The use of expanded polytetrafluoroethylene in depressed deformities of the face.

The use of expanded polytetrafluoroethylene in depressed deformities of the face.
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DOI:
10.3892/etm.2016.3771
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发表时间:
2016-11
影响因子:
2.7
通讯作者:
Fan D
Fan D
中科院分区:
医学4区
文献类型:
--
作者:
Liu X;Zhang Y;Wang S;Lei Z;Li X;Fan D

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膨胀聚四氟乙烯(ePTFE)被广泛用于面部软组织隆胸手术,被认为是安全可靠的,适合作为永久性植入物。这种植入物一般用于面部的下三分之一,用于填充嘴唇、隆鼻、鼻唇褶皱和下巴隆胸,很少用于先天性或获得性面部凹陷畸形。本研究的目的是评估ePTFE在先天性或获得性面部凹陷性畸形中的效果。2008年9月至2014年1月,26例患者采用ePTFE材料进行面部凹陷性畸形矫治。平均手术年龄23.2岁,年龄范围17 ~ 45岁。侧化凹陷畸形。随访6 ~ 18个月,平均9个月。抑郁症的病因包括稳定型半面萎缩(3例)、颅面小畸形(13例)、外伤后骨性凹陷(8例)和其他原因不明(2例)。手术在局部麻醉下进行。ePTFE被植入面部不同亚解剖区域的不同组织平面:颞区颞浅筋膜下,颧区、脸颊和下颌区肌筋膜浅系统表面。所有患者均接受随访。26例患者中有25例(96.2%)对矫正效果满意,1例(3.8%)对不完全矫正凹陷畸形不满意。综上所述,除了脂质填充和游离皮瓣转移外,ePTFE是治疗面部凹陷畸形的另一种方法。
Expanded polytetrafluoroethylene (ePTFE) has been extensively used for facial soft tissue augmentation procedures, and is regarded as safe and reliable and suitable as a permanent implant. This implant is generally used in the lower third of the face for lips filling, nasal augmentation, nasolabial folds and chin augmentation, and rarely for congenital or acquired depressed deformities of the face. The aim of the present study was to assess the effects of ePTFE in congenital or acquired depressed deformities of the face. From September, 2008 to January, 2014, 26 patients were implanted with the material ePTFE to correct depressed deformities of the face. The average age at operation was 23.2 years, with a range of 17–45 years. The depressed deformities were lateralized. The follow-up period was 6–18 months (average 9 months). The etiologies of the depressed deformities included stable hemifacial atrophy (3 cases), craniofacial microsomia (13 cases), bony depression after trauma (8 cases), and other unclear reasons (2 cases). The operations were performed under local anesthesia. ePTFE was inserted in different tissue planes that varied among the different subanatomical areas in the face: beneath the superficial temporal fascia in the temporal area, and on the surface of the superficial musculoaponeurotic system in the zygomatic area, cheek and mandibular area. All of the patients were followed up. Most of the patients [25 of 26 patients (96.2%)] were satisfied with the results, while 1 patient (3.8%) was not satisfied for incomplete correction of the depressed deformity. In conclusion, aside from lipofilling and a free flap transfer, the results showed that ePTFE was an alternative treatment for facial depressed deformity.
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发表时间: 2005-11-01
影响因子: 2.4
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