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Research Article| Volume 46, ISSUE 3, P94-200, 1993

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Aesthetic treatment of Romberg's disease: experience with 35 cases

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      Abstract

      Our experience with dermis-fat free flaps and conventional reconstructive procedures for 35 patients with Romberg's disease over a 7-year period is presented. The groin flap was used for increasing volume in 33 cases, the scapular flap in 3 cases, and 2 were treated with the latissimus dorsi free flap.
      To achieve better contour, secondary procedures such as defatting of the flap, pedicled temporal fascial flaps, cartilage and bone grafts, orthognathic surgery, and other conventional aesthetic procedures were performed in 32 patients.
      Excellent results were achieved in 9 mildly deformed patients, in 12 out of 16 moderately, and in 3 out of 10 severely affected patients. Four moderate and 5 severe cases were classified as good results. Poor results were achieved in 2 severe cases.

      References

        • Parry CH
        Collections from the Unpublished Medical Writings of the late Caleb Hillier Parry.
        in: Underwood, London1845: 478
        • Romberg MH
        Klinische Ergebnisse.
        in: A. Fo¨rstner, Berlin1846: 75
        • Eulenburg A
        Lehrbuch der functionellen Nervenkrankheiten.
        1871 (Berlin)
        • Rogers BO
        Progressive facial hemiatrophy: Romberg's disease; A review of 772 cases.
        in: Trans Third Internatl Congress Plast Surg Amsterdam. Exerpta Medica, 1964: 681
        • Archambault L
        • Fromm NK
        Progressive facial hemiatrophy.
        Arch Neurol Psychiatr. 1932; 27: 529
        • Crikelair GF
        • Moss ML
        • Khuri A
        Facial hemiatrophy.
        Plast Reconstr Surg. 1962; 29: 5
        • O'Conor CM
        Progressive facial hemiatrophy.
        Bol Soc Argent Ciruj. 1972; 56: 543
        • Stark RB
        Plastic Surgery. Hoeber Medical Division.
        Harper & Row, 1987
        • Walsh FB
        Facial hemiatrophy.
        Am J Ophthalmol. 1939; 22: 1
        • Peskova H
        • Stockar B
        Hemiatrophia facie progressiva: Romberg's disease.
        Acta Chir Plast. 1961; 5: 181
        • Alderuccio D
        • Witherden D
        • Toh BH
        • Barnett A
        Auto-antibody to Gp 50, a glycoprotein shared in common between fibroblast and lymphocytes, in progressive systemic sclerosis.
        Clin Exp Immunol. 1989; 78: 26-30
        • Cassirer R
        Die vasomotorisch-troplischen Neurosen.
        2nd Ed. S. Karger, Basel1912
        • Franceschetti A
        • Koening H
        L'importance du facteur he´re´do-de´ge´ne´ratif dans l'he´miatrophie faciale progressive. (Romberg).
        J Ge´ne´t Humaine. 1952; 1: 27
        • Janvier H
        Contributiona`l'e´tude de l'he´miatrophie faciale progressive.
        Semaine Hoˆsp Paris. 1956; 32: 29
        • Kiskadden WS
        • McGregor MW
        Report of a case of progressive facial hemiatrophy with pathological changes and surgical treatment.
        Plast Reconstr Surg. 1946; 1: 187
        • Pensler JM
        • Murphy GF
        • Mulliken JB
        Clinical and ultrastructural studies of Romberg's hemifacial atrophy.
        Plast Reconstr Surg. 1990; 85: 669-676
        • Raymond F
        • Sicard JA
        Trophonevrose hemiatrophique totale et familiale.
        Rev Neurol. 1902; 10: 593
        • Thie´baut F
        • Daum D
        He´miatrophie cranio-faciale apparaissant comme une malformation ge´ne´tique.
        Rev Neurol. 1947; 79: 436
        • Wartenberg R
        Progressive facial hemiatrophy.
        Arch Neurol Psyquiatr. 1945; 54: 75
        • Klingmann T
        Facial hemiatrophy: statistical report of a case with morphological stigmata.
        JAMA. 1907; 49: 1888
        • Lang K
        • Schmitz G
        U¨ber einen fall von hemiatrophia cruciata totalis.
        D Z Nerveheilk. 1956; 174: 156
        • Marburg O
        Hemiatrophia facialis progressiva.
        in: Specielle Pathologie und Therapie. Vol. 11. A Ho¨lder, Vienna1912 (pt 2)
        • Meyer HE
        U¨ber hemiatrophia faciei und totalis.
        Med Klin. 1936; 32: 352
        • Mo¨bius PJ
        Der umschriebene Gesichtsschwund.
        in: Specielle Pathologie und Therapie. Vol. 11. A Ho¨lder, Vienna1912 (pt 2)
        • Moss ML
        • Crikelair GF
        Progressive facial hemiatrophy following cervical sympathectomy in the rat.
        Arch Oral Biol. 1959; 1: 254
        • Kazanjian VH
        • Sturgis SH
        Surgical treatment of hemiatrophy of the face.
        JAMA. 1940; 115: 348
        • Rees TD
        • Ashlet FL
        • Delgado JP
        Silicone fluid injections for facial atrophy: a 10 year study.
        Plast Reconstr Surg. 1973; 52: 118
        • Neumann CG
        The use of large buried pedicled flaps of dermis and fat, clinical and pathological evaluation in the treatment of progressive facial hemiatrophy.
        Plast Reconstr Surg. 1953; 11: 35
        • Converse JM
        • Betson Jr, RJ
        A 20 years follow-up of a patient with hemifacial atrophy treated by a buried de-epithelized flap: case report.
        Plast Reconstr Surg. 1971; 48: 258
        • De la Fuente A
        • Jimenez A
        Latissimus dorsi free flaps for restoration of facial contour defects.
        Ann Plast Surg. 1989; 22: 1-4
        • De la Fuente A
        • Tavora T
        Fat injections for the correction of facial lipodistrophies: a preliminary report.
        Aesth Plast Surg. 1988; 12: 39
        • Billings E
        • May JW
        Historical review and present status of free graft autotransplantation in plastic and reconstructive surgery.
        Plast Reconstr Surg. 1989; 83: 369
        • Hudson DA
        • Lambert EV
        • Bloch CE
        Site selection for fat autotransplant: some observations.
        Aesth Plast Surg. 1990; 14: 195-197
        • Fujino T
        • Harashina T
        • Aoyagi F
        Reconstruction for aplasia of the breast and pectoral region by microvascular transfer of a free flap from the buttock.
        Plast Reconstr Surg. 1975; 56: 178
        • Wells JH
        • Edgerton MT
        Correction of severe hemifacial atrophy with a free dermis-fat flap from the lower abdomen.
        Plast Reconstr Surg. 1977; 59: 223
        • Jurkiewicz MJ
        • Nahai F
        The use of free revascularized grafts in the amelioration of hemifacial atrophy.
        Plast Reconstr Surg. 1985; 76: 44-54
        • Upton J
        • Mulliken JB
        • Hicks PD
        • Murray JE
        Restoration of facial contour using free vascularized omental transfer.
        Plast Reconstr Surg. 1980; 66: 560
        • Wallace JC
        • Schneider WJ
        • Brown RG
        • Nahai F
        Reconstruction of hemifacial atrophy with a free flap omentum.
        Br J Plast Surg. 1979; 32: 15
        • Walkinshaw M
        • Cafee HH
        • Wolfe SA
        Vascularized omentum for facial contour restoration.
        Ann Plast Surg. 1983; 10: 4