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The objective is to show the superiority of the PRP + microfat (MG) mixture compared to microfat alone, in the filling of large subcutaneous depressions of the face and skull. The investigators chose to study the post neurosurgical sequelae after removal and reinstallation of the cranial flap, with, for example, damage to the temporal muscle and asymmetry of the temples or sinking of the cranial flap
This clinical superiority study will be conducted in a double-blind, randomized fashion. The follow-up of each patient will be 6 months post injection.
22 patients will be included and randomized into 2 arms: PRP + microfat or microfat alone. The primary endpoint will be assessed by a radiologist in a blinded fashion, using 3 MRI scans: the month before the procedure, the day after, and at 6 months (time at which fat resorption decreases).
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| Label | Type | Description | Intervention Names |
|---|---|---|---|
| adipose graft + Platelet Rich Plasma | Experimental |
| |
| adipose graft | Other |
|
| Name | Type | Description | Arm Group Labels | Other Names |
|---|---|---|---|---|
| intra-articular injection | Other | intra-articular injection |
|
| Measure | Description | Time Frame |
|---|---|---|
| resorption rate of the injected fat | calculated from volumetric measurements assessed from MRI 2 (post-injection) and MRI3 (at 6 months): V MRI 2 - V MRI3 | 6 months |
| Measure | Description | Time Frame |
|---|---|---|
| Visual Analogical Pain Scale | The measurement of the impact of pain on the cranial scar will be evaluated using a visual analog scale (VAS), rated from 0 to 100. | 6 MONTHS |
| SF-36 Quality of Life Questionnaire |
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Inclusion Criteria:
Exclusion Criteria:
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| Name | Role | Phone | Extension | |
|---|---|---|---|---|
| Baptiste BERTRAND | Contact | 0491435303 | baptiste.bertrand@ap-hm.fr | |
| ALEXANDRA GIULIANI | Contact | 0491382747 | +33 | alexandra.giuliani@ap-hm.fr |
| Name | Affiliation | Role |
|---|---|---|
| FRANCOIS CREMIEUX | ASSISTANCE PUBLIQUE HOPITAUX MARSEILLE | Study Director |
| Facility | Status | City | State | ZIP | Country | Contacts |
|---|---|---|---|---|---|---|
| Assiatnce Publique Hopitaux de Marseille | Recruiting | Marseille | Bouche DU Rhone | 13354 | France |
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| RMI SCANS | Radiation | AT 1 MONTHS BEFORE THE INTERVENTION |
|
| RMI SCANS | Other | AT 1MONTH AFTER THE INTERVENTION |
|
| RMI SCAN | Other | AT 6 MONTHS AFTER THE INTERVENTION |
|
The Short Form (36) Health Survey is a standardized test for measuring quality of life. It is a measure of health status.
A score for each dimension of the SF-36 was calculated, ranging from 0 to 100
| 6MONTHS |
| ID | Term |
|---|---|
| D007270 | Injections, Intra-Articular |
| ID | Term |
|---|---|
| D007267 | Injections |
| D004333 | Drug Administration Routes |
| D004358 | Drug Therapy |
| D013812 | Therapeutics |
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