{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,5,18]],"date-time":"2026-05-18T23:58:10Z","timestamp":1779148690943,"version":"3.51.4"},"reference-count":27,"publisher":"Georg Thieme Verlag KG","issue":"03","license":[{"start":{"date-parts":[[2019,10,7]],"date-time":"2019-10-07T00:00:00Z","timestamp":1570406400000},"content-version":"vor","delay-in-days":2227,"URL":"https:\/\/creativecommons.org\/licenses\/by-nc-nd\/4.0\/"}],"content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["Indian J Plast Surg"],"published-print":{"date-parts":[[2013,9]]},"abstract":"<jats:title>ABSTRACT<\/jats:title><jats:p>\n          Background: The facial asymmetry correction in complex craniofacial malformations presents a challenging problem for reconstructive surgeons. Progressive hemifacial atrophy (HFA) and hemifacial microsomia (HFM) can manifest in different grades of severity. Most patients require only soft-tissue augmentation. Free flaps are the best option for correction of severe facial soft-tissue deficiency. Materials and Methods: Twenty-two patients of HFM and HFA were included in this study from January 2006 to March 2009 in the Department of Plastic and Reconstructive Surgery, SMS Medical College and Hospital. In all cases, atrophy correction was done using de-epithelialised parascapular free flap with the de-epithelialised surface was placed under the skin. A small skin paddle was taken for monitoring. Results: All cases were reconstructed with de-epithelialised parascapular free flap. There was no flap loss in this series. Hematoma was noted in five cases. Debulking and removal of skin paddle were done in all cases after 6 months. Atrophy recurrence was not observed in any of the cases on follow-up. Conclusion: Contouring of face in cases of HMF and HFA is satisfactorily done with the parascapular free flap. It gives better cosmetic results with minimal donor site morbidity. Facial vessels are better recipient vessels for anastomosis. Keeping de-epithelialised surface of flap under the skin helped in preventing sagging.<\/jats:p>","DOI":"10.4103\/0970-0358.122020","type":"journal-article","created":{"date-parts":[[2013,11,22]],"date-time":"2013-11-22T12:28:31Z","timestamp":1385123311000},"page":"561-567","source":"Crossref","is-referenced-by-count":9,"title":["Facial contouring with parascapular free flap: A case series of 22 cases"],"prefix":"10.1055","volume":"46","author":[{"given":"Guru Dayal Singh","family":"Kalra","sequence":"additional","affiliation":[{"name":"Department of Plastic and Reconstructive Surgery, SMS Hospital and Medical College, Jaipur, Rajasthan, India"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Ram Krishna","family":"Gupta","sequence":"additional","affiliation":[{"name":"Department of Plastic and Reconstructive Surgery, SMS Hospital and Medical College, Jaipur, Rajasthan, India"}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"194","published-online":{"date-parts":[[2019,10,7]]},"reference":[{"key":"key-10.4103\/0970-0358.122020-1","first-page":"118","volume-title":"Silicone fluid injections for facial atrophy: A ten-year study","author":"Rees","year":"1973","journal-title":"Plast Reconstr Surg"},{"key":"key-10.4103\/0970-0358.122020-2","first-page":"137","volume-title":"Facial fat grafting: The search for predictable results","author":"Kanchwala","year":"2003","journal-title":"Facial Plast Surg"},{"key":"key-10.4103\/0970-0358.122020-3","first-page":"390","volume-title":"Whitaker soft tissue reconstruction of the face: A comparison of dermal fat grafting and vascularized tissue transfer","author":"Mordick","year":"1992","journal-title":"Ann Plast Surg"},{"key":"key-10.4103\/0970-0358.122020-4","first-page":"67","volume-title":"Microsurgical reanastomosis of scapula transplants for maxillofacial bone reconstruction.Fortschr","author":"Schmelzeisen","year":"1994","journal-title":"Kiefer Gesichtschir"},{"key":"key-10.4103\/0970-0358.122020-5","first-page":"655","volume-title":"The use of free tissue transfer to restore facial contour","author":"Smith","year":"1990","journal-title":"Clin Plast Surg"},{"key":"key-10.4103\/0970-0358.122020-6","first-page":"326","volume-title":"Omental free flap reconstruction in complex head and neck deformities","author":"Losken","year":"2002","journal-title":"Head Neck"},{"key":"key-10.4103\/0970-0358.122020-7","first-page":"292","volume-title":"Vascularized omentum for facial contour restoration","author":"Walkinshaw","year":"1983","journal-title":"Ann Plast Surg"},{"key":"key-10.4103\/0970-0358.122020-8","first-page":"959","volume-title":"The use of scapular and parascapular flaps for cheek reconstruction","author":"Upton","year":"1992","journal-title":"Plast Reconstr Surg"},{"key":"key-10.4103\/0970-0358.122020-9","first-page":"289","volume-title":"Reconstruction in Romberg\u2032s disease with free groin flap","author":"Harashina","year":"1981","journal-title":"Ann Plast Surg"},{"key":"key-10.4103\/0970-0358.122020-10","first-page":"10","volume-title":"Deep inferior