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Forehead reconstruction with a custom-made three-dimensional titanium implant in a Parry-Romberg syndrome patient

 Jae Yoon Kim  ;  Bok Ki Jung  ;  Young Suk Kim  ;  Tai Suk Roh  ;  In Sik Yun 
 Archives of Craniofacial Surgery, Vol.19(2) : 135-138, 2018 
Journal Title
 Archives of Craniofacial Surgery 
Issue Date
Facial hemiatrophy ; Parry-Romberg disease ; Titanium
Parry-Romberg syndrome is a rare neurocutaneous syndrome characterized by progressive shrinkage and degeneration of the tissues usually on only one side of the face. It is usually difficult to restore the facial contour due to skin tightness. In this case report, we report a forehead reconstruction with custom-made three-dimensional (3D) titanium implant of a Parry-Romberg syndrome patient who was treated with multiple fat grafts but had limited effect. A 36-year-old man presented with hemifacial atrophy. The disease progressed from 5 to 16 years old. The patient had alopecia on frontal scalp and received a surgery using tissue expander. The alopecia lesion was covered by expanded scalp flap done 22 years ago. Also, he was treated with fat grafts on depressed forehead 17 years ago. However, it did not work sufficiently, and there was noted depressed forehead. We planned to make 3D titanium implant to cover the depressed area (from the superior orbital rim to the vertex). During the operation, we confirmed that the custom-made 3D implant accurately fit for the depressed area without any dead spaces. Previously depressed forehead and glabella were elevated, and the forehead contour was improved cosmetically. A custom-made 3D titanium implant is widely used for skull reconstruction and bring good results. In our case, the depressed forehead of a Parry-Romberg syndrome patient was improved by a 3D titanium implant.
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1. College of Medicine (의과대학) > Dept. of Plastic and Reconstructive Surgery (성형외과학교실) > 1. Journal Papers
Yonsei Authors
김영석(Kim, Young Seok) ORCID logo https://orcid.org/0000-0002-0981-2107
김재윤(Kim, Jae Yoon)
노태석(Roh, Tai Suk) ORCID logo https://orcid.org/0000-0001-8681-159X
윤인식(Yun, In Sik) ORCID logo https://orcid.org/0000-0003-1103-7047
정복기(Jung, Bok Ki) ORCID logo https://orcid.org/0000-0002-4347-560X
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