0 185

Cited 0 times in

진피-지방이식술을 이용한 하안면부 비대칭의 교정

DC FieldValueLanguage
dc.contributor.author유대현-
dc.contributor.author탁관철-
dc.date.accessioned2015-04-24T17:19:24Z-
dc.date.available2015-04-24T17:19:24Z-
dc.date.issued2009-
dc.identifier.issn1015-6402-
dc.identifier.urihttps://ir.ymlib.yonsei.ac.kr/handle/22282913/105181-
dc.description.abstractPurpose: To correct the facial asymmetry and to achieve symmetry and balance, not only the soft tissue restoration of deficits but also creation and facial contour line such as mandible border and angle is important. Micro fat graft has limitation such as high resorption rate and somewhat limited ability to emphasize the rigid bony characteristics of the mandible angle due to its innate soft consistency. We have investigated the advantages of dermal fat graft over micro fat graft to correct asymmetry of the lower face in patients who had undergone mandibular reconstruction or distraction, using comparative analysis. Methods: Total of 12 patients were enrolled in our study: 6 micro fat graft and 6 dermal fat graft. Postoperative results were compared and analyzed at immediate postoperative period and more than 1 year later in each group with photographs, and analysised with image J program. Results: No complications were noted both in the micro fat type and the dermal fat type of procedures such as fat necrosis or micro calcifications. All of the patients who received micro fat graft, however had considerable amount of fat resorption after the procedure which led to two additional fat graft procedures. Although minor contour obliteration due to contracture was seen in patients who had undergone dermal fat graft procedure, no definite resorption was found even after more than one year follow-up. Results of dermal fat graft patients were satisfactory in terms of mandible angle symmetry. Secondary revision was necessary in one case due to overcorrection using dermal fat graft. Conclusion: The dermal fat graft has many advantages over the conventionally more popular micro fat graft to correct asymmetry of the lower face following mandible reconstruction owing to its lower resoption rate, more effective in emphasizing the natural curvilinear anatomical contours of the mandible angle and body and lower complication rates such as fat necrosis or micro calcifications.-
dc.description.statementOfResponsibilityopen-
dc.format.extent475~480-
dc.relation.isPartOfJournal of the Korean Society of Plastic and Reconstructive Surgery (대한성형외과학회지)-
dc.rightsCC BY-NC-ND 2.0 KR-
dc.rights.urihttps://creativecommons.org/licenses/by-nc-nd/2.0/kr/-
dc.title진피-지방이식술을 이용한 하안면부 비대칭의 교정-
dc.title.alternativeCorrection of Lower Face Asymmetry using Dermofat Graft-
dc.typeArticle-
dc.contributor.collegeCollege of Medicine (의과대학)-
dc.contributor.departmentDept. of Plastic Surgery & Reconstructive Surgery (성형외과학)-
dc.contributor.googleauthor이주홍-
dc.contributor.googleauthor유대현-
dc.contributor.googleauthor탁관철-
dc.admin.authorfalse-
dc.admin.mappingfalse-
dc.contributor.localIdA02459-
dc.contributor.localIdA04236-
dc.relation.journalcodeJ01887-
dc.contributor.alternativeNameLew, Dae Hyun-
dc.contributor.alternativeNameTark, Kwan Chul-
dc.contributor.affiliatedAuthorLew, Dae Hyun-
dc.contributor.affiliatedAuthorTark, Kwan Chul-
dc.citation.volume36-
dc.citation.number4-
dc.citation.startPage475-
dc.citation.endPage480-
dc.identifier.bibliographicCitationJournal of the Korean Society of Plastic and Reconstructive Surgery (대한성형외과학회지), Vol.36(4) : 475-480, 2009-
Appears in Collections:
1. College of Medicine (의과대학) > Dept. of Plastic and Reconstructive Surgery (성형외과학교실) > 1. Journal Papers

qrcode

Items in DSpace are protected by copyright, with all rights reserved, unless otherwise indicated.