Outcomes following Autologous Fat Grafting for Oncologic Head and Neck Reconstruction

Plastic and Reconstructive Surgery
Riaz J KarmaliMatthew M Hanasono

Abstract

The aims of this study were to examine the surgical, oncologic, and aesthetic outcomes of patients undergoing autologous fat grafting for oncologic head and neck reconstruction. A review was performed of 119 consecutive patients undergoing autologous fat grafting for oncologic head and neck reconstruction from 2005 to 2014. Aesthetic outcomes were rated by a group of 10 plastic surgeons and 10 laypersons using a five-point Likert scale. A total of 190 fat grafting procedures were performed in 116 patients. Of these, 69 percent had received radiation therapy before their reconstructive surgery. The average number of treatments per patient was 1.6 ± 1 (range, 1 to 6), with a mean injection volume of 24.8 ± 20.2 ml. The mean follow-up time from the first fat grafting procedure was 35.8 ± 23.1 months. Complications occurred in 6 percent, none of which required a return to the operating room or hospital admission. Oncologic recurrence was observed in six patients (three local, one regional, and two distant). Locoregional recurrences were in areas outside of where the fat was grafted. Aesthetic analysis revealed that both plastic surgeons and laypersons thought patients appeared closer to normal following autologous fat grafting. Thi...Continue Reading

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Citations

Jun 11, 2020·Current Opinion in Otolaryngology & Head and Neck Surgery·Rafael Denadai, Lun-Jou Lo
Oct 2, 2019·Medicina·Cristian Ilie DrochioiVictor Vlad Costan
Jul 2, 2020·Journal of Tissue Engineering and Regenerative Medicine·Saber KhazaeiSayed Mohammad Razavi
Jun 17, 2020·Annals of Plastic Surgery·Artur FahradyanMark M Urata
Oct 25, 2020·Stem Cell Research & Therapy·Angelo TrivisonnoGabriele Toietta
Apr 24, 2021·Plastic and Reconstructive Surgery·Summer E HansonCharles E Butler
May 19, 2021·Aesthetic Surgery Journal·Allison J SeitzRene D Largo
May 19, 2021·Aesthetic Surgery Journal·Summer E Hanson
Jul 29, 2021·The Journal of Craniofacial Surgery·Jessica GormleyMark McRae

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