Pub Date : 2019-12-15DOI: 10.3760/CMA.J.ISSN.1671-0290.2019.06.008
Yanfeng Zhao, Jun Hao, Dongchao Guo, Yan Wang
Objective To discuss the use of butterfly costal cartilage as columella strut graft. Methods On the costal cartilage that being cut, butterfly graft was designed length of 2.8 cm, upper and lower end thickness of 5 mm, middle part thickness of 1.5 mm. The lower end was designed with a groove about 1 cm in length, the width of the lower end of the butterfly graft was determined according to the degree of retraction at the caudal end of the septum, then insert to the nasal crest. The posterior end of two lamella grafts was sutured and fixed with the middle part of the nasal columnar strut graft. Results From November 2016 to March 2018, about 150 patients underwent rhinoplasty with this method, follow-up was 3 to 12 months. Two cases had mild nasal tip deviation one month after surgery and were adjusted with auricular cartilage three months later. Three patients had mild postoperative hyporotation and adjustment three months postoperatively, residual had good shape. Conclusions The stability and controllability of the sphenoid columella strut graft are good, out of shape not easily, It is a worthy clinical method. Key words: Nose; Surgery, plastic; Costal cartilage; Autografts
{"title":"Clinical experience of butterfly costal cartilage as columella strut graft","authors":"Yanfeng Zhao, Jun Hao, Dongchao Guo, Yan Wang","doi":"10.3760/CMA.J.ISSN.1671-0290.2019.06.008","DOIUrl":"https://doi.org/10.3760/CMA.J.ISSN.1671-0290.2019.06.008","url":null,"abstract":"Objective \u0000To discuss the use of butterfly costal cartilage as columella strut graft. \u0000 \u0000 \u0000Methods \u0000On the costal cartilage that being cut, butterfly graft was designed length of 2.8 cm, upper and lower end thickness of 5 mm, middle part thickness of 1.5 mm. The lower end was designed with a groove about 1 cm in length, the width of the lower end of the butterfly graft was determined according to the degree of retraction at the caudal end of the septum, then insert to the nasal crest. The posterior end of two lamella grafts was sutured and fixed with the middle part of the nasal columnar strut graft. \u0000 \u0000 \u0000Results \u0000From November 2016 to March 2018, about 150 patients underwent rhinoplasty with this method, follow-up was 3 to 12 months. Two cases had mild nasal tip deviation one month after surgery and were adjusted with auricular cartilage three months later. Three patients had mild postoperative hyporotation and adjustment three months postoperatively, residual had good shape. \u0000 \u0000 \u0000Conclusions \u0000The stability and controllability of the sphenoid columella strut graft are good, out of shape not easily, It is a worthy clinical method. \u0000 \u0000 \u0000Key words: \u0000Nose; Surgery, plastic; Costal cartilage; Autografts","PeriodicalId":10094,"journal":{"name":"Chinese Journal of Medical Aesthetics and Cosmetology","volume":"25 1","pages":"471-473"},"PeriodicalIF":0.0,"publicationDate":"2019-12-15","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"45203293","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2019-12-15DOI: 10.3760/CMA.J.ISSN.1671-0290.2019.06.018
Xia Gao, JinDe Lin, Lu Sun
Objective To observe the clinical efficacy of Dermatix Ultra silica gel and asiaticoside cream for the treatment or repair of scar hyperplasia which was external used in internal corner incision of patients after the internal canthus correction operation. Methods A total of 90 patients were randomly chosen and divided into three groups. All patients with epicanthus were treated with the same internal canthus correction method by one doctor. There were 30 patients in each group: 30 cases in the control group were treated without any medication, and the postoperative incision healed naturally; 30 cases were treated with Dermatix Ultra silica gel; 30 cases were treated with asiaticoside cream. Patient and observer scar assessment scale (POSAS) was used as the end points to evaluate the clinical efficacy of Dermatix Ultra silica gel and asiaticoside cream 4 weeks and 12 weeks after the operation. The satisfactory degree from all the patients were collected after 6 months follow-up and we compared the scores of three groups. Results Compared with the control group, the POSAS scores in Dermatix Ultra silica gel group and asiaticoside cream group were low (P 0.05). Follow-up for 6 months, the satisfaction degree of patients in Dermatix Ultra silica gel group and asiaticoside cream group was higher than in the control group (P<0.05); the satisfactory degree of patients in Dermatix Ultra silica gel group was higher than that in asiaticoside cream group (P<0.05). Conclusions Dermatix Ultra silica gel and asiaticoside cream have good clinical effects in repair of scar tissue after the epicanthoplasty. Dermatix Ultra silica gel is better than asiaticoside cream in scar early improvement. Key words: Cicatrix; Hyperplasia; Asiaticoside; Silica gel; Epicanthous
