PDF(Pubmed)
Abstract：
(1) Background: In surgical procedures for maxillofacial tumours, it is challenging to preserve functional and cosmetic properties in the affected patients. The use of fat grafting is considered as a valuable alternative to overcome postoperative aesthetic asymmetry problems. (2) Methods: In this study, we enrolled thirty patients with parotid gland tumours in which a partial or complete parotidectomy was performed with positioning in the parotid bed of autologous dermis-fat grafts. We evaluated the satisfaction rate of the patients and the objective efficacy in solving the deformity by comparing MRI data before and after surgery. (3) Results: Twenty-six patients showed a satisfying cosmetic result with proper facial symmetry between the affected side and the healthy one. Two patients presented mild postsurgical complications such as haematomas, and two patients reported temporary weakness of the facial nerve related to the parotidectomy. (4) Conclusions: Based on the imaging data obtained via MRI before and after surgery, we can assess that the employment of fat grafts in parotidectomy surgical procedures gives good cosmetic results and does not affect the post operative management and follow up of oncologic patients.
摘要：
（1）背景：在颌面部肿瘤的外科手术中，在受影响的患者中保持功能和美容特性是具有挑战性的。使用脂肪移植被认为是克服术后美学不对称问题的有价值的替代方法。(2)方法：在本研究中，我们纳入了30例腮腺肿瘤患者,在腮腺床内自体真皮-脂肪移植物进行了部分或完全腮腺切除术.我们通过比较手术前后的MRI数据来评估患者的满意率和解决畸形的客观疗效。（3）结果：26例患者的美容效果令人满意，患侧与健康侧之间具有适当的面部对称性。两名患者出现轻微的术后并发症，如血肿，两名患者报告与腮腺切除术有关的面神经暂时无力。(4)结论:根据手术前后MRI获得的影像学数据,我们可以评估，在腮腺切除术手术中使用脂肪移植物可以产生良好的美容效果，并且不会影响肿瘤患者的术后管理和随访。
