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Stability of joint orthognathic and orthodontic treatment for dental-facial deformity in patients with cleft lip and palate 唇腭裂患者牙面畸形关节正颌与正畸治疗的稳定性
Pub Date : 2019-08-15 DOI: 10.3760/CMA.J.ISSN.1671-0290.2019.04.001
Yun-hui Xia, M. Cai, Bo Wang, L. Mao, Xu-dong Wang, G. Shen, Guo-min Wang
Objective To evaluate the skeletal stability of joint orthognathic and orthodontic treatment for cleft patients compared with non-cleft patients. Methods Fifteen cleft patient diagnosed with dental facial deformities underwent joint orthognathic and orthodontic treatment. Cephalometric analysis was carried out at T0 (before treatment), T1 (2 weeks after surgery), T2 (6 months after surgery) and T3 (24 months after surgery). The comparison of maxillary anterior-posterior and superior-inferior movement was performed with non-cleft orthognathic group (n=15) at the same follow-up time point. Results The maxilla was move forward for (3.8±1.5) mm and downward for (2.4±0.8) mm of cleft group. The relapse distance was (1.2±0.7) mm (T1-T2: 31.6%) in AP direction and (0.9±0.6) mm (T1-T2: 37.5%) in vertical direction. At the time of 24 months after operation, the relapse distance was (1.0±0.5) mm (T1-T3: 26.0%) in AP direction and (0.8±0.8) mm (T1-T3: 33.3%) vertically. In non-cleft group, the maxilla was move (4.3±1.2) mm anteriorly and (2.2±1.9) mm vertically. The relapse distance was (0.9±1.2) mm (T1-T2: 20.9%) anteriorly and (0.8±0.9) mm (T1-T2: 36.6%) vertically at 6 months post-operatively. At 24 months after surgery the relapse distance was (1.1±0.6) mm (T1-T3: 25.6%) anteriorly and (0.9±0.5) mm (T1-T3: 40.9%) vertically. There were no statistical significant in both 6 months and 24 months follow-up between cleft and non-cleft group (P>0.05). Conclusions There is no statistic difference of post-surgical relapse rate between cleft and non-cleft orthognathic and orthodontic treatments, although the relapse distances are greater than that in cleft group. Key words: Cleft lip; Cleft palate; Orthognathic surgical procedures; Orthodontic anchorage procedures; Recurrence
目的评价腭裂患者与非腭裂患者联合正颌正畸治疗的骨骼稳定性。方法对15例被诊断为牙面畸形的腭裂患者进行联合正颌正畸治疗。在T0(治疗前)、T1(手术后2周)、T2(手术后6个月)和T3(手术后24个月)进行头部测量分析。在同一随访时间点,与非腭裂正颌组(n=15)进行上颌前后移动和上下移动的比较。结果腭裂组上颌向前移动(3.8±1.5)mm,向下移动(2.4±0.8)mm。复发距离AP方向为(1.2±0.7)mm(T1-T2:31.6%),垂直方向为(0.9±0.6)mm(T1-T2:37.5%)。术后24个月复发距离AP方向为(1.0±0.5)mm(T1-T3:26.0%),垂直方向为(0.8±0.8)mm(T1-T3:33.3%)。非腭裂组上颌骨向前移动(4.3±1.2)mm,垂直移动(2.2±1.9)mm。术后6个月,术前复发距离为(0.9±1.2)mm(T1-T2:20.9%),术后垂直复发距离(0.8±0.9)mm(T1-T2:36.6%)。术后24个月,复发距离前方为(1.1±0.6)mm(T1-T3:25.6%),垂直为(0.9±0.5)mm(T1-T3:40.9%)。结论腭裂组与非腭裂组术后复发率无统计学差异,但复发距离大于腭裂组。关键词:唇裂;腭裂;正颌外科手术;正畸固定程序;重复
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引用次数: 0
Application of strip crown form in aesthetic restoration of mandibular deciduous incisors in severe childhood caries 条形牙冠在儿童重度龋齿下颌乳牙美学修复中的应用
Pub Date : 2019-08-15 DOI: 10.3760/CMA.J.ISSN.1671-0290.2019.04.017
Yu Chen, Liu Yang, Qiyin Sun
Objective To explore the feasibility and effectiveness of aesthetic restoration of caries of mandibular deciduous incisors with strip crown form of maxillary deciduous incisors. Methods A total of 64 patients (202 teeth) with symmetrical caries of bilateral mandibular central incisors or lateral incisors were randomly selected. The opposite maxillary incisors were restored with strip crowns form and the opposite incisors were restored with resin composite. The effects of the two methods and the incidence of complications were compared three months, six months and twelve months after treatment. Results Three months after treatment, there was no significant difference in the success rate between the two groups. Six months after treatment, there was significant difference in the marginal adaptation between