{"title":"Clinical effects of Dermatix Ultra silica gel and asiaticoside cream on hyperplastic scar tissue in patients after epicanthoplasty","authors":"Xia Gao, JinDe Lin, Lu Sun","doi":"10.3760/CMA.J.ISSN.1671-0290.2019.06.018","DOIUrl":"https://doi.org/10.3760/CMA.J.ISSN.1671-0290.2019.06.018","url":null,"abstract":"Objective \u0000To observe the clinical efficacy of Dermatix Ultra silica gel and asiaticoside cream for the treatment or repair of scar hyperplasia which was external used in internal corner incision of patients after the internal canthus correction operation. \u0000 \u0000 \u0000Methods \u0000A total of 90 patients were randomly chosen and divided into three groups. All patients with epicanthus were treated with the same internal canthus correction method by one doctor. There were 30 patients in each group: 30 cases in the control group were treated without any medication, and the postoperative incision healed naturally; 30 cases were treated with Dermatix Ultra silica gel; 30 cases were treated with asiaticoside cream. Patient and observer scar assessment scale (POSAS) was used as the end points to evaluate the clinical efficacy of Dermatix Ultra silica gel and asiaticoside cream 4 weeks and 12 weeks after the operation. The satisfactory degree from all the patients were collected after 6 months follow-up and we compared the scores of three groups. \u0000 \u0000 \u0000Results \u0000Compared with the control group, the POSAS scores in Dermatix Ultra silica gel group and asiaticoside cream group were low (P 0.05). Follow-up for 6 months, the satisfaction degree of patients in Dermatix Ultra silica gel group and asiaticoside cream group was higher than in the control group (P<0.05); the satisfactory degree of patients in Dermatix Ultra silica gel group was higher than that in asiaticoside cream group (P<0.05). \u0000 \u0000 \u0000Conclusions \u0000Dermatix Ultra silica gel and asiaticoside cream have good clinical effects in repair of scar tissue after the epicanthoplasty. Dermatix Ultra silica gel is better than asiaticoside cream in scar early improvement. \u0000 \u0000 \u0000Key words: \u0000Cicatrix; Hyperplasia; Asiaticoside; Silica gel; Epicanthous","PeriodicalId":10094,"journal":{"name":"Chinese Journal of Medical Aesthetics and Cosmetology","volume":"25 1","pages":"508-511"},"PeriodicalIF":0.0,"publicationDate":"2019-12-15","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"48279424","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Objective To summarize the clinical manifestations and treatment of retinal artery occlusion and cerebral infarction caused by facial injection of hyaluronic acid. Methods Fifteen cases (15 eyes) with vision lose caused by facial cosmetic injection of hyaluronic acid visited Xi＇an No.4 Hospital from December 2010 to January 2017. The clinical data were collected such as general medical history and treatment methods, and follow-up for 1 year. Results All patients were female, 22-41 years old, with average age of 33. All patients were injected with hyaluronic acid. For 8 patients the fillers were injected in the forehead, 3 patients were in the glabellar region, 3 patients were in the nasolabial fold, and 1 patient was in the temporal of left eye. All patients had vision lose after injection, the visiting time was 1 to 6 hours. 13 patients were central retinal artery occlusion (CRAO). 1 patient was retinal branch artery occlusion (BRAO), 1 patient was ischemic optic neuropathy (ION), 13 patients manifested as no light perception (NLP), 1 patient was 0.6, 1 patient was CF/30 cm, and 14 patients with cerebral infarction, manifested as headache, dizziness. All patients were given emergency treatment, and 9 patients had treated with interventional thrombolysis therapy. After treatment 11 patients, visual acuity had no significant improvement, but 4 patients improved. Headache, dizziness symptoms disappeared, but cerebral infarction lesions still existed on MRI. Conclusions Human face is a rich blood supply; vision loss and cerebral infarction could occur after injection of hyaluronic acid. After urgent treatment visual acuity is not improved obviously, eventually leading to irreversible visual impairment or even loss. Key words: Hyaluronic acid; Injections; Retinal artery occlusion; Cerebral infarction
