Authors: Maria Scotto di Santolo Marco Sagnelli Giovanni Tortora Maria Angela Santoro Pier Luigi Canta Guido Molea Fabrizio Schonauer Massimo Imbriaco
Publish Date: 2016/02/04
Volume: 121, Issue: 6, Pages: 521-527
Abstract
Lipofilling technique is significantly increasing and the need of a noninvasive method to assess the success of the procedure is becoming mandatory In particular US can be considered an alternative method to MRI for evaluation of tissue lipofilling due to the simplicity and easy access of the technique and can be also used for monitoring the efficacy of the surgical procedure The goal of this study was to demonstrate the utility of the highresolution ultrasound technique in the evaluation of autologous adipose tissue lipofilling used for the correction of postsurgical posttraumatic and postburn scarsTwentyfive patients 21 females aged between 14 and 62 years underwent surgical correction of scars with ‘‘lipofilling’’ technique To evaluate the effectiveness of such treatment serial ultrasound examinations were performed at both the region affected from skin dimorphism through the adjacent skin region using a high frequency transducer Furthermore it was assessed the presence of complications ranging from oedema or hematoma to necrosis or adipocyte migration of the graft Finally was calculated the average percentage of oneyear survival of autologous fat transplantQuantitative evaluations obtained with time series of ultrasound showed that the greatest benefits of autologous adipose tissue lipofilling are found at the level of the hypodermis but that also all the other layers of the skin can benefit from this procedureThe data acquired demonstrate that the eco color Doppler with high resolution can be considered a valid noninvasive tool for the assessment of morphological and quantitative degree of engraftment of autologous adipose tissue transplanted Lipofilling is an accurate and effective choice for the correction of congenital or acquired skin disorders for its filler effect and consequent benefit for all tissue layersAll procedures performed in this study involving human participants were in accordance with the ethical standards of the institutional and/or national research committee and with the 1964 Helsinki declaration and its later amendments or comparable ethical standards
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