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Oral and Maxillofacial Surgery

Published in:

01-12-2017 | Original Article

Correction of whistle deformity using autologous free fat grafting: first results of a pilot study and review of the literature

Authors: Sven Holger Baum, Gunnar Rieger, Roman Pförtner, Christopher Mohr

Published in: Oral and Maxillofacial Surgery | Issue 4/2017

Abstract

Purpose

Whistle deformities are frequent sequelae after surgical correction of cleft lip, trauma, or tumor excision. The aim of this study was to examine the role of autologous free fat grafting in the reconstruction of whistle deformity.

Patients

Fifteen patients with whistle deformity were enrolled in this pilot study. The mean follow-up period was 19 months. Liposuction was done followed by the replantation of an average of 2.2 ml autologous fat per patient (range 0.7–4 ml). An overcorrection was performed in all patients.

Results

All the patients showed improvements in whistle deformity. The mean resorption rate was 53% (range 30–80%). Three patients (20%) were not satisfied with the postoperative result. Six complications were assessed (4× feeling of pressure [27%], one hematoma [7%], one recurrent pain [7%]), but a major complication did not occur.

Review

We also present a review of the literature with different techniques that were described in the last 20 years.

Conclusion

Autologous free fat graftings for reconstruction of whistle deformity represent a reliable method with a low complication rate. However, the resorption rate is unpredictable. If necessary, several autologous fat transplantations should be conducted at an interval of at least 6 months.

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Title: Correction of whistle deformity using autologous free fat grafting: first results of a pilot study and review of the literature
Authors: Sven Holger Baum
Gunnar Rieger
Roman Pförtner
Christopher Mohr
Publication date: 01-12-2017
Publisher: Springer Berlin Heidelberg
Published in: Oral and Maxillofacial Surgery / Issue 4/2017
Print ISSN: 1865-1550
Electronic ISSN: 1865-1569
DOI: https://doi.org/10.1007/s10006-017-0648-8

Keynote webinar | Spotlight on sleep in brain health

Springer Medicine

Correction of whistle deformity using autologous free fat grafting: first results of a pilot study and review of the literature

Abstract

Purpose

Patients

Results

Review

Conclusion

Keynote webinar | Spotlight on sleep in brain health

Springer Medicine

Abstract

Purpose

Patients

Results

Review

Conclusion

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