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Treating Parry-Romberg Syndrome Using Three-Dimensional Scanning and Printing and the Anterolateral Thigh Dermal Adipofascial Flap

Chai, Gang MD, PhD*; Tan, Andy MD*; Yao, Caroline A. MD, PhD; Magee, William P. III MD, PhD; Junjun, Pan MD; Zhu, Ming MD*; Bogari, Melia MD*; Hsu, Yulung MD*; Xu, Haisong MD, PhD*; Zhang, Yan MD, PhD*

doi: 10.1097/SCS.0000000000001903
Original Articles

Background: As three-dimensional technology becomes more ubiquitous, many plastic surgical applications have emerged. The authors investigate a three-dimensional scanning and printing system for facial soft tissue reconstruction in conjunction with an anterolateral thigh dermal adipofascial flap for the treatment of Parry-Romberg syndrome.

Methods: Seven patients with facial atrophy of the zygomatic, buccal, and mandibular areas were included. Three-dimensional scanning of each patient's face in conjunction was analyzed with computer-aided design (CAD) to quantify areas of facial asymmetry. Models were then created using three-dimensional printing to map areas of soft tissue deficiency. Free anterolateral thigh (ALT) dermal adipofascial flaps were designed based on the three-dimensional models of soft tissue deficiency.

Results: All flaps survived. One case had a postoperative hematoma. Six patients had restored facial symmetry. One patient required fat injections to obtain symmetry. No patients required revision surgery of their healed flaps for contouring.

Conclusions: Three-dimensional laser scanning and three-dimensional printing in combination with a free ALT dermal adipofascial flap offer surgeons a precise means to reconstruct facial contour deformities.

*Department of Plastic and Reconstructive Surgery, The 9th People's Hospital, Shanghai Jiao Tong University, Shanghai, China

Division of Plastic and Reconstructive Surgery, Keck School of Medicine of the University of Southern California, Los Angeles, CA

School of Computer Science and Engineering, Beihang University, Beijing, China.

Address correspondence and reprint requests to Yan Zhang, MD, PhD, Department of Plastic and Reconstructive Surgery, Shanghai 9th Peoples Hospital, School of Medicine, Shanghai Jiao Tong University, 639 ZhiZaoJu Road, Shanghai 20001, China. E-mail:

Received 2 November, 2014

Accepted 22 March, 2015

The authors report no conflicts of interest.

© 2015 by Mutaz B. Habal, MD.