Volumetric lipoinjection of the fronto-orbital and temporal complex with adipose stem cells for the aesthetic restoration of sequelae of craniosynostosis
Background Non-syndromic craniosynostosis causes craniofacial asymmetry and may persist after cranioplasty. These postoperative asymmetries are primarily depressions. In some cases, patients may be subjected to pranks and harassment by their peers, affecting their psychosocial development. We propos...
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| Format: | Article |
| Language: | English |
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Korean Society of Plastic and Reconstructive Surgeons
2018
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| Online Access: | http://eprints.uanl.mx/16320/1/165.pdf |
| _version_ | 1838550996985315328 |
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| author | Castro Govea, Yanko Vela Martínez, Amin Treviño García, Luis Alberto |
| author_facet | Castro Govea, Yanko Vela Martínez, Amin Treviño García, Luis Alberto |
| author_sort | Castro Govea, Yanko |
| collection | Repositorio Institucional |
| description | Background Non-syndromic craniosynostosis causes craniofacial asymmetry and may persist after cranioplasty. These postoperative asymmetries are primarily depressions. In some cases, patients may be subjected to pranks and harassment by their peers, affecting their psychosocial development. We propose lipoinjection enriched with adipose stem cells (ASCs) to treat the sequelae of craniosynostosis in the fronto-orbital and temporal complex in cranioplasty patients, with the goal of improving the appearance of the upper third of the face. Methods Twelve children (four boys and eight girls) between 4 and 8 years of age (mean age, 6 years) in the postoperative period after treatment for plagiocephaly, brachycephaly, and trigonocephaly were included, with a follow-up period of 1 to 18 months. Fat tissue was obtained from the lower abdomen, and ASCs were isolated using the Yoshimura technique. Lipoinjection was performed using several mini-approaches to ensure adequate distribution. Results Two different scales were used to evaluate the aesthetic outcomes. At 6 months, three plastic surgeons independent of the study classified the results using a Likert scale. The patients’ parents categorized the results using a visual analog scale at 6, 9, and 18 months.
R esults were favorable on both scales, as the patients’ facial appearance improved and they reported increased happiness and self-esteem due to their remodeled facial appearance. Conclusions We suggest that lipoinjection enriched with ASCs is a good alternative for correcting asymmetry of the fronto-orbital and temporal contour in patients with sequelae of craniosynostosis. This treatment will help boost patients’ self-esteem starting at an early age.
Keywords Craniosynostoses / Transplants / Frontal bone / Adipose tissue / Stem cells |
| format | Article |
| id | eprints-16320 |
| institution | UANL |
| language | English |
| publishDate | 2018 |
| publisher | Korean Society of Plastic and Reconstructive Surgeons |
| record_format | eprints |
| spelling | eprints-163202025-07-14T16:48:35Z http://eprints.uanl.mx/16320/ Volumetric lipoinjection of the fronto-orbital and temporal complex with adipose stem cells for the aesthetic restoration of sequelae of craniosynostosis Castro Govea, Yanko Vela Martínez, Amin Treviño García, Luis Alberto RD Cirugía Background Non-syndromic craniosynostosis causes craniofacial asymmetry and may persist after cranioplasty. These postoperative asymmetries are primarily depressions. In some cases, patients may be subjected to pranks and harassment by their peers, affecting their psychosocial development. We propose lipoinjection enriched with adipose stem cells (ASCs) to treat the sequelae of craniosynostosis in the fronto-orbital and temporal complex in cranioplasty patients, with the goal of improving the appearance of the upper third of the face. Methods Twelve children (four boys and eight girls) between 4 and 8 years of age (mean age, 6 years) in the postoperative period after treatment for plagiocephaly, brachycephaly, and trigonocephaly were included, with a follow-up period of 1 to 18 months. Fat tissue was obtained from the lower abdomen, and ASCs were isolated using the Yoshimura technique. Lipoinjection was performed using several mini-approaches to ensure adequate distribution. Results Two different scales were used to evaluate the aesthetic outcomes. At 6 months, three plastic surgeons independent of the study classified the results using a Likert scale. The patients’ parents categorized the results using a visual analog scale at 6, 9, and 18 months. R esults were favorable on both scales, as the patients’ facial appearance improved and they reported increased happiness and self-esteem due to their remodeled facial appearance. Conclusions We suggest that lipoinjection enriched with ASCs is a good alternative for correcting asymmetry of the fronto-orbital and temporal contour in patients with sequelae of craniosynostosis. This treatment will help boost patients’ self-esteem starting at an early age. Keywords Craniosynostoses / Transplants / Frontal bone / Adipose tissue / Stem cells Korean Society of Plastic and Reconstructive Surgeons 2018-03 Article PeerReviewed text en cc_by_nc_nd http://eprints.uanl.mx/16320/1/165.pdf http://eprints.uanl.mx/16320/1.haspreviewThumbnailVersion/165.pdf Castro Govea, Yanko y Vela Martínez, Amin y Treviño García, Luis Alberto (2018) Volumetric lipoinjection of the fronto-orbital and temporal complex with adipose stem cells for the aesthetic restoration of sequelae of craniosynostosis. Archives of plastic surgery, 45 (2). pp. 128-134. ISSN 2234-6163 http://doi.org/10.5999/aps.2017.00997 doi:10.5999/aps.2017.00997 |
| spellingShingle | RD Cirugía Castro Govea, Yanko Vela Martínez, Amin Treviño García, Luis Alberto Volumetric lipoinjection of the fronto-orbital and temporal complex with adipose stem cells for the aesthetic restoration of sequelae of craniosynostosis |
| thumbnail | https://rediab.uanl.mx/themes/sandal5/images/online.png |
| title | Volumetric lipoinjection of the fronto-orbital and temporal complex with adipose stem cells for the aesthetic restoration of sequelae of craniosynostosis |
| title_full | Volumetric lipoinjection of the fronto-orbital and temporal complex with adipose stem cells for the aesthetic restoration of sequelae of craniosynostosis |
| title_fullStr | Volumetric lipoinjection of the fronto-orbital and temporal complex with adipose stem cells for the aesthetic restoration of sequelae of craniosynostosis |
| title_full_unstemmed | Volumetric lipoinjection of the fronto-orbital and temporal complex with adipose stem cells for the aesthetic restoration of sequelae of craniosynostosis |
| title_short | Volumetric lipoinjection of the fronto-orbital and temporal complex with adipose stem cells for the aesthetic restoration of sequelae of craniosynostosis |
| title_sort | volumetric lipoinjection of the fronto orbital and temporal complex with adipose stem cells for the aesthetic restoration of sequelae of craniosynostosis |
| topic | RD Cirugía |
| url | http://eprints.uanl.mx/16320/1/165.pdf |
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