An Experimental Study of Voluminous and Histological Changes after Autogenous Fat Injection |
Dong-Gun Lee, MD, Ji-Won Lee, MD, Jae-Woo Lee, MD, Hwan-Jung Roh, MD, Eui-Kyung Goh, MD, Soo-Geun Wang, MD, and Kyong-Myong Chon, MD |
Department of Otolaryngology, College of Medicine, Pusan National University, Pusan, Korea |
자가 지방의 조직내 주입후 용적 및 조직학적 변화 |
이동건 · 이지원 · 이재우 · 노환중 · 고의경 · 왕수건 · 전경명 |
부산대하교 의과대학 이비인후과학교실 |
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ABSTRACT |
Autogenous fat has been used for correcting certain skin defects as well as for cosmetic enhancement. Recently the autogenous fat was thought to be a material for augmenting vocal cord palsy. However, there were few reports about voluminous and histological changes after autogenous fat transplantation. So we observed periodically the histological and voluminous loss of canine autogenous fat, which injected into iatrogenically paralyzed vocal cord and auricle. The fat cell injected into vocal cord showed minimal inflammatory change, fibrosis, foreign body reaction with relatively good viability. However, the fat cell injected into auricle showed absorption into surrounding tissue due to inflammatory change. We summarized that autogenous fat can be used for augmentation of the decreased tissue volume as substitution for Teflon or silicone in canine because there was minimal evidence of inflammatory change, foreign body reaction, fibrosis, diffusion of fat and etc. The only disadventage was fat atrophy. The injected fat volume into auricle was decreased nearly 70% compared with initial volume of fat. These results show that surgeon may have to over correct during injection or inject fat repeatedly to compensate this problem.
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Keywords:
Autogenous fatㆍAugmentationㆍHistolological change. |
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