1/10. Parry-Romberg syndrome with migraine and intracranial aneurysm.Parry-Romberg syndrome or progressive facial hemiatrophy (PFH) is a rare disease of unknown etiology characterized by atrophy of the skin and subcutaneous tissue on one side of the face. The authors present the case of a 32-year-old woman with PFH who had migraine and an intracranial aneurysm. The findings support the hypothesis that the disease could be related to a neural crest migration disorder, from which both fronto-nasal mass and cranial vessels take origin.- - - - - - - - - - ranking = 1keywords = vessel (Clic here for more details about this article) |
2/10. New findings in the Parry-Romberg syndrome: a case report.PURPOSE: To describe further findings in the Parry-Romberg syndrome that might contribute towards a better understanding of the disease. DESIGN: Case report. methods: The clinical history of a patient with the Parry-Romberg syndrome was studied, and fluorangiography and echography were carried out. RESULTS: Clinical observation revealed classic hemifacial atrophy; fluorescein angiography showed telangiectasis, light staining of the retina, and leakage from the largest telangiectasis and the optic disc vessels; echography showed shrinkage of the eyeball and thinning of the extraocular muscles. CONCLUSIONS: enophthalmos in this disease is caused not only by progressive fat atrophy but also by shrinkage of the eyeball and thinning of the extraocular muscles; the shrinkage of the eyeball helps explain the presence of choroidal and retinal folding and hyperopia, confirming the primary involvement of connective tissue in this disease.- - - - - - - - - - ranking = 1keywords = vessel (Clic here for more details about this article) |
3/10. Facial augmentation with groin osteoadiposal flap transfer.The authors report the advantages of the groin osteoadiposal flap for facial augmentation, which include the possibility of a conjoint type of flap harvesting with one main set of vessels (usually, the superficial circumflex iliac vessels); one-stage augmentation without secondary defatting; a donor scar in a concealed area; and rigid flap fixation with bone plating.- - - - - - - - - - ranking = 2keywords = vessel (Clic here for more details about this article) |
4/10. The volume limitation of the galeal temporalis flap in facial augmentation.Galeal temporalis flaps based on the superficial temporal vessels have been used for facial augmentation and can be extended to the contralateral side beyond the midline in order to achieve maximum volume. In five patients, the volumes of extended galeal flaps were measured intraoperatively using a water displacement method. The calculated volume varied between 28 and 38 cm3. Experience with this flap showed satisfactory results with no complications; therefore, it is concluded that the extended galeal temporalis flap may be a first choice in the correction of facial soft tissue deficits less than 40 cm3. Clinical cases are presented.- - - - - - - - - - ranking = 1keywords = vessel (Clic here for more details about this article) |
5/10. Correction of severe hemifacial atrophy with a free dermis-flat from the lower abdomen.A case of hemifacial atrophy was corrected with a free dermal-fat flap, based on the inferior epigastric vessels. Microvascular anastomosis to the facial vessels was used. Ancillary "tailoring" procedures were done later to complete the work.- - - - - - - - - - ranking = 2keywords = vessel (Clic here for more details about this article) |
6/10. The circumflex scapular flap for reconstruction of mandibulofacial atrophy.dissection of the circumflex scapular vessels permits the use of a cutaneous flap of moderate thickness and broad extension because of the plexal arrangement of the two basic arterial components, the cutaneous scapular and the inferior scapular arteries. This flap may be considered as the treatment of choice in reconstructive surgery for facial atrophy of diverse etiology. The anatomic fundamentals and surgical technique for use of this flap are described.- - - - - - - - - - ranking = 1keywords = vessel (Clic here for more details about this article) |
7/10. Free dermal fat flaps to the face.patients with extensive facial asymmetry continue to be a challenge in reconstructive surgery. Surgical techniques using microvascular anastomoses and free flap transfers can now be applied in the management of patients with such conditions as Romberg disease, postirradiation hypoplasia of the face, and goldenhar syndrome, and in patients with bronchial arch developmental defects. Four patients are presented in this paper to demonstrate the use of free dermal fat in reconstruction of facial asymmetry. One patient with a moderate facial defect was treated with a free dermal fat graft, and the other 3, who had more extensive defects, were treated with deepithelialized free dermal fat flaps using direct microvascular anastomoses between the donor and recipient vessels. The groin was the donor area in each case. Results appear to indicate that free dermal fat flaps are useful in reconstructive procedures for patients with extensive facial defects.- - - - - - - - - - ranking = 1keywords = vessel (Clic here for more details about this article) |
8/10. Restoration of facial contour using free vascularized omental transfer.Three cases are described in which free omental transfer was utilized for facial soft tissue augmentation. Dissections in 30 cadavers confirmed the five patterns of vascular distribution, the diameter of the omental vessels, and the fat distribution within the greater omentum. The versatile omentum offers many advantages over the "deepithelialized" groin flap: long pedicle, larger vessel size, less bulk, and tissue that can be layered upon itself. Retention of septae along the natural facial contour lines has improved the placement and minimized the late migration of transferred omental tissue.- - - - - - - - - - ranking = 2keywords = vessel (Clic here for more details about this article) |
9/10. Cross-facial vein grafting in complicated flap reconstructions of the face and mandible.Microvascular flap reconstructions of facial and mandibular defects are achieving increasingly widespread application and, as a result, more patients are considered for such procedures after large tumors, congenital abnormalities, previous surgery (including failed and successful microsurgical procedures) and radiation have compromised potential recipient vessels on the side of the defect. In three such cases, contralateral facial vessels with vein grafts have been used to provide flap-recipient vessels. Each flap was successful. Cross-facial vein grafting is a relatively simple solution for utilizing undamaged vessels as recipient pedicles in complicated flap reconstructions of the face and mandible.- - - - - - - - - - ranking = 4keywords = vessel (Clic here for more details about this article) |
10/10. Progressive facial hemiatrophy: abnormality of intracranial vasculature.Progressive facial hemiatrophy (PFH) or Parry-Romberg syndrome is associated with ipsilateral brain lesions and neurologic symptoms. We describe a 35-year-old man with PFH and frequent hemiplegic migraine. On cerebral angiography, reversible vessel caliber changes were seen within the symptomatic hemisphere. An abnormality of the intracranial vasculature may be present in some patients with PFH and neurologic manifestations.- - - - - - - - - - ranking = 1keywords = vessel (Clic here for more details about this article) |
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