Contemporary Surgical Management of HIV-Associated Facial Lipoatrophy-Reference-Cited by-同舟云学术

Contemporary Surgical Management of HIV-Associated Facial Lipoatrophy

Published:2006-06 Issue:6 Volume:134 Page:1015-1022
ISSN:0194-5998
Container-title:Otolaryngology–Head and Neck Surgery
language:en
Short-container-title:Otolaryngol Head Neck Surg

Author:

Funk E.¹²,Bressler F.J.¹²,Brissett A.E.¹³

Affiliation:

1. Houston, Texas

2. Bobby R. Alford Department of Otolaryngology/Head and Neck Surgery and Communicative Sciences, Baylor College of Medicine, Houston

3. Bressler Facial Plastic Surgery Center, Houston, Texas

Abstract

OBJECTIVES: The purpose of this study is to describe our experience with facial volume restoration in 39 HIV-associated facial lipoatrophy patients, and formulate a treatment algorithm that can be utilized for these patients based on their disease severity.METHODS: Preoperative and postoperative photographs were evaluated by 2 experienced facial plastic surgeons using grading scales. The reviewers' scores were then compared and the distribution of scores was analyzed.RESULTS: Thirty-nine patients underwent malar silastic implantation. Seven patients required postoperative adjuvant filler injection. Most patients' results were rated good to excellent. There were 4 late complications.CONCLUSION: HIV-associated facial lipoatrophy is a socially disabling condition that causes noticeable disfigurement and stigmatizes the patient. We demonstrate the importance of combining a reliable grading scale with a strategic treatment algorithm that utilizes multiple modalities for volume restoration.

Publisher

SAGE Publications

Subject

Otorhinolaryngology,Surgery

Link

http://journals.sagepub.com/doi/pdf/10.1016/j.otohns.2006.01.005

Reference20 articles.

1. A syndrome of peripheral lipodystrophy, hyperlipidaemia and insulin resistance in patients receiving HIV protease inhibitors

2. Facial Atrophy in HIV-Related Fat Redistribution Syndrome: Anatomic Evaluation and Surgical Reconstruction

3. HIV lipodystrophy

4. What is HIV-associated lipodystrophy? Defining fat distribution changes in HIV infection

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