{"title":"Retinal artery occlusion and cerebral infarction caused by injection of hyaluronic acid: a clinical case analysis","authors":"Chunhua Li, Wei-yan Ma, Runsheng Wang, Xiaoqin Lei, Huping Song, Tingjie Zhou, P. Lyu, Fang Chai","doi":"10.3760/CMA.J.ISSN.1671-0290.2019.06.002","DOIUrl":"https://doi.org/10.3760/CMA.J.ISSN.1671-0290.2019.06.002","url":null,"abstract":"Objective \u0000To summarize the clinical manifestations and treatment of retinal artery occlusion and cerebral infarction caused by facial injection of hyaluronic acid. \u0000 \u0000 \u0000Methods \u0000Fifteen cases (15 eyes) with vision lose caused by facial cosmetic injection of hyaluronic acid visited Xi＇an No.4 Hospital from December 2010 to January 2017. The clinical data were collected such as general medical history and treatment methods, and follow-up for 1 year. \u0000 \u0000 \u0000Results \u0000All patients were female, 22-41 years old, with average age of 33. All patients were injected with hyaluronic acid. For 8 patients the fillers were injected in the forehead, 3 patients were in the glabellar region, 3 patients were in the nasolabial fold, and 1 patient was in the temporal of left eye. All patients had vision lose after injection, the visiting time was 1 to 6 hours. 13 patients were central retinal artery occlusion (CRAO). 1 patient was retinal branch artery occlusion (BRAO), 1 patient was ischemic optic neuropathy (ION), 13 patients manifested as no light perception (NLP), 1 patient was 0.6, 1 patient was CF/30 cm, and 14 patients with cerebral infarction, manifested as headache, dizziness. All patients were given emergency treatment, and 9 patients had treated with interventional thrombolysis therapy. After treatment 11 patients, visual acuity had no significant improvement, but 4 patients improved. Headache, dizziness symptoms disappeared, but cerebral infarction lesions still existed on MRI. \u0000 \u0000 \u0000Conclusions \u0000Human face is a rich blood supply; vision loss and cerebral infarction could occur after injection of hyaluronic acid. After urgent treatment visual acuity is not improved obviously, eventually leading to irreversible visual impairment or even loss. \u0000 \u0000 \u0000Key words: \u0000Hyaluronic acid; Injections; Retinal artery occlusion; Cerebral infarction","PeriodicalId":10094,"journal":{"name":"Chinese Journal of Medical Aesthetics and Cosmetology","volume":"25 1","pages":"452-455"},"PeriodicalIF":0.0,"publicationDate":"2019-12-15","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"49122840","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2019-12-15DOI: 10.3760/CMA.J.ISSN.1671-0290.2019.06.009
Hua Shen, Xinyi Dai, Kaiheng Zhang, Jie Ma, Y. Cai, Wanxin Jia
Objective To explore the clinical application of individualized design of facial artery perforator flap for the repair of midfacial defect caused by tumor resection. Methods From January 2015 to January 2018, a total of 36 cases of midfacial defect were repaired by individualized designed facial artery. Flaps were designed and harvested according to the location and size of the midfacial defect resulted from tumor resection, including propeller flaps, droplet flaps and swallowtail-shape flaps. Flap size was between 1.3 cm × 1.6 cm and 2.0 cm × 4.2 cm with the donor site being sutured in the first stage. Results During the 6 months to 3 years of postoperative follow-up, no tumor recurred. All the 36 cases of individualized designed facial artery perforator flaps survived well. Furthermore, flaps being designed according to the wound defect had a good appearance, the flaps matched the color and texture of the surrounding skin and had a favorable appearance. Besides, flaps had a certain degree of sensory recovery while there was no obvious scarring presented in the donor area. Conclusions Individualized design of facial artery perforator flap has great advantages of simple and flexible, easy manipulation, reliable flap blood flow and minimal donor injury, which render it valuable for clinical application. Key words: Reconstructive surgical procedures; Perforator flap; Facial artery; Facial tumor; Reconstruction
{"title":"Individualized design of facial artery perforator flap for reconstruction of soft tissue defects in the midface","authors":"Hua Shen, Xinyi Dai, Kaiheng Zhang, Jie Ma, Y. Cai, Wanxin Jia","doi":"10.3760/CMA.J.ISSN.1671-0290.2019.06.009","DOIUrl":"https://doi.org/10.3760/CMA.J.ISSN.1671-0290.2019.06.009","url":null,"abstract":"Objective \u0000To explore the clinical application of individualized design of facial artery perforator flap for the repair of midfacial defect caused by tumor resection. \u0000 \u0000 \u0000Methods \u0000From January 2015 to January 2018, a total of 36 cases of midfacial defect were repaired by individualized designed facial artery. Flaps were designed and harvested according to the location and size of the midfacial defect resulted from tumor resection, including propeller flaps, droplet flaps and swallowtail-shape flaps. Flap