unit, Humanitas Research Hospital, Reconstructive and Aesthetic Plastic Surgery School, University of Milan, Rozzano, 20089 Milan, Italy.
authors.forename: Valeria
authors.initials: V
authors.lastname: Bandi
authors.affiliation: Department of Medical Biotechnology and Translational Medicine BIOMETRA, Plastic Surgery Unit, Humanitas Research Hospital, Reconstructive and Aesthetic Plastic Surgery School, University of Milan, Rozzano, 20089 Milan, Italy.
authors.forename: Luca
authors.initials: L
authors.lastname: Maione
authors.affiliation: Department of Medical Biotechnology and Translational Medicine BIOMETRA, Plastic Surgery Unit, Humanitas Research Hospital, Reconstructive and Aesthetic Plastic Surgery School, University of Milan, Rozzano, 20089 Milan, Italy.
authors.forename: Matteo
authors.initials: M
authors.lastname: Murolo
authors.affiliation: Plastic Surgery Unit, MultiMedica Holding S.p.A., Reconstructive and Aesthetic Plastic Surgery School, University of Milan, Sesto San Giovanni, 20099 Milan, Italy.
authors.forename: Francesco
authors.initials: F
authors.lastname: Klinger
authors.affiliation: Department of Medical Biotechnology and Translational Medicine BIOMETRA, Plastic Surgery Unit, Humanitas Research Hospital, Reconstructive and Aesthetic Plastic Surgery School, University of Milan, Rozzano, 20089 Milan, Italy.
authors.forename: Marco
authors.initials: M
authors.lastname: Klinger