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进行性半侧颜面萎缩症(又称罗姆伯格氏病)是逐渐出现半侧面部组织萎缩的疾病。好发于青少年,原因不明。关于本症的治疗方法,以前多用真皮脂肪移植、去上皮带蒂皮瓣、局部皮瓣移植及注入硅胶等。近年来又发展到采用微小血管吻合的游离大网膜移植和游离真皮脂肪瓣移植等方法。但这些方法只能重建面部萎缩的软组织,不能重建严重萎缩病例及有骨组织萎缩的病例。所以,作者尝试了带胸背动静脉蒂的背阔肌及带肋骨的前锯肌游离复合瓣的方法,修复颜面萎缩的软组织的同时,又重建了颧骨及颧弓,获得了良好效果。手术方法在萎缩侧颜面部设计切口线,从耳屏前至下颌骨下缘沿切口线切开皮肤皮下,剥离皮下脂肪
Progressive hemifacial atrophy (also known as Romberg's disease) is a progressive disease of the half face tissue atrophy. Occur in adolescents, for unknown reasons. On the treatment of this disease, the past with dermal fat transplantation, to the skin flap pedicled, local flap transplantation and injection of silica gel. In recent years, the development of free omentum transplantation using a small vascular anastomosis and free dermal fat flap transplantation and other methods. However, these methods can only reconstruct soft tissue with facial atrophy and can not reconstruct severe cases of atrophy and cases of atrophy of bone tissue. Therefore, the authors attempted the method of free latissimus dorsi with thoracodorsal venous pedicle and ribbed serratus anterior commissure, repaired facial soft tissue and reconstructed the zygoma and zygomatic arch, and achieved good results. Surgical methods in the shrink side facial design incision line, from the tragus to the lower edge of the mandible along the incision line cut skin subcutaneous stripping subcutaneous fat