size was between 1.3 cm × 1.6 cm and 2.0 cm × 4.2 cm with the donor site being sutured in the first stage. \u0000 \u0000 \u0000Results \u0000During the 6 months to 3 years of postoperative follow-up, no tumor recurred. All the 36 cases of individualized designed facial artery perforator flaps survived well. Furthermore, flaps being designed according to the wound defect had a good appearance, the flaps matched the color and texture of the surrounding skin and had a favorable appearance. Besides, flaps had a certain degree of sensory recovery while there was no obvious scarring presented in the donor area. \u0000 \u0000 \u0000Conclusions \u0000Individualized design of facial artery perforator flap has great advantages of simple and flexible, easy manipulation, reliable flap blood flow and minimal donor injury, which render it valuable for clinical application. \u0000 \u0000 \u0000Key words: \u0000Reconstructive surgical procedures; Perforator flap; Facial artery; Facial tumor; Reconstruction","PeriodicalId":10094,"journal":{"name":"Chinese Journal of Medical Aesthetics and Cosmetology","volume":"25 1","pages":"474-477"},"PeriodicalIF":0.0,"publicationDate":"2019-12-15","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"41399645","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2019-12-15DOI: 10.3760/CMA.J.ISSN.1671-0290.2019.06.011
Shubao Li, Mengfei Li
Objective To investigate the clinical application of injected autologous fat and buried polydioxanone threads for nasolabial fold filling. Methods From April 2016 to October 2017, 64 cases of mild and moderate nasolabial fold beauty seekers from the First People＇s Hospital of Jiande were divided into group A and group B with their attitude. Group A (28 cases) were only treated with buried polydioxanone threads for nasolabial fold filling; Group B (36 cases) were treated with injected autologous fat and buried polydioxanone threads for nasolabial fold filling. The surgical effect was recorded for 18 months. Results The most common complications were swelling, bruising and pain immediately after the surgery. Polydioxanone threads exposure occurred in two cases in each group 2 weeks after the surgery. There were satisfactory results in skin color and skin texture in both groups. 9 cases showed inadequate correction in group A while only 2 cases showed inadequate correction in group B in long-term follow-up (>3 months). Conclusions Combined treatment of autologous fat and polydioxanone threads is safe and effective for nasolabial fold filling. Key words: Nasolabial fold; filling; Autografts; Adipose tissue; Embedding thread; PPDO
{"title":"Clinical efficacy of injected autologous fat and buried polydioxanone threads for nasolabial fold filling","authors":"Shubao Li, Mengfei Li","doi":"10.3760/CMA.J.ISSN.1671-0290.2019.06.011","DOIUrl":"https://doi.org/10.3760/CMA.J.ISSN.1671-0290.2019.06.011","url":null,"abstract":"Objective \u0000To investigate the clinical application of injected autologous fat and buried polydioxanone threads for nasolabial fold filling. \u0000 \u0000 \u0000Methods \u0000From April 2016 to October 2017, 64 cases of mild and moderate nasolabial fold beauty seekers from the First People＇s Hospital of Jiande were divided into group A and group B with their attitude. Group A (28 cases) were only treated with buried polydioxanone threads for nasolabial fold filling; Group B (36 cases) were treated with injected autologous fat and buried polydioxanone threads for nasolabial fold filling. The surgical effect was recorded for 18 months. \u0000 \u0000 \u0000Results \u0000The most common complications were swelling, bruising and pain immediately after the surgery. Polydioxanone threads exposure occurred in two cases in each group 2 weeks after the surgery. There were satisfactory results in skin color and skin texture in both groups. 9 cases showed inadequate correction in group A while only 2 cases showed inadequate correction in group B in long-term follow-up (>3 months). \u0000 \u0000 \u0000Conclusions \u0000Combined treatment of autologous fat and polydioxanone threads is safe and effective for nasolabial fold filling. \u0000 \u0000 \u0000Key words: \u0000Nasolabial fold; filling; Autografts; Adipose tissue; Embedding thread; PPDO","PeriodicalId":10094,"journal":{"name":"Chinese Journal of Medical Aesthetics and Cosmetology","volume":"25 1","pages":"482-484"},"PeriodicalIF":0.0,"publicationDate":"2019-12-15","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"43868024","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2019-12-15DOI: 10.3760/CMA.J.ISSN.1671-0290.2019.06.004
F. Hong, Suzhuang Hong, Jingjing Zhang