the two groups (χ2=3.919, P =0.048); 12 months after treatment, there was significant difference in the restoration integrity of the two groups and the incidence of secondary caries (χ2=5.027, P=0.025; secondary caries χ2=4.369, P=0.037 ). Conclusions The strip crown form of maxillary primary incisors can be used for aesthetic restoration of caries of mandibular primary incisors, and its effect is better than that of direct resin filling. The strip crown form for mandibular primary incisors needs to be developed and produced urgently. Key words: Incisor; Child; Dental caries; Composite resins; Deciduous mandibular incisors; Strip crown form
目的探讨应用上颌乳切牙条形冠形美观修复下颌乳切牙龋病的可行性和有效性。方法随机选择64例(202颗)双侧下颌中切牙或侧切牙对称性龋齿患者。对侧上颌切牙采用条形牙冠修复,对侧切牙采用树脂复合材料修复。比较两种方法治疗后3个月、6个月和12个月的疗效和并发症发生率。结果治疗3个月后,两组的成功率无显著差异。治疗6个月后,两组的边际适应度有显著差异(χ2=3.919,P=0.048);治疗12个月后,两组的修复完整性和继发龋发生率有显著差异(χ2=5.027,P=0.025;继发龋χ2=4.369,P=0.037)。结论上颌原切牙条形牙冠可用于下颌原切牙龋病的美观修复,其效果优于直接树脂充填。下颌原切牙条形牙冠亟待开发和生产。关键词:Incisor;儿童;龋齿;复合树脂;下颌下切牙;条形拱顶形式
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引用次数: 0
Clinical effect of surgical removal combined with 5-aminolevulinic acid photodynamic therapy for plantar warts 手术切除联合5-氨基乙酰丙酸光动力疗法治疗足底疣的临床疗效
Pub Date : 2019-08-15 DOI: 10.3760/CMA.J.ISSN.1671-0290.2019.04.020
Xingfan Mo, R. Lu, Jingjing Li, Mingzhi Feng, Xiaoyan Chen, Minzhi Wu, Liang Zhao
Objective To observe the clinical efficacy of surgical operation combined with photodynamic therapy for plantar warts. Methods From July 2017 to June 2018, 16 patients with plantar warts were enrolled in the Department of Dermatology, the Fifth People's Hospital of Suzhou City. The enrolled patients aged 10 to 42 years, including 12 males and 4 females, with a course of 4 to 15 month, and a total of 47 plantar warts. The plantar warts was removed by surgical operation and bipolar coagulation, followed by the photodynamic treatment with 5-aminolevulinic acid for 3 to 4 times with an interval of 7-10 days. Results Eleven patients showed complete clearance after operation and three times photodynamic treatments, and the other 5 patients underwent 2 operations and four times photodynamic treatments. 47 plantar warts in 16 patients were disappeared completely during 6-month post-treatment follow up. The plantar warts clearance rate was 100%, and the skin texture still presented. In addition to local mild erythematous, pain and burning sensation presented after surgery, but no adverse reactions such as infection, ulcers and obvious scars occurred. Conclusions Surgery combined with 5-aminolevulinic acid photodynamic therapy is a favorable treatment for plantar warts. Key words: Metatarsus; Warts; Surgical procedures; Photodynamic therapy; Aminolevulinic acid
目的观察手术配合光动力疗法治疗足底疣的临床疗效。方法2017年7月至2018年6月,苏州市第五人民医院皮肤科收治足底疣患者16例。入选患者年龄为10至42岁,包括12名男性和4名女性,病程4至15个月,共有47个足底疣。通过外科手术和双相凝固去除足底疣,然后用5-氨基乙酰丙酸进行3至4次光动力治疗,间隔7-10天。结果11例患者经3次光动力治疗后完全清除,其余5例患者经2次光动力处理4次。16例患者的47个跖疣在治疗后6个月的随访中完全消失。足底疣的清除率为100%,皮肤纹理仍然存在。术后除局部出现轻度红斑、疼痛和烧灼感外,未出现感染、溃疡和明显瘢痕等不良反应。结论手术配合5-氨基乙酰丙酸光动力疗法是治疗足底疣的有效方法。关键词:跖骨;Warts;外科手术;光动力疗法;氨基乙酰丙酸
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引用次数: 0
Treatment of iatrogenic contracture nasal deformity 医源性鼻部挛缩畸形的治疗
Pub Date : 2019-08-15 DOI: 10.3760/CMA.J.ISSN.1671-0290.2019.04.005
Yan-wen Qi, Hui Lu, Zhiqiang Xue, Cheng Sun, Bo Chen, Li Ma, Yang Zhou
