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    find Author "牛常英" 4 results
    • EFFECTIVENESS OF MODIFIED Park METHOD OF BLEPHAROPLASTY FOR CORRECTION OF MILD BLEPHAROPTOSIS

      ObjectiveTo explore the effectiveness of the modified Park method of blepharoplasty for correction of mild blepharoptosis. MethodsBetween October 2012 and January 2015, a new modified Park method of blepharoplasty was performed on 23 patients with foldless eyelid combined mild blepharoptosis. There were 14 males and 9 females, aged 16 to 35 years (mean, 25 years). Unilateral eyelid was involved in 16 cases, bilateral eyelids in 7 cases. The upper eyelid was located at the edge of the pupil, and the drop was 1-2 mm (mean, 1.5 mm). ResultsAll incisions healed at the first stage; no obvious blood stasis and swelling occurred. The patients were followed up 4 to 26 months, with an average of 15 months. The double eyelid fold was natural and smooth, and ptosis was completely corrected; the eyelid shape and position were symmetry when in situ fixation and movement. According to "double eyelid operation effect evaluation standard discussion" method by Chinese Medical Cosmetology Association, the results were excellent in all patients. ConclusionThe modified Park method of blepharoplasty can achieve blepharoplasty and correcting blepharoptosis at the same time for correction of foldless eyelid combined mild blepharoptosis during operation without separated and amputated levator aponeurosis, with small surgical trauma, good controllability, and maneuverability in correction amplitude.

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    • EFFECTIVENESS OF V-Y ADVANCED RETROAURICULAR FLAP FOR REPAIRING MILD AND MODERATE EARLOBE DEFECTS

      ObjectiveTo investigate the effectiveness of the V-Y advanced retroauricular flap for repairing mild and moderate earlobe defect. MethodsBetween September 2014 and July 2015, V-Y advanced retroauricular flap was used to repair earlobe defect in 6 patients. There were 1 male and 5 females, aged 18 to 30 years (mean, 23 years). The left earlobe was involved in 2 cases and the right earlobe in 4 cases, including 2 cases of congenital earlobe defect and 4 cases of secondary earlobe defect; 1 patient had congenital deformity of upper auricle. According to self-made criteria for earlobe defect, 5 cases were rated as mild defect and 1 case as moderate defect. ResultsAll incisions healed at the first stage, and the flaps survived smoothly. The patients were followed up 3 to 12 months, with an average of 9 months. The reconstructed earlobes had natural size and shape, and smooth curve; the texture and color were close to the adjacent skin. The effectiveness was satisfactory. ConclusionThe V-Y advanced retroauricular flap for repairing mild and moderate earlobe defect can achieve natural earlobe and aesthetic plastic effectiveness, so it is a safe and ideal earlobe reconstruction method.

      Release date:2016-11-14 11:23 Export PDF Favorites Scan
    • 吻合血管腓骨皮瓣移植修復第一跖骨復合組織缺損

      目的總結以腓動脈為蒂的腓骨嵌合皮瓣移植修復第1跖骨復合組織缺損的療效及其臨床應用意義。 方法2010年5月-2014年4月,采用游離以腓動脈為蒂的腓骨嵌合皮瓣移植修復第1跖骨復合組織缺損8例。男6例,女2例;年齡34~47歲,平均38歲。致傷原因:交通事故傷4例,重物砸傷2例,骨腫瘤1例,骨髓炎1例。跖骨缺損范圍4.2~7.3 cm,軟組織缺損范圍5 cm×3 cm~10 cm×5 cm;腓骨切取范圍5~9 cm,皮瓣切取范圍6 cm×4 cm~9 cm×6 cm。供區拉攏縫合3例,植皮修復5例。 結果術后皮瓣全部成活,受區及供區切口均Ⅰ期愈合。8例患者均獲隨訪,隨訪時間5~18個月,平均11.5個月。皮瓣外形良好,質地耐磨;皮瓣兩點辨別覺為3~5 mm。供區踝關節功能活動及穩定性良好。X線片及CT示術后3~6個月獲骨性愈合;移植腓骨皮質逐漸增厚,直徑增粗,9~18個月(平均13個月)后接近健側第1跖骨直徑。末次隨訪時根據Maryland足功能評定標準,優6例,良2例。 結論采用以腓動脈為蒂的腓骨嵌合皮瓣移植修復第1跖骨復合組織缺損,具有操作簡便、恢復快等優點,是重建足部負重區及周圍軟組織缺損的有效方法。

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    • 改良 Z 形切口法矯正內眥贅皮的療效觀察

      目的總結采用改良 Z 形切口法矯正內眥贅皮的療效。方法2013 年 9 月—2015 年 3 月,采用改良 Z 形切口法對 93 例內眥贅皮患者行內眥贅皮矯正術。女 80 例,男 13 例;年齡 16~40 歲,平均 30 歲。輕度內眥贅皮 35 例,中度 54 例,重度 4 例。64 例伴單瞼,29 例伴不明顯重瞼。85 例同期行重瞼術,8 例不明顯重瞼者單純行內眥贅皮矯正術。結果術后患者切口均 Ⅰ 期愈合。患者均獲隨訪,隨訪時間 6~12 個月,平均 9 個月。患者上瞼無明顯瘢痕;內眥部外觀平整,淚阜顯露適中,瞼裂變長;內眥角與重瞼線銜接流暢。患者均對效果滿意。結論改良 Z 形切口法矯正內眥贅皮設計簡單、操作方便,切口隱蔽、瘢痕不明顯、內眥形態自然,能達到功能與形態完美結合的目的。

      Release date:2017-09-07 10:34 Export PDF Favorites Scan
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