Objective To discuss one double-eyelid surgery which is conformed to the anatomy characteristics of the asian upper eyelid. Methods A total of 162 cases were performed blepharoplasty for double eyelids, who aged 19 to 33 years with average 24.22±3.05 years, including 28 men and 134 women. Double eyelid line was designed according to the overall characteristics of eyebrows and eyes of beauty seekers combined with aesthetic standards. The surgery was performed to restore the anatomical characteristics of natural double eyelids as far as possible. Results The double eyelid surgery was designed and performed in 162 cases based on this method. All the patients underwent suture removal 7 days after operation, none of them had postoperative infection, and 15 patients had the bruising during the first week. After symptomatic treatment, the bruising had gone in 1 month. All the cases were followed up for more than six months postoperatively, and eight cases presented shallow double eyelid and the satisfactory results were achieved after the second operation of small incision. Conclusions The double-eyelid line should be designed individually before operation and the surgery done according to the natural characteristics of Asian upper eyelid. It will get coherent double eyelid without obvious scar or depression at resection margin, with high satisfactory rate. Key words: Esthetics; Blepharoplasty; Double lid blepharoplasty; Upper eyelid; Epicanthal folds
{"title":"Efficacy of double-eyelid plasty: a clinical analysis of 162 cases","authors":"F. Hong, Suzhuang Hong, Jingjing Zhang","doi":"10.3760/CMA.J.ISSN.1671-0290.2019.06.004","DOIUrl":"https://doi.org/10.3760/CMA.J.ISSN.1671-0290.2019.06.004","url":null,"abstract":"Objective \u0000To discuss one double-eyelid surgery which is conformed to the anatomy characteristics of the asian upper eyelid. \u0000 \u0000 \u0000Methods \u0000A total of 162 cases were performed blepharoplasty for double eyelids, who aged 19 to 33 years with average 24.22±3.05 years, including 28 men and 134 women. Double eyelid line was designed according to the overall characteristics of eyebrows and eyes of beauty seekers combined with aesthetic standards. The surgery was performed to restore the anatomical characteristics of natural double eyelids as far as possible. \u0000 \u0000 \u0000Results \u0000The double eyelid surgery was designed and performed in 162 cases based on this method. All the patients underwent suture removal 7 days after operation, none of them had postoperative infection, and 15 patients had the bruising during the first week. After symptomatic treatment, the bruising had gone in 1 month. All the cases were followed up for more than six months postoperatively, and eight cases presented shallow double eyelid and the satisfactory results were achieved after the second operation of small incision. \u0000 \u0000 \u0000Conclusions \u0000The double-eyelid line should be designed individually before operation and the surgery done according to the natural characteristics of Asian upper eyelid. It will get coherent double eyelid without obvious scar or depression at resection margin, with high satisfactory rate. \u0000 \u0000 \u0000Key words: \u0000Esthetics; Blepharoplasty; Double lid blepharoplasty; Upper eyelid; Epicanthal folds","PeriodicalId":10094,"journal":{"name":"Chinese Journal of Medical Aesthetics and Cosmetology","volume":"25 1","pages":"459-461"},"PeriodicalIF":0.0,"publicationDate":"2019-12-15","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"46711290","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2019-12-15DOI: 10.3760/CMA.J.ISSN.1671-0290.2019.06.013
X. Jin, Huaying Cai, Wentao Lyu, Hong Jiang
Objective To observe the clinical and electrophysiological characteristics of botulinum toxin A poisoning induced by local cosmetic injection, and to explore the possible pathogenesis. Methods Clinical data of 20 patients with botulinum toxin type A local cosmetic injection poisoning admitted to our hospital from January 2016 to December 2018 were collected and electrophysiological tests were carried out. Results The clinical manifestations of 20 patients were mainly 15/20 (75.0%) with limb weakness, and the proximal end was heavier than the distal 20/20 (100%), and the upper limb was heavier than the lower limb 26/20 (80%), followed by dysphagia 12/20 (60%), dysarthria 5/20 (25%), cervical muscle weakness 5/20 (25%), extraocular muscle paralysis 4/20 (20%), masseter muscle weakness 3/20 (15%) and respiratory muscle weakness 2/20 (5.0%) with respiratory failure 1/20 (5.0%). The results of neurophysiological examination showed the highest rate of SFEMG (90.0%), followed by RNS (80.0%), EMG (65.0%) and NCV (40.0%), suggesting that neuromuscular junction dysfunction was the main presentation. Patients who actively gave botulinum antitoxin injection therapy and symptomatic support treatment had good prognosis. Conclusions Local cosmetic injection of botulinum toxin type A may lead to poisoning. The symptoms of poisoning are mainly caused by limb weakness. Neuroelectrophysiological examination can assist in the diagnosis of botulinum toxin poisoning. Key words: Botulinum toxins, type A; Botulinum antitoxin; Injections; Electrophysiology
