A case of bilateral facial atrophia

Facial atrophia, which is an atrophic connective tissue disease, is mostly seen as isolated cases, but rarely its a component of various syndromes and musculer disorders. Anterolateral thigh flap, latissimus dorsi muscle flap, deepithelialized parascapular flap, deepithelialized TRAM flap are the alternative reconstruction methods which are mentioned in the literature. 27 years old female patient who presented with bilateral hemifacial atrophia was reconstructed with deepithelialized free bilateral inguinal fasciocutaneous flap. In postoperative period, no complication was observed. In patients with bilateral fascial atrophia, reconstruction with free fasciocutaneous inguinal flaps can be considered.

Bilateral fasyal atrofî olgusu

Fasyal atrofi, izole olarak görülmekle birlikte, bazen çeþitli sendromlar ve kas hastalýklarýnýn komponenti olarak da bulunabilen bir bað dokusu atrofisidir. Anterolateral uyluk flebi, latismus dorsi kasflebi, dezepitelize paraskapuler flep, dezepitelize TRAM flebi literatürde bahsedilen rekonstrüksiyon seçeneklerindendir. Kliniðimize izole bilateral hemifasyal atrofi ile baþvuran 27 yaþýnda bayan hastaya, dezepidernýize edilen serbest bilateral inguinal fasya-deri flebi ile yanak rekonstrüksiyonu uygulandý. Bilateral fasyal atrofýsi olan hastalarda dezepidermize serbest fasyokutan inguinal flep ile rekonstrüksiyon, tedavi seçeneklerinden birisi olarak uygulanabilir.