Anterolateral thigh adipofascial flap for the restoration of facial contour deformities.

From January 2000 to May 2008, 50 patients with facial contour deformities underwent soft tissue augmentation with 51 anterolateral thigh (ALT) adipofascial flaps. Fifty flaps survived with no complications; partial fat necrosis occurred in one flap. Mean follow-up was 16 months.

Correction of hemifacial atrophy using free anterolateral thigh adipofascial flap.

Treatment of hemifacial atrophy presents a challenge for reconstructive surgeons. Previous studies have described numerous methods for the correction of facial asymmetry. We present our experience with treatment of hemifacial atrophy using a microsurgical anterolateral thigh adipofascial flap procedure and other adjunctive measures.

[One-stage surgical treatment of congenital blepharophimosis syndrome].

Objective: To explore the clinical effect of combining medial and lateral canthoplasty with blepharoptosis correction at one-stage for congenital blepharophimosis syndrome.

Methods: From January 2002 to May 2006, 26 patients (52 sides) with congenital blepharophimosis syndrome were treated. There were 16 males and 10 females, aging from 3 to 35 years (mean 8.

[Clinical study on correction of hemifacial atrophy with free anterolateral thigh adipofascial flap].

Objective: To investigate the effect of free anterolateral thigh adipofascial flap in correcting the hemifacial atrophy.

Methods: From January 1997 to May 2006, 35 patients suffering from hemifacial atrophy were corrected with microvascular anastomotic free anterolateral thigh adipofascial flap and other additional measures according to the symptoms of the deformities. There were 11 males and 24 females, aging 15-47 years.

[Clinical experiences of breast reconstruction using deep inferior epigastric perforator flaps].

Objective: To summarize the experiences of the breast reconstruction using the deep inferior epigastric perforator (DIEP) flaps.

Methods: From March 2000 to March 2005, 18 cases of breast defects were treated. Defect was caused by mammary cancer in 17 cases and by Poland's syndrome in 1 case.

[Analysis of the complications following mandibular distraction using internal distractors].

Objective: To investigate the causes and the prophylactic for the complications following mandibular distraction osteogenesis using internal distractors.

Methods: From 1997 to 2004, a total of 46 patients (61 sides) suffering from malformations or defects of mandible who underwent mandibular distraction osteogenesis were analyzed. The diseases included hemifacial microsomia in 27 cases, congenital or acquired mandibular hypoplasia and micrognathia bilateral in 8 cases and unilateral in 4 cases, electronical injury or postoperative mandibular defects in 3 cases, Treacher Collins syndrome in 2 cases, obstructive sleep apnea syndrome in 2 cases.

[Surgical management of craniomaxillofacial fibrous dysplasia].

Objective: To explore the method to obtain good aesthetic and functional results in surgical management of craniomaxillofacial fibrous dysplasia and correct the grotesque deformity.

Methods: According to the type of the lesions, different excision and reconstruction methods were used.

Results: 19 cases (4 monostotic cases and 15 polyostotic cases) were surgically treated.

[Distraction osteogenesis in patients with syndromic midface retrusion--a primary experience].

Objective: To study the feasibility of midface distraction for correction of severe syndromic Four consecutive patients with severe syndromic midface retrusion underwent midface retrusion.

Methods: distraction osteogenesis. The patients(three girls and one boy) aged from 4 to 12 years.

[Surgical treatment of orbital and periorbital fibrous dysplasia].

Objective: To explore the surgical approaches to obtain good aesthetic and functional results in the management of orbital and periorbital fibrous dysplasia and related deformities.

Methods: Ten cases of orbital and periorbital fibrous dysplasia were treated surgically. The location, extension and shape of the lesions were identified based on X-ray examination and two and three dimensions CT examinations preoperatively.

[The correction of fronto-orbital deformity in infant craniosynostosis--a one year experience].

Objective: To evaluate the correction of fronto-orbital deformation in infant craniosynostosis and to discuss the timing of treatment and surgical technique.

Methods: Eleven consecutive patients with craniosynostoses underwent bilateral fronto-orbital osteotomies and advancement via coronal approaches. There were two females and 9 males with an age range from 6 to 9 months.

[Clinical study of the hemodynamics of both ends (proximal and distal) of internal mammary artery and its following-up].

Objective: To verify the value of retrograde flow of Internal Mammary Artery (IMA) used as one of the supplying arteries and to develop a new method of applying IMA in breast reconstruction.

Methods: During breast reconstruction with free bilateral transverse rectus abdominis myocutaneous (TRAM) flap, the pressures and velocities of the two ends (proximal and distal) of internal mammary artery as well as the according perfusion unit (PU) of TRAM were measured in two patients who suffered from mammectomy because of carcinoma.

Results: The pressure at distal end was 66 or/and 58 mmHg, the pressure at proximal end was 88 or/and 75 mmHg, the former is 75%-77% of the later.