{"title":"Botulinum toxin A poisoning by local aesthetic injection: clinical and electrophysiological analyses of 20 cases","authors":"X. Jin, Huaying Cai, Wentao Lyu, Hong Jiang","doi":"10.3760/CMA.J.ISSN.1671-0290.2019.06.013","DOIUrl":"https://doi.org/10.3760/CMA.J.ISSN.1671-0290.2019.06.013","url":null,"abstract":"Objective \u0000To observe the clinical and electrophysiological characteristics of botulinum toxin A poisoning induced by local cosmetic injection, and to explore the possible pathogenesis. \u0000 \u0000 \u0000Methods \u0000Clinical data of 20 patients with botulinum toxin type A local cosmetic injection poisoning admitted to our hospital from January 2016 to December 2018 were collected and electrophysiological tests were carried out. \u0000 \u0000 \u0000Results \u0000The clinical manifestations of 20 patients were mainly 15/20 (75.0%) with limb weakness, and the proximal end was heavier than the distal 20/20 (100%), and the upper limb was heavier than the lower limb 26/20 (80%), followed by dysphagia 12/20 (60%), dysarthria 5/20 (25%), cervical muscle weakness 5/20 (25%), extraocular muscle paralysis 4/20 (20%), masseter muscle weakness 3/20 (15%) and respiratory muscle weakness 2/20 (5.0%) with respiratory failure 1/20 (5.0%). The results of neurophysiological examination showed the highest rate of SFEMG (90.0%), followed by RNS (80.0%), EMG (65.0%) and NCV (40.0%), suggesting that neuromuscular junction dysfunction was the main presentation. Patients who actively gave botulinum antitoxin injection therapy and symptomatic support treatment had good prognosis. \u0000 \u0000 \u0000Conclusions \u0000Local cosmetic injection of botulinum toxin type A may lead to poisoning. The symptoms of poisoning are mainly caused by limb weakness. Neuroelectrophysiological examination can assist in the diagnosis of botulinum toxin poisoning. \u0000 \u0000 \u0000Key words: \u0000Botulinum toxins, type A; Botulinum antitoxin; Injections; Electrophysiology","PeriodicalId":10094,"journal":{"name":"Chinese Journal of Medical Aesthetics and Cosmetology","volume":"25 1","pages":"488-490"},"PeriodicalIF":0.0,"publicationDate":"2019-12-15","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"70000937","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2019-12-15DOI: 10.3760/CMA.J.ISSN.1671-0290.2019.06.001
Chenghao Li, Ya-pei Han, B. Shi
Objective To introduce the application of muscle reconstruction torque balance theory in the new rotating advancement method, and to evaluate the postoperative effect of this method on the nasal lip symmetry of patients with unilateral cleft lip. Methods A total of 62 patients with unilateral cleft lip were treated with two-dimensional radiography of posterior anterior position and mandibular chin position before, immediately and one-year follow-up. Five indexes representing the symmetry of lip and nose were measured by photoshop software. T test was used to compare the measurement results of each angle or distance index at different times. P<0.05 showed that there was significant difference between the two groups. Results All the patients who were treated with the technique described in this study obtained satisfactory lip and nasal symmetry immediately and one-year follow-up. Conclusions The new theory of oral muscle strength balance is a new breakthrough on the basis of the application of muscle reconstruction. It is suitable for the primary repairment of unilateral lip, and good results have been obtained. Key words: Cleft lip; Orthopedic procedures; Muscle reconstruction; Muscle strength balance; Torque; New rotating advancement method
{"title":"Effect of a novel rotating advancing method on reconstruction of nasal lip symmetry","authors":"Chenghao Li, Ya-pei Han, B. Shi","doi":"10.3760/CMA.J.ISSN.1671-0290.2019.06.001","DOIUrl":"https://doi.org/10.3760/CMA.J.ISSN.1671-0290.2019.06.001","url":null,"abstract":"Objective \u0000To introduce the application of muscle reconstruction torque balance theory in the new rotating advancement method, and to evaluate the postoperative effect of this method on the nasal lip symmetry of patients with unilateral cleft lip. \u0000 \u0000 \u0000Methods \u0000A total of 62 patients with unilateral cleft lip were treated with two-dimensional radiography of posterior anterior position and mandibular chin position before, immediately and one-year follow-up. Five indexes representing the symmetry of lip and nose were measured by