Objective To explore the method and clinical effects of treatment for correcting severe contracture nasal deformity after rhinoplasty. Methods Totally 19 patients with severe contracture nasal deformity after rhinoplasty were treated with a new procedure in our hospital since March 2014. The soft tissue was treated with manual traction preoperatively to improve nasal skin and mucosa extensibility and flexibility. The costicartilage was taken as structure transplantation to build the nasal support structure. Results This group of patients were followed up for 5-27 months, contracture of nasal deformity was corrected and the shape of the nose was improved with no obvious contracture deformation. Conclusions Nasal shape is improved by nasal scaffold and coated tissue. It is a simple and feasible method to modify the condition of soft tissue by manual traction and autogenous costicartilage support reconstruction to ensure the long-term efficacy of backing; two combination therapy for correction of iatrogenic contracture nasal deformity can achieve better long-term nasal prolonged postoperative effect, which is suitable for clinical promotion. Key words: Iatrogenic contracture nasal deformity; Manual traction; Costicartilage structure transplantation; Augmentation rhinoplasty; Nasal elongation
目的探讨矫正鼻整形术后重度挛缩性鼻畸形的方法及临床效果。方法自2014年3月以来,我院对19例鼻整形术后重度挛缩性鼻畸形患者进行了新的手术治疗。术前对软组织进行手动牵引治疗,以改善鼻皮肤和粘膜的延展性和柔韧性。以肋软骨为结构移植,构建鼻腔支撑结构。结果本组患者随访5~27个月,矫正了鼻部挛缩畸形,改善了鼻形,无明显的挛缩变形。结论鼻支架和涂层组织可以改善鼻外形。通过人工牵引和自体肋软骨支撑重建来改变软组织状况,是一种简单可行的方法,以确保背衬的长期疗效;两种联合治疗医源性挛缩性鼻畸形,可取得较好的远期鼻延长术后效果,适合临床推广。关键词:医源性挛缩性鼻畸形;手动牵引;软骨结构移植;隆鼻术;鼻腔伸长
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引用次数: 0
Effectiveness of remold eyelid structure method of blepharoplasty for thickening eyelid 重塑眼睑结构法眼睑成形术治疗眼睑增厚的效果
Pub Date : 2019-08-15 DOI: 10.3760/CMA.J.ISSN.1671-0290.2019.04.015
Hua Nan
Objective To explore the method and efficacy of using " Y" flap formed to remold double eyelid structure of blepharoplasty for thickening eyelid. Methods A total of 97 cases of single eyelids and thickening eyelid were treated with surgery, to release the space before tarsus fascia and levator palpebrae aponeurosis to form a continuous interspace of the orbicularis oculi muscle. Then joint fascia was reconstructed to format " Y" flap, on which both sides of the levator aponeurosis and orbital septum fascia were tightened and the redundant fat and fascial organization removed. The lateral fat pad under the orbicular muscle were wedge-shaped sheared along the orbital margin after double eyelid was formed. Few patients presented acrimal glands prolapse, which suspended to return the lower margin of the orbital bone. Finally according to the upper eyelid anatomy suture each layer of incision was closed. Results The 97 cases underwent surgical treatment and the incisions were healed by first intention, in which 3 cases had slight skin ptosis at the lateral double crease due to the conservative tissue removal and 2 cases had the double eyelid width asymmetry due to the tissue was removed unevenly. They were adjusted satisfiedly 3 months later. All cases were followed up for more than 3 months and acquired satisfactory improvement and beautification. Incision was healed hiddenly. Conclusions This method can be used to tease and adjust the upper eyelid levels clearly and completely, which makes redundant tissues removed in place and double eyelid located accurately. By this method single eyelid combined thickening eyelid could be solved aestheticly at the same time and get a natural, popular and natural shape. Key words: Blepharoplasty; Slitting up method; Remodled eyelid structure; Thickening eyelid; Blepharoplasty
目的探讨用“Y”型皮瓣再造重睑结构的方法和疗效。方法对97例单眼皮和眼睑增厚患者进行手术治疗,释放睑板筋膜和提上睑膜前间隙,形成连续的眼轮匝肌间隙。然后将关节筋膜重建为“Y”型皮瓣,在其上收紧提肌筋膜和眶隔筋膜两侧,去除多余的脂肪和筋膜组织。双眼皮形成后,眶肌外侧脂肪垫沿眶缘呈楔形剪切。很少有患者出现肢端腺体脱垂,这种下垂是为了返回眶骨的下缘。最后根据上眼睑解剖缝合,将每层切口闭合。结果97例患者均经手术治疗,切口均为一期愈合,其中3例因保守性组织切除导致双眼皮外侧双折痕轻度上睑下垂,2例因组织切除不均导致双眼皮宽度不对称。3个月后,他们得到了满意的调整。所有病例均随访3个月以上,获得满意的改善和美容效果。切口隐蔽愈合。结论该方法能清晰、完整地梳理和调整上眼睑水平,使多余组织去除到位,双眼皮定位准确。采用这种方法可以在美观的同时解决单眼皮和双眼皮联合增厚的问题,得到自然、大众、自然的形状。关键词:眼睑整形术;切片法;眼睑结构重塑;眼睑增厚;眼睑成形术
