Treating Parry-Romberg Syndrome Using Three-Dimensional Scanning and Printing and the Anterolateral Thigh Dermal Adipofascial Flap

J Craniofac Surg. 2015 Sep;26(6):1826-9. doi: 10.1097/SCS.0000000000001903.

Abstract

Background: As three-dimensional technology becomes more ubiquitous, many plastic surgical applications have emerged. The authors investigate a three-dimensional scanning and printing system for facial soft tissue reconstruction in conjunction with an anterolateral thigh dermal adipofascial flap for the treatment of Parry-Romberg syndrome.

Methods: Seven patients with facial atrophy of the zygomatic, buccal, and mandibular areas were included. Three-dimensional scanning of each patient's face in conjunction was analyzed with computer-aided design (CAD) to quantify areas of facial asymmetry. Models were then created using three-dimensional printing to map areas of soft tissue deficiency. Free anterolateral thigh (ALT) dermal adipofascial flaps were designed based on the three-dimensional models of soft tissue deficiency.

Results: All flaps survived. One case had a postoperative hematoma. Six patients had restored facial symmetry. One patient required fat injections to obtain symmetry. No patients required revision surgery of their healed flaps for contouring.

Conclusions: Three-dimensional laser scanning and three-dimensional printing in combination with a free ALT dermal adipofascial flap offer surgeons a precise means to reconstruct facial contour deformities.

Publication types

  • Case Reports
  • Research Support, Non-U.S. Gov't

MeSH terms

  • Adipose Tissue / transplantation
  • Adult
  • Autografts / transplantation
  • Cohort Studies
  • Computer-Aided Design
  • Facial Asymmetry / diagnosis
  • Facial Hemiatrophy / diagnosis
  • Facial Hemiatrophy / surgery*
  • Fascia / transplantation
  • Female
  • Follow-Up Studies
  • Free Tissue Flaps / transplantation*
  • Graft Survival
  • Hematoma / etiology
  • Humans
  • Imaging, Three-Dimensional / methods*
  • Lasers
  • Male
  • Patient Care Planning*
  • Postoperative Complications
  • Printing, Three-Dimensional*
  • Reconstructive Surgical Procedures / methods*
  • Skin Transplantation / methods*
  • Thigh / surgery
  • Transplant Donor Site / surgery
  • Young Adult