Correction of cicatricial ectropion by autologous fat graft

被引:58
作者
Caviggioli, F. [1 ]
Klinger, F. [1 ]
Villani, F. [1 ]
Fossati, C. [1 ]
Vinci, V. [1 ]
Klinger, M. [1 ]
机构
[1] Univ Milan, Cattedra Chirurg Plast, Unita Operat Chirurg Plast 2, IRCCS Ist Clin Humanitas, I-20089 Rozzano, Italy
关键词
adipose cell; ectropion; liposuction; scar;
D O I
10.1007/s00266-008-9117-y
中图分类号
R61 [外科手术学];
学科分类号
摘要
Background Over the past few years, treatment of burn scars with lipofilling has shown encouraging clinical results in terms of texture, color, softness, and quality of skin patterns. This clinical application has been widened to include treatment for scars resulting from surgical correction of cicatricial ectropion. In fact, although standard surgery with flaps and skin grafts can grant significant functional and cosmetic improvements, these often are not complete because of secondary surgical scars. Methods The case of a 43-year-old man with cicatricial outcomes from chemical burns and subsequent surgical repair of medial ectropion in the lower eyelid is reported. The scar area was treated with injection of adipose tissue harvested from abdominal subcutaneous fat and processed according to Coleman's technique. Results At the 1-year follow-up assessment after lipostructure, the patient no longer reported xeroftalmia and epiphora. He had experienced complete functional recovery with excellent cosmetic results. Conclusions Lipostructure of cicatricial ectropion seems to complete and improve the results of the standard surgical approach, and its long-lasting benefits are in keeping with the theoretical basis of this procedure.
引用
收藏
页码:555 / 557
页数:3
相关论文
共 15 条
[1]
HISTORICAL REVIEW AND PRESENT STATUS OF FREE FAT GRAFT AUTO-TRANSPLANTATION IN PLASTIC AND RECONSTRUCTIVE SURGERY [J].
BILLINGS, E ;
MAY, JW .
PLASTIC AND RECONSTRUCTIVE SURGERY, 1989, 83 (02) :368-381
[2]
Epithelial differentiation of human adipose tissue-derived adult stem cells [J].
Brzoska, M ;
Geiger, H ;
Gauer, S ;
Baer, P .
BIOCHEMICAL AND BIOPHYSICAL RESEARCH COMMUNICATIONS, 2005, 330 (01) :142-150
[3]
Coleman SR, 1997, CLIN PLAST SURG, V24, P347
[4]
LONG-TERM SURVIVAL OF FAT TRANSPLANTS - CONTROLLED DEMONSTRATIONS [J].
COLEMAN, SR .
AESTHETIC PLASTIC SURGERY, 1995, 19 (05) :421-425
[5]
Future of fat as raw material for tissue regeneration [J].
De Ugarte, DA ;
Ashjian, PH ;
Elbarbary, A ;
Hedrick, MH .
ANNALS OF PLASTIC SURGERY, 2003, 50 (02) :215-219
[6]
Ellenbogen R, 2000, CLIN PLAST SURG, V27, P545
[7]
KLINGER M, AESTH PLAST IN PRESS
[8]
Management of lower lid ectropion [J].
Liebau, Jutta ;
Schulz, Andrea ;
Arens, Andreas ;
Tilkorn, Hubertus ;
Schwipper, Volker .
DERMATOLOGIC SURGERY, 2006, 32 (08) :1050-1057
[9]
Cicatricial ectropion: repair with myocutaneous flaps and canthopexy [J].
Manku, Kiran ;
Leong, James K. ;
Ghabrial, Raf .
CLINICAL AND EXPERIMENTAL OPHTHALMOLOGY, 2006, 34 (07) :677-681
[10]
Prevalence and associations with ectropion in an older population: the Blue Mountains Eye Study [J].
Mitchell, P ;
Hinchcliffe, P ;
Wang, JJ ;
Rochtchina, E ;
Foran, S .
CLINICAL AND EXPERIMENTAL OPHTHALMOLOGY, 2001, 29 (03) :108-110