{"title":"Effectiveness of remold eyelid structure method of blepharoplasty for thickening eyelid","authors":"Hua Nan","doi":"10.3760/CMA.J.ISSN.1671-0290.2019.04.015","DOIUrl":"https://doi.org/10.3760/CMA.J.ISSN.1671-0290.2019.04.015","url":null,"abstract":"Objective \u0000To explore the method and efficacy of using \" Y\" flap formed to remold double eyelid structure of blepharoplasty for thickening eyelid. \u0000 \u0000 \u0000Methods \u0000A total of 97 cases of single eyelids and thickening eyelid were treated with surgery, to release the space before tarsus fascia and levator palpebrae aponeurosis to form a continuous interspace of the orbicularis oculi muscle. Then joint fascia was reconstructed to format \" Y\" flap, on which both sides of the levator aponeurosis and orbital septum fascia were tightened and the redundant fat and fascial organization removed. The lateral fat pad under the orbicular muscle were wedge-shaped sheared along the orbital margin after double eyelid was formed. Few patients presented acrimal glands prolapse, which suspended to return the lower margin of the orbital bone. Finally according to the upper eyelid anatomy suture each layer of incision was closed. \u0000 \u0000 \u0000Results \u0000The 97 cases underwent surgical treatment and the incisions were healed by first intention, in which 3 cases had slight skin ptosis at the lateral double crease due to the conservative tissue removal and 2 cases had the double eyelid width asymmetry due to the tissue was removed unevenly. They were adjusted satisfiedly 3 months later. All cases were followed up for more than 3 months and acquired satisfactory improvement and beautification. Incision was healed hiddenly. \u0000 \u0000 \u0000Conclusions \u0000This method can be used to tease and adjust the upper eyelid levels clearly and completely, which makes redundant tissues removed in place and double eyelid located accurately. By this method single eyelid combined thickening eyelid could be solved aestheticly at the same time and get a natural, popular and natural shape. \u0000 \u0000 \u0000Key words: \u0000Blepharoplasty; Slitting up method; Remodled eyelid structure; Thickening eyelid; Blepharoplasty","PeriodicalId":10094,"journal":{"name":"Chinese Journal of Medical Aesthetics and Cosmetology","volume":"25 1","pages":"309-311"},"PeriodicalIF":0.0,"publicationDate":"2019-08-15","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"41856809","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}
引用次数: 0
Treatment of recurrent café-au-lait spots with Q532 laser: a clinical study Q532激光治疗复发性咖啡斑的临床研究
Pub Date : 2019-08-15 DOI: 10.3760/CMA.J.ISSN.1671-0290.2019.04.018
S. Sha, Li Tong
Objective To explore the clinical efficacy and side effects of Q 532 laser in the treatment of recurrent cafe-au-lait spots. Methods Collection period was from January 2018 to January 2019. Fifty-five patients with recurrent cafe-au-lait spots after 2-3 times of Q-switched 755 laser treatment were selected and then treated with Q-switched 532 laser. Treatment was given once every 3-6 months. The appropriate treatment parameters were selected according to the patient's condition. The effects of age, gender, size, morphology and margin of the lesion on the treatment were observed. Results Among the 55 patients treated with Q 532 laser after 2 to 5 treatments, 19 cases were cured, 13 cases markedly effective, 15 cases moderately effective, 8 cases invalid with a total effective rate of 85%. Conclusions Q 532 laser is an effective and safe treatment for recurrent Cafe-au-lait spots. Key words: Lasers; Treatment outcome; Recurrent Cafe-au-lait spots; Q-switch 532 nm laser; Q-switch 755 nm laser
目的探讨Q 532激光治疗复发性咖啡色斑的临床疗效及不良反应。方法收集期为2018年1月至2019年1月。选择55例经2~3次Q开关755激光治疗后复发的cafe au lait斑点患者,然后用Q开关532激光进行治疗。每3-6个月治疗一次。根据患者的病情选择合适的治疗参数。观察年龄、性别、病变大小、形态和边缘对治疗的影响。结果Q 532激光治疗55例,经2~5次治疗,治愈19例,显效13例,中效15例,无效8例,总有效率85%。结论Q532激光治疗复发性Cafe au lait斑是一种安全有效的治疗方法。关键词:激光;治疗结果;经常光顾的咖啡馆景点;532nm调Q激光器;Q开关755nm激光器
