دورية أكاديمية
أعرض في EDS

Correction of Temporal Hollowing After Pterional Craniotomy by Autologous Fat Grafting. A Single-Center Experience.

التفاصيل البيبلوغرافية
العنوان: Correction of Temporal Hollowing After Pterional Craniotomy by Autologous Fat Grafting. A Single-Center Experience.
المؤلفون: Morandi EM; Department of Plastic, Reconstructive and Aesthetic Surgery, Medical University of Innsbruck, Innsbruck, Austria., Pinggera D; Department of Neurosurgery, Medical University of Innsbruck, Innsbruck, Austria., Kerschbaumer J; Department of Neurosurgery, Medical University of Innsbruck, Innsbruck, Austria. Electronic address: johannes.kerschbaumer@tirol-kliniken.at., Rauchenwald T; Department of Plastic, Reconstructive and Aesthetic Surgery, Medical University of Innsbruck, Innsbruck, Austria., Winkelmann S; Department of Plastic, Reconstructive and Aesthetic Surgery, Medical University of Innsbruck, Innsbruck, Austria., Thomé C; Department of Neurosurgery, Medical University of Innsbruck, Innsbruck, Austria., Pierer G; Department of Plastic, Reconstructive and Aesthetic Surgery, Medical University of Innsbruck, Innsbruck, Austria., Wolfram D; Department of Plastic, Reconstructive and Aesthetic Surgery, Medical University of Innsbruck, Innsbruck, Austria.
المصدر: World neurosurgery [World Neurosurg] 2022 Aug; Vol. 164, pp. e784-e791. Date of Electronic Publication: 2022 May 18.
نوع المنشور: Journal Article
اللغة: English
بيانات الدورية: Publisher: Elsevier Country of Publication: United States NLM ID: 101528275 Publication Model: Print-Electronic Cited Medium: Internet ISSN: 1878-8769 (Electronic) Linking ISSN: 18788750 NLM ISO Abbreviation: World Neurosurg Subsets: PubMed not MEDLINE; MEDLINE
أسماء مطبوعة: Original Publication: New York : Elsevier
مستخلص: Objective: Aesthetic complications following neurosurgical procedures impact patient quality of life and self-perception. Postoperative temporal hollowing frequently is seen after temporal craniotomy, resulting mainly from atrophy of the temporal muscle. Autologous fat grafting is a tailorable method to correct such approach-related sequelae. We herein present our clinical patient series and discuss pearls and pitfalls of this method.
Methods: In this retrospective single-center study, correction of postoperative temporal hollowing using autologous fat grafting was performed in 16 patients. Temporal tissue thickness ratio was measured using magnetic resonance tomography images to visualize the graft. Patients, plastic surgeons, and neurosurgeons evaluated the results independently using the herein presented scale.
Results: The mean interval between the neurosurgical procedure and fat grafting was 62 months. A mean volume of 11.5 mL of autologous fat was injected in an average of 2.5 sessions after initial rigottomy. Temporal tissue thickness was significantly augmented at a mean of 2.2 years after the operation (mean 0.71 ± 0.25, range 0.43-1.1; P = 0.0214) as compared with the preoperative finding (mean 0.48 ± 0.1, range 0.32-0.6). Patients were more satisfied with the results than were surgeons, reflecting the significant impact of the deformity on patient self-esteem.
Conclusions: Autologous fat grafting is a valuable method for correcting postoperative temporal hollowing that provides stable results, high patient and surgeon satisfaction, and can be tailored to the patient's individual needs. It should not be considered a merely aesthetic operation but an important rehabilitation step towards restoring the patient's quality of life.
(Copyright © 2022 Elsevier Inc. All rights reserved.)
فهرسة مساهمة: Keywords: Craniotomy; Fat grafting; Lipofilling; Rigottomy; Scar release; Temporal hollowing
تواريخ الأحداث: Date Created: 20220521 Date Completed: 20220810 Latest Revision: 20220830
رمز التحديث: 20231215
DOI: 10.1016/j.wneu.2022.05.049
PMID: 35597536
قاعدة البيانات: MEDLINE
الوصف
تدمد:1878-8769
DOI:10.1016/j.wneu.2022.05.049