epigastric perforator dermal- fat or adiposal flap for correction of craniofacial contour deformities","author":"Koshima","year":"2000","journal-title":"Plast Reconstr Surg"},{"key":"key-10.4103\/0970-0358.122020-11","first-page":"599","volume-title":"The vascular anatomy and dissection of the free scapular flap","author":"dos","year":"1984","journal-title":"Plast Reconstr Surg"},{"key":"key-10.4103\/0970-0358.122020-12","first-page":"72","volume-title":"The dorsal thoracic fascia: Anatomic significance with clinical application in reconstructive microsurgery","author":"Kim","year":"1987","journal-title":"Plast Reconstr Surg"},{"key":"key-10.4103\/0970-0358.122020-13","unstructured":"Rogers BO. Progressive facial hemiatrophy (Romberg\u2032s disease): A review of 772 cases. In Transactions of the Third International Congress of Plastic Surgery. Washington, D.C.: Excerpta Medica;1963. p. 681-9."},{"key":"key-10.4103\/0970-0358.122020-14","first-page":"327","volume-title":"Free vascularized groin fat flap in hypoplasia and hemiatrophy of the face (a 3 years observation)","author":"Anderl","year":"1979","journal-title":"J Maxillofac Surg"},{"key":"key-10.4103\/0970-0358.122020-15","first-page":"1","volume-title":"(de la Fuente A, Jimenez A.Latissimus dorsi free flap for restoration of facial contour defects","year":"1989","journal-title":"Ann Plast Surg"},{"key":"key-10.4103\/0970-0358.122020-16","first-page":"207","volume-title":"The serratus anterior free tissue transfer for craniofacial reconstruction","author":"Angel","year":"1992","journal-title":"J Craniofac Surg"},{"key":"key-10.4103\/0970-0358.122020-17","first-page":"800","volume-title":"Microvascular free flap correction of severe hemifacial atrophy","author":"Longaker","year":"1995","journal-title":"Plast Reconstr Surg"},{"key":"key-10.4103\/0970-0358.122020-18","first-page":"354","volume-title":"Microsurgical correction of facial asymmetry in 60 consecutive cases","author":"Siebert","year":"1996","journal-title":"Plast Reconstr Surg"},{"key":"key-10.4103\/0970-0358.122020-19","first-page":"154","volume-title":"Experience with the free _inverted_ groin flap in facial soft tissue contouring: A report on 6 flaps","author":"Dunkley","year":"1990","journal-title":"Br J Plast Surg"},{"key":"key-10.4103\/0970-0358.122020-20","first-page":"313","volume-title":"Facial contour reconstruction with free flap","author":"Tweed","year":"1984","journal-title":"Ann Plast Surg"},{"key":"key-10.4103\/0970-0358.122020-21","first-page":"289","volume-title":"Reconstruction in Romberg\u2032s disease with free groin flap","author":"Harashina","year":"1981","journal-title":"Ann Plast Surg"},{"key":"key-10.4103\/0970-0358.122020-22","first-page":"398","volume-title":"The reconstruction of progressive facial hemi-atrophy by vascularized dermis-fat flaps","author":"Shintomi","year":"1981","journal-title":"Br J Plast Surg"},{"key":"key-10.4103\/0970-0358.122020-23","first-page":"699","volume-title":"Parascapular free flap and fat graft: Combined surgical methods in morphological restoration of Hemifacial Progressive Atrophy","author":"Vaienti","year":"2005","journal-title":"Plast Reconstr Surg"},{"key":"key-10.4103\/0970-0358.122020-24","first-page":"469","volume-title":"Postoperative monitoring of free flaps in UK plastic surgery units","author":"Jallali","year":"2005","journal-title":"Microsurgery"},{"key":"key-10.4103\/0970-0358.122020-25","first-page":"16","volume-title":"Variations in the post-operative management of free tissue transfers to the head and neck in the United Kingdom","author":"Whitaker","year":"2007","journal-title":"Br J Oral Maxillofac Surg"},{"key":"key-10.4103\/0970-0358.122020-26","first-page":"2118","volume-title":"Postoperative monitoring of microvascular tissue transfer: Current practice in the United Kingdom and Ireland","author":"Whitaker","year":"2003","journal-title":"Plast Reconstruct Surg"},{"key":"key-10.4103\/0970-0358.122020-27","first-page":"881","volume-title":"Microsurgical correction of facial contour in hemifacial microsomia","author":"Kiichi","year":"2005","journal-title":"Jpn J Plast Reconstruct Surg"}],"container-title":["Indian Journal of Plastic Surgery"],"original-title":[],"language":"en","link":[{"URL":"http:\/\/www.thieme-connect.de\/products\/ejournals\/pdf\/10.4103\/0970-0358.122020.pdf","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2020,1,14]],"date-time":"2020-01-14T08:37:02Z","timestamp":1578991022000},"score":1,"resource":{"primary":{"URL":"http:\/\/www.thieme-connect.de\/DOI\/DOI?10.4103\/0970-0358.122020"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2013,9]]},"references-count":27,"journal-issue":{"issue":"03","published-online":{"date-parts":[[2019,10,7]]},"published-print":{"date-parts":[[2013,9]]}},"URL":"https:\/\/doi.org\/10.4103\/0970-0358.122020","relation":{},"ISSN":["0970-0358","1998-376X"],"issn-type":[{"value":"0970-0358","type":"print"},{"value":"1998-376X","type":"electronic"}],"subject":[],"published":{"date-parts":[[2013,9]]}}}