AESTHETIC CONSIDERATIONS IN THE CERVICOFACIAL MANAGEMENT OF MADELUNG SYNDROME

The most common concern in patients with Madelung syndrome who are seeking cosmetic improvement is the deposition of fat in the cervicofacial region. Surgical experience in a series of 15 patients was summarised to provide guidelines for a rational approach to a better aesthetic outcome. The records...

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Published inScandinavian journal of plastic and reconstructive surgery and hand surgery Vol. 37; no. 1; pp. 34 - 40
Main Authors Wong, David S. Y., Lam, Lai K., Chung, Joseph H. P., Ng, Raymond W. M., Li, George K. H., Chan, Vana S. H.
Format Journal Article
LanguageEnglish
Published Basingstoke Informa UK Ltd 2003
Taylor & Francis
Subjects
Adult
Aged
Biological and medical sciences
Dermatology
Esthetics
Humans
Lipomatosis
Lipomatosis, Multiple Symmetrical - surgery
Madelung
Male
Medical sciences
Middle Aged
Retrospective Studies
Skin involvement in other diseases. Miscellaneous. General aspects
Skin plastic surgery
Surgery
Surgery (general aspects). Transplantations, organ and tissue grafts. Graft diseases
Treatment
Human
Skin disease
Adipose tissue
lipomatosis
Madelung
Result
Plasty
Treatment
Madelung deformity
Surgery
ENT disease
Anomaly
Aesthetics
Cervicofacial
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Summary:The most common concern in patients with Madelung syndrome who are seeking cosmetic improvement is the deposition of fat in the cervicofacial region. Surgical experience in a series of 15 patients was summarised to provide guidelines for a rational approach to a better aesthetic outcome. The records and clinical photographs of these patients were reviewed. Outcome was assessed in terms of adequacy of debulking, final overall symmetry, smoothness of contour, prominence of scar, and necessity for multiple sessions. Open excision was the preferred primary treatment. A long mid-neck, transverse skin crease incision provided good exposure and was superior to multiple local incisions. Other surgical details worth noting include subplatysmal dissection, thick skin flaps, dissection around instead of into lipomas, appropriate removal of redundant skin, adequate reduction of tumour size instead of total excision, haemostasis, suction drainage, and layered skin closure. Liposuction was a useful adjunct for contouring the sides of the jaws in selected patients.
Bibliography:ObjectType-Article-1
SourceType-Scholarly Journals-1
ObjectType-Feature-2
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ISSN:0284-4311
1651-2073
DOI:10.1080/alp.37.1.34.40