Abstract
Progressive facial hemiatrophy (PFH) was first described by Parry in 1825 and later by Romberg in 1846 and was also known as Parry-Romberg syndrome. Progressive facial hemiatrophy, as the name suggests, usually has unilateral presentation. However, bilateral manifestation has been reported in 5–10% of the cases. It is a rare disorder with few cases reported. Treatment involves augmentation of the atrophic region and restoration of symmetry of the face. Because many tissues are needed, it is very difficult to treat. In this article we report the use of a superficial temporal fascial flap plus lipofilling to treat bilateral progressive facial hemiatrophy. We obtained good facial volume, smooth contour, and soft palpation. It is safer, simple to perform, and more cost effective than free tissue transfer. It is a suitable technique of choice in the treatment of bilateral progressive facial hemiatrophy.
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References
Lakhani PK, David TJ (1984) Progressive hemifacial atrophy with scleroderma and ipsilateral limb wasting (Parry–Romberg syndrome). J R Soc Med 77:138–139
Jurkiewicz MJ, Nahai F (1985) The use of free revascularized grafts in the amelioration of hemifacial atrophy. Plast Reconstr Surg 76:44–55
Magalini SI, Magalini SC, de Francisci G (1990) Dictionary of medical syndromes, 3rd edn. J. B. Lippincott, Philadelphia
Murphy EL, Browne PA (1957) Bilateral facial atrophy. Ir J Med Sci 377:208–212
Coleman SR (2001) Structural grafts: the ideal filler? Clin Plast Surg 28(1):111–119
Guelinckx PJ, Sinsel NK (2000) Facial contour restoration in Barraquer–Simons syndrome using two free anterolateral thigh flaps. Plast Reconstr Surg 105(5):1730–1736
Shintomi Y, Ohura T, Honda K, Lida K (1981) The construction of progressive facial hemi-atrophy by free vascularised dermis-fat flap. Br J Plast Surg 34(4):398–409
Masaki F (2003) Correction of hemifacial atrophy using a free flap on the periosteum. Plast Reconstr Surg 111(2):118–120
Suominen EA, Niemi TS, Koskivuo IO, Brück NM, Saaristo AM (2007) Free latissimus dorsi perforator flap for reconstruction of hemifacial atrophy: case report. Microsurgery 27(5):369–371
De Santis G, Jacob V, Baccarani A, Pedone A, Pinelli M, Spaqqiari A, Guaraldi G (2008) Polyacrylamide hydrogel injection in the management of human immunodeficiency virus-related facial lipoatrophy: a 2-year clinical experience. Plastic Reconstr Surg 121(2):644–653
Hoehnke C, Eder M, Papadopulos NA, Zimmermann A, Brockmann G, Biemer E, Kovacs L (2007) Minimal invasive reconstruction of posttraumatic hemifacial atrophy by 3-D computer-assisted lipofilling. J Plast Reconstr Aesthet Surg 60(10):1138–1144
Roddi R, Riggio E, Gilbert PM, Hovius SE, Vaandrager JM, van der Meulen JC (1994) Clinical evaluation of techniques used in the surgical treatment of progressive hemifacial atrophy. J Craniomaxillofac Surg 22(1):23–32
Schmitz S, Weis C, Morley S, Demey A, Dabernig J (2008) Treatment of facial lipodystrophy syndrome. Lipofilling versus free flap surgery. Eur J Plast Surg 31:305–310
Guerrerosantos J, Guerrerosantos F, Orozco J (2007) Classification and treatment of facial tissue atrophy in Parry-Romberg disease. Aesthetic Plast Surg 31(5):424–434
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Ye, X.D., Li, C.Y., Wang, C. et al. Superficial Temporal Fascial Flap Plus Lipofilling for Facial Contour Reconstruction in Bilateral Progressive Facial Hemiatrophy. Aesth Plast Surg 34, 534–537 (2010). https://doi.org/10.1007/s00266-010-9480-3
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DOI: https://doi.org/10.1007/s00266-010-9480-3