photoshop software. T test was used to compare the measurement results of each angle or distance index at different times. P<0.05 showed that there was significant difference between the two groups. \u0000 \u0000 \u0000Results \u0000All the patients who were treated with the technique described in this study obtained satisfactory lip and nasal symmetry immediately and one-year follow-up. \u0000 \u0000 \u0000Conclusions \u0000The new theory of oral muscle strength balance is a new breakthrough on the basis of the application of muscle reconstruction. It is suitable for the primary repairment of unilateral lip, and good results have been obtained. \u0000 \u0000 \u0000Key words: \u0000Cleft lip; Orthopedic procedures; Muscle reconstruction; Muscle strength balance; Torque; New rotating advancement method","PeriodicalId":10094,"journal":{"name":"Chinese Journal of Medical Aesthetics and Cosmetology","volume":"25 1","pages":"447-451"},"PeriodicalIF":0.0,"publicationDate":"2019-12-15","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"46691342","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2019-12-15DOI: 10.3760/CMA.J.ISSN.1671-0290.2019.06.014
Jing Zhang, Wenge Fan, Ling-ling Wang, M. Wei, Jun Zhao, Xiaoyu Tao, Q. Xue
Objective To observe the changes of skin lesion, neuralgia and blood pressure in hypertension patients and non-hyperension patients before and after the early formal treatment on herpes zoster in the head and face. Methods Clinical data were collected from June 2015 to May 2018 in the Department of Dermatology, the First People＇s Hospital, Changshu, Jiangsu province. In 104 cases of hospitalized patients with herpes zoster, 46 cases had high blood pressure (hypertension group); 58 cases did not have high blood pressure (non-hypertension group). The skin lesion, numerical rating scale (NRS) and blood pressure changes were compared between the two groups before and after treatment. Results A total of 99 patients completed treatment; 45 cases in the hypertensive group included 25 males, 20 females, aged 35 to 71 (52.40±12.51) years; 54 cases in the non-hypertensive group included 30 males and 24 females, aged 36 to 75 (52.62±12.67) years. There was no statistically significant difference in the time of control, improving and healing of skin lesion (t=-0.457, -0.607 and 1.399, P>0.05) . There was no statistically significant difference in NRS between the two groups before treatment (t=-0.009, P=0.993 >0.05). After treatment, the NRS of both groups decreased compared with those before treatment, and the difference was statistically significant (F=151.130, 181.444, P 0.05). In the hypertension group, the rate of blood pressure increase before treatment was 62.22%, and the blood pressure decreased after treatment compared with that before treatment. The difference was statistically significant (P 0.05). Conclusions Blood pressure can be increased when herpes zoster occurs. After early formal treatment of herpes zoster, skin lesion healed, neuralgia reduced and blood pressure can return to normal. The history of hypertension and the increase of blood pressurd before treatment has no effect on the recovery of skin lesion and neuralgia. Key words: Herpes zoster; Skin manifestations; Hypertension; Neuralgia; Treatment
{"title":"Skin lesion, neuralgia and blood pressure before and after early formal treatment on herpes zoster of the head and face inadults: a quantitative study","authors":"Jing Zhang, Wenge Fan, Ling-ling Wang, M. Wei, Jun Zhao, Xiaoyu Tao, Q. Xue","doi":"10.3760/CMA.J.ISSN.1671-0290.2019.06.014","DOIUrl":"https://doi.org/10.3760/CMA.J.ISSN.1671-0290.2019.06.014","url":null,"abstract":"Objective \u0000To observe the changes of skin lesion, neuralgia and blood pressure in hypertension patients and non-hyperension patients before and after the early formal treatment on herpes zoster in the head and face. \u0000 \u0000 \u0000Methods \u0000Clinical data were collected from June 2015 to May 2018 in the Department of Dermatology, the First People＇s Hospital, Changshu, Jiangsu province. In 104 cases of hospitalized patients with herpes zoster, 46 cases had high blood pressure (hypertension group); 58 cases did not have high blood pressure (non-hypertension group). The skin lesion, numerical rating scale (NRS) and blood pressure changes were compared between the two groups before and after treatment. \u0000 \u0000 \u0000Results \u0000A total of 99 patients completed treatment; 45 cases in the hypertensive group included 25 males, 20 females, aged 35 to 71 (52.40±12.51) years; 54 cases in the non-hypertensive group included 30 males and 24 females, aged 36 to 75 (52.62±12.67) years. There was no statistically significant difference in the time of control, improving and healing of skin lesion (t=-0.457, -0.607 