Cristian Drochioi, Alin Constantin Pînzariu, Radu Petru Soroceanu, Agop-Forna Doriana, Otilia Boişteanu, Alexandra Manolache, Victor Vlad Costan
Abstract
Aim of study was to determine the types and distribution of autologous fat transplantation techniques used in the treatment of the cranio-facial deformities. Materials and method. The study was performed on 36 patients with cranio-facial deformities treated by autologous fat transplantation techniques in OMF Surgery Clinic (Iasi). The reasons for which patients sought lipostructure or microlipostructure were as follows: facial asymmetry due to soft tissue and bone deficiency – 45.2% (19 cases); pain syndrome – 19.0% (8 cases); retractive, unaesthetic scars – 21.4% (9 cases); postoperative scar tissue following radio-chemotherapy treatment – 23.8% (10 cases). Results. The autologous fat grafting techniques used in the treatment of cranio-facial deformities were total parotidectomy with preservation of the facial nerve (23.8%), followed by extended parotidectomy with immediate reconstruction using a radial free flap (14.3%), wound debridement and suturing (11.9%), primary closure of the cleft lip (9.5%), subtotal glossectomy with continuity resection of the mandible, radical cervical lymph node dissection, and reconstruction with a latissimus dorsi free flap, and tumor excision with primary closure for basal cell carcinoma (both 7.1%), subtotal glosopelvectomy with radical cervical lymph node dissection and defect reconstruction using a radial free flap was performed in 4.8% of cases.. Conclusions. The autologous adipose tissue graft has diverse applications in cranio-maxillofacial pathology. The most performed procedures were total parotidectomy with preservation of the facial nerve, followed by extended parotidectomy with immediate reconstruction using a radial free flap, and wound debridement and suturing.
DOI : 10.62610/RJOR.2025.1.17.26
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