Progressive hemifacial atrophy: A case report using omentum microvascular transfer
DOI:
https://doi.org/10.51481/amc.v41i1.496Keywords:
atrofia hemifacial, Enfermedad de Romberg, colgajo de epiplónAbstract
Progressive hemifacial atrophy, better known as Romberg's disease, has been treated by several conventional reconstructive methods that use dermis, fat, cartilage or muscle. Some authors have reported the use of microvascular free transfers. Harii and Wallace describe the transfer of a free omentum flap.
This flap has a long pedicle and large vessel size for microanastomosis. Retention of septae which keep pockets in the reconstructive side, minimized the migration oftransfered omental tissue. The approach with two teams working simultaneosly at the face and abdomen, reduced the operative time.This is the first reported case in our country of the correction of facial hemiatrophy utilizing a microsurgical tecnique. This operation is practiced widely in many centers in the world where exist microsurgeon 's avalability. As we know, microsurgery allow the utilization of tissues in a very versatile way, the recovery for the patients is faster and the patient hospitalization time decrease.
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