Page 17 - 林口長庚醫研部電子報-2018年6月刊

NEWSLETTER JUNE 2018 顱顏醫學研究中心 - 2017 年代表性研究成果 NEWSLETTER JUNE 2018 顱顏醫學研究中心 - 2017 代表性研究成果年

02-5. 顱顏醫學研究中心 There are several advantage of fat transfer: Figures:

1. 3-D simulated results of
1.The graft volume that take is long
lasting orthognathic surgery. Left, Pre-

Simulation 3-D photo; Right,
Orthognathic Surgery with Simultaneous Autologous 2.Large volumes are graftable, Simulation result after orthognathic
including in The graft volume that
Fat Transfer for Correction of Facial Asymmetry takes is long lasting. Large. surgery, notice that patient will

(Plastic and Reconstructive Surgery 139(3): 693-700) 3.T h e s ur g i c al w o un d s ar e have some discrepancies
after surgery.
撰稿者：張呈欣醫師 insignificant in size, being punctures,

校稿者：羅綸洲主任 and can be strategically hidden.

4.Minimal complication rates and

說明： minimal donor site morbidity. Fat
grafts are entirely biocompatible.
The face is composed with bone and soft tissue. Facial asymmetry is

a challenge for craniofacial surgeons to correct. Our center currently 5.The volumisation effect of fat
uses three dimensional (3-D) surgical designs by combining cone-beam grafting can improve the overlying 2. Patient’s picture

computed tomography scans and 3-D photographs (3dMD, Atlanta, skin texture. before surgery

Ga). Computer assisted surgical designs can help the surgeon achieve 6.Relatively short operation time.

facial skeletal symmetry. However, even if skeletal symmetrisation can 7.The materials used during the

be achieved, such patients almost invariably demonstrate some soft procedure are relatively inexpensive.

tissue discrepancy that persists after surgery. Autologous fat grafting is 8.Donor sites are readily available.

a minimally invasive procedure that is useful for correcting soft tissue
deficiencies. Clinical application:

Fat transfer currently is used for all

my case of facial asymmetry. It could
研究發現與應用： be used also for class II or class III

malocclusion patients with facial soft
With this study, we found that patient will benefit with both primary and tissue depression.

secondary soft tissue correction with autologous fat transfer. The lower facial
index is much improved with combination of orthognathic surgery and fat 3. After combination of fat injection

injection. In the past, we perform fat transfer 6 months after orthognathic and orthognathic surgery: left upper,

surgery. With advances of techniques, we perform fat transfer together with one week postoperatively; right

orthognathic surgery. upper, one month postoperatively;
left lower, frontal view seven months

postoperatively; right lower, lateral view
seven months postoperatively.

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