and 1.399, P>0.05) . There was no statistically significant difference in NRS between the two groups before treatment (t=-0.009, P=0.993 >0.05). After treatment, the NRS of both groups decreased compared with those before treatment, and the difference was statistically significant (F=151.130, 181.444, P 0.05). In the hypertension group, the rate of blood pressure increase before treatment was 62.22%, and the blood pressure decreased after treatment compared with that before treatment. The difference was statistically significant (P 0.05). \u0000 \u0000 \u0000Conclusions \u0000Blood pressure can be increased when herpes zoster occurs. After early formal treatment of herpes zoster, skin lesion healed, neuralgia reduced and blood pressure can return to normal. The history of hypertension and the increase of blood pressurd before treatment has no effect on the recovery of skin lesion and neuralgia. \u0000 \u0000 \u0000Key words: \u0000Herpes zoster; Skin manifestations; Hypertension; Neuralgia; Treatment","PeriodicalId":10094,"journal":{"name":"Chinese Journal of Medical Aesthetics and Cosmetology","volume":"25 1","pages":"491-495"},"PeriodicalIF":0.0,"publicationDate":"2019-12-15","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"44088025","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2019-12-15DOI: 10.3760/CMA.J.ISSN.1671-0290.2019.06.003
Chaohua Liu, D. Hao, W. Yao
Objective To investigate the clinical effect of conjoint fascial sheath (CFS) suspension to correct the complications caused by the frontal muscle flap suspension and levator palpebrae superioris shortening in the treatment of severe blepharoptosis. Methods From February 2017 to April 2018, 19 severe blepharoptosis patients (21 eyelids) were operated before by the frontal muscle flap suspension and levator plapebrae superioris shortening, and repaired through the technology of CFS suspension. Results There were 19 cases, 17 cases operated by CFS suspension showed a good appearance and basically symmetrical of two eyes, and the other 2 cases obtained satisfactory results though reoperation. There were no complications of exposure keratitis, ectropion and infection occurred. Meantime the effect was satisfactory according to the follow-up ranging from 3 months to 12 months. Conclusions The application of conjoint fascial sheath (CFS) suspension shows a promising procedure in the treatment of severe blepharoptosis caused by the frontal muscle flap suspension and levator palpebrae superioris shortening. Key words: Reconstructive surgical procedures; Conjoint fascial sheath; Recurrent severe blepharoptosis; Frontal muscle flap suspension; Levator palpebrae superioris shortening
{"title":"Treatment of recurrent severe blepharoptosis after frontal muscle flap suspension and levator palpebrae superioris shortening with conjoint fascia sheath suspension","authors":"Chaohua Liu, D. Hao, W. Yao","doi":"10.3760/CMA.J.ISSN.1671-0290.2019.06.003","DOIUrl":"https://doi.org/10.3760/CMA.J.ISSN.1671-0290.2019.06.003","url":null,"abstract":"Objective \u0000To investigate the clinical effect of conjoint fascial sheath (CFS) suspension to correct the complications caused by the frontal muscle flap suspension and levator palpebrae superioris shortening in the treatment of severe blepharoptosis. \u0000 \u0000 \u0000Methods \u0000From February 2017 to April 2018, 19 severe blepharoptosis patients (21 eyelids) were operated before by the frontal muscle flap suspension and levator plapebrae superioris shortening, and repaired through the technology of CFS suspension. \u0000 \u0000 \u0000Results \u0000There were 19 cases, 17 cases operated by CFS suspension showed a good appearance and basically symmetrical of two eyes, and the other 2 cases obtained satisfactory results though reoperation. There were no complications of exposure keratitis, ectropion and infection occurred. Meantime the effect was satisfactory according to the follow-up ranging from 3 months to 12 months. \u0000 \u0000 \u0000Conclusions \u0000The application of conjoint fascial sheath (CFS) suspension shows a promising procedure in the treatment of severe blepharoptosis caused by the frontal muscle flap suspension and levator palpebrae superioris shortening. \u0000 \u0000 \u0000Key words: \u0000Reconstructive surgical procedures; Conjoint fascial sheath; Recurrent severe blepharoptosis; Frontal muscle flap suspension; Levator palpebrae superioris shortening","PeriodicalId":10094,"journal":{"name":"Chinese Journal of Medical Aesthetics and Cosmetology","volume":"25 1","pages":"456-458"},"PeriodicalIF":0.0,"publicationDate":"2019-12-15","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"49465385","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
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