Role of facial fat grafting in trauma patients

Recruiting

Conditions: Fracture of malar, maxillary and zygoma bones, Post Traumatic facial defects,

Registration Number: CTRI/2018/08/015186

Lead Sponsor: AIIMSNEW DELHI

Brief Summary: Injuries to the maxillofacial region are increasing in frequency and severity because of the heavy reliance on road transportation and the increasing socio-economic activities of the population with road crashes being predominant cause of maxillofacial trauma.These injuries have devastating consequences in the quality of life of the injured. With this background, the study is planned to exploit the newer concepts of autologous fat transfer in trauma cases for reconstruction of facial defects.Facial rejuvenation with autologous fat has the advantage of replacing or augmenting tissue with like tissue.By conducting an evidence-based review, this report will offer a graded summary of the evidence to help optimize the clinical use of fat grafts.Overall, complication rates associated with fat grafting are not unduly high, considering the level of invasiveness of the procedure. Fat grafting can be considered a safe method of augmentation and correction of defects associated with various medical conditions.We hypothesize that autologous fat grafting is a promising procedure to recreate the lost soft tissue defect of post traumatic asymmetric face and improve themorbidity for the patient and improve the quality of life for the patient.

Detailed Description: Not available

Recruitment & Eligibility

Status: Open to Recruitment

Sex: All

Target Recruitment: 25

Inclusion Criteria

1.Patient able to provide informed consent 2.Have suffered injury resulting in craniofacial volume defects 3.Post traumatic defect with oedema having subsided 4.Volume defects covered by intact skin but which do not communicate with oral cavity or sinuses 5.Asymmetrical defect on face with one side of normal contour to allow for lipoaspirate injection in order to attain symmetry.
Willing and able to comply with follow up examinations, including radiographic studies â€“ultrasonography.

Exclusion Criteria

1.Age less than 18 years 2.Inability to provide informed consent 3.Craniofacial defects intended for treatment have open wounds or communicate with oral cavity or sinus 4.Active infection anywhere in the body 5.Diagnosed with cancer within the last 12 months and /or presently receiving chemotherapy or radiation treatment 6.Known coagulopathy 7.Pregnancy.

Study & Design

Study Type: Interventional

Study Design: Not specified

Primary Outcome Measures

Name	Time	Method
Facial Symmetry	1year

Secondary Outcome Measures

Name	Time	Method
Quality of life	1year

Trial Locations

Locations (2): JPN Apex Trauma Centre,AIIMS
🇮🇳
South, DELHI, India
JPN Apex Trauma Centre,AIIMS,New Delhi
🇮🇳
South, DELHI, India
JPN Apex Trauma Centre,AIIMS
🇮🇳South, DELHI, India
Dr Ruchi Pathak Kaul
Principal investigator
9650777017
ruchi8380@gmail.com