[Potential for operative correction in progressive facial hemiatrophy]

In the years 1976--1978 we have treated in our hospital 5 patients with progressive hemifacial atrophie (Romberg's disease). To overcome the deformity we used two operations procedures. In three cases the atrophic area was filled out with Plastigel and the asthetic result was good. The advantage of this method can be seen in the simplicity of the operation procedure. Problematical is the mobility of this region of the body and occasionally the absence of subcutaneous tissue to cover the implant. 2 patients with hemifacial atrophy have been treated by a buried de-epithelized neck flap. After 3 operations we obtained a good result.