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- Title
Free Dermal Fat Graft Reconstruction of the Head and Neck: A Cosmetically Appealing Reconstructive Option.
- Authors
Rangarajan, Sanjeet V.; Athavale, Sanjay M.; Langerman, Alexander; Rohde, Sarah L.; Netterville, James L.
- Abstract
Objectives: Ablative procedures of the head and neck often result in significant contour defects. Free dermal fat grafts (FDFG) possess complete histocompatibility, are relatively resistant to infection, and accommodate long term facial growth. Our objective is to confirm the benefits of FDFG reconstruction in post-ablative head and neck defects. Study Design: Retrospective chart review and patient survey. Methods: Patients who underwent FDFG reconstruction of the head and neck between 1997 and 2010 were identified. Of 205 patients identified, 62 met inclusion criteria. The pathology, surgical technique, long term imaging, cosmetic outcome, and complications were analyzed. Postoperative cosmetic results were assessed by a novel patient based numerical grading scale. Three of 62 patients with extensive photographs and imaging are presented in greater detail. Results: The mean age was 50.4 years (7 months to 83 years). Twenty-two patients were male (35%) and 40 patients were female (65%). FDFG were used to correct a variety of defects with the most common location being the lateral skull base (n=25) followed by the parotid gland (n=22). A majority of patients had a diagnosis of paraganglioma (n=20) although numerous pathologies were identified. Only three patients had a complication related to their FDFG recipient site (4.8%) and no patients had abdominal donor site complications (0%). The patient cosmesis survey revealed high numerical levels of satisfaction (4.9 out of 5.0). Conclusions: FDFG is an excellent head and neck reconstructive option with few complications. Moreover, FDFG can be used in a variety of locations and patients tend to be very happy with their final cosmetic outcome.
- Subjects
MEDICAL lasers; HEAD diseases; NECK diseases; SURGICAL complications
- Publication
Laryngoscope, 2011, Vol 121, Issue S5, pS292
- ISSN
0023-852X
- Publication type
Article
- DOI
10.1002/lary.22248