AUTOLOGOUS FAT TRANSPLANTATION TECHNIQUES USED IN OMF SURGERY CLINIC IASI (ROMANIA) IN THE TREATMENT OF CRANIO-FACIAL DEFORMITIES

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Aim of study was to determine the types and distribution of autologous fat transplantation techniques used in the treatment of the cranio-facial deformities. Materials and method. The study was performed on 36 patients with cranio-facial deformities treated by autologous fat transplantation techniques in OMF Surgery Clinic (Iasi). The reasons for which patients sought lipostructure or microlipostructure were as follows: facial asymmetry due to soft tissue and bone deficiency – 45.2% (19 cases); pain syndrome – 19.0% (8 cases); retractive, unaesthetic scars – 21.4% (9 cases); postoperative scar tissue following radio-chemotherapy treatment – 23.8% (10 cases). Results. The autologous fat grafting techniques used in the treatment of cranio-facial deformities were total parotidectomy with preservation of the facial nerve (23.8%), followed by extended parotidectomy with immediate reconstruction using a radial free flap (14.3%), wound debridement and suturing (11.9%), primary closure of the cleft lip (9.5%), subtotal glossectomy with continuity resection of the mandible, radical cervical lymph node dissection, and reconstruction with a latissimus dorsi free flap, and tumor excision with primary closure for basal cell carcinoma (both 7.1%), subtotal glosopelvectomy with radical cervical lymph node dissection and defect reconstruction using a radial free flap was performed in 4.8% of cases.. Conclusions. The autologous adipose tissue graft has diverse applications in cranio-maxillofacial pathology. The most performed procedures were total parotidectomy with preservation of the facial nerve, followed by extended parotidectomy with immediate reconstruction using a radial free flap, and wound debridement and suturing.

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