진행성 반안면위축환자의 치험례
A Case Report of Progressive Hemifacial Atrophy
최문기,
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최문기 ( Choi Moon-Ki ) - 원광대학교 치과대학 구강악안면외과학교실
KMID : 0360120100320040344
Abstract
A progressive hemifacial atrophy is characterized by progressive atrophy of subcutaneous fat and rarely muscle and bone. Its contour follows the underlying muscle. Unilateral involvement is common. The treatment goal has been focused on the augmentation of the soft tissue. Many materials such as implants, collagen, fat graft, fat injection, dermal fat graft, filler and vascualized autogenous graft have been used. Although these materials have been used, the best treatment hasn’t been achived. In severe cases underlying soft tissue, muscle and bone may be atrophied and massive soft tissue graft, implant and orthognathic surgery must be used. The author used the dermal-fat tissue for the pupose of soft tissue augmentation. We can get the massive soft tissue by the dermolipectomy procedure through the mini-abdominoplsty. The facial augmentation was done by augmentation of the dermal-fat tissue. The progressive hemifacial atrophy is hard to treat by only one procedure and many modalites must be considered.
키워드
Progressive hemifacial atrphy; Dermal fat gtaft; Mini-abdominoplasty
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