{"title":"Treatment of recurrent café-au-lait spots with Q532 laser: a clinical study","authors":"S. Sha, Li Tong","doi":"10.3760/CMA.J.ISSN.1671-0290.2019.04.018","DOIUrl":"https://doi.org/10.3760/CMA.J.ISSN.1671-0290.2019.04.018","url":null,"abstract":"Objective \u0000To explore the clinical efficacy and side effects of Q 532 laser in the treatment of recurrent cafe-au-lait spots. \u0000 \u0000 \u0000Methods \u0000Collection period was from January 2018 to January 2019. Fifty-five patients with recurrent cafe-au-lait spots after 2-3 times of Q-switched 755 laser treatment were selected and then treated with Q-switched 532 laser. Treatment was given once every 3-6 months. The appropriate treatment parameters were selected according to the patient's condition. The effects of age, gender, size, morphology and margin of the lesion on the treatment were observed. \u0000 \u0000 \u0000Results \u0000Among the 55 patients treated with Q 532 laser after 2 to 5 treatments, 19 cases were cured, 13 cases markedly effective, 15 cases moderately effective, 8 cases invalid with a total effective rate of 85%. \u0000 \u0000 \u0000Conclusions \u0000Q 532 laser is an effective and safe treatment for recurrent Cafe-au-lait spots. \u0000 \u0000 \u0000Key words: \u0000Lasers; Treatment outcome; Recurrent Cafe-au-lait spots; Q-switch 532 nm laser; Q-switch 755 nm laser","PeriodicalId":10094,"journal":{"name":"Chinese Journal of Medical Aesthetics and Cosmetology","volume":"25 1","pages":"319-321"},"PeriodicalIF":0.0,"publicationDate":"2019-08-15","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"47875277","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}
引用次数: 0
Efficacy of repair of bilateral complete cleft lip and nasal deformity by 3dMD face system 3dMD面部系统修复双侧完全性唇裂鼻畸形的疗效观察
Pub Date : 2019-08-15 DOI: 10.3760/CMA.J.ISSN.1671-0290.2019.04.003
Yu-ling Xu, M. Ran, Yuchuan Fu, Huilan Chen, Tuersunjiang Mireguli, Huixi Jin, J. Ke, Q. Meng, X. Long, Jian Li
Objective To assess the effectiveness of the Mulliken's method in bilateral complete cleft lip patients with 3dMD system and anthropometric landmarks. Methods Thirty-one infants with bilateral complete cleft lip received treatment in Hospital of Stomatology, Wuhan University between January 2014 and December 2016. Patients underwent primary cheiloplasty and nasoplasty by the same senior surgeon. Periodic review was taken to measure and record the 7 items in the nasolabial area with three-dimensional (3D) images. Results The labial and nasal deformities were restored after primary surgery. The upper lip and nose were corrected and obtained the symmetric shape. The columella was elongated to acquire favorable nasal tip. The arc of nasal fornix was upward. The ridge of the white lip was continuous and integrated with full vermilion tubercle. Total length of upper lip (Sn-Sto), thickness of the vermilion tubercle (Ls-Sto), protrusion of the nasal tip (Nh) and columellar height (Ch) were markedly improved and there were no significant difference between the observation group and the control group. The significant differences between two groups occurred in values of the nostril width (Nw), which was greater than control group and white lip height (Sn-Ls) and lower than that of control group. Conclusions Mulliken's method during the primary cheiloplasty of the bilateral complete cleft lip shows better results in correction the nasal deformity and the ideal effects are achieved during follow-up. Key words: Cleft lip; Reconstructive surgical procedures; Bilateral complete cleft lip; Mulliken's method; 3dMD; Labial and nasal deformity synchronous repair
目的探讨Mulliken方法在双侧完全性唇裂患者3dMD系统和人体测量标志中的应用效果。方法2014年1月至2016年12月在武汉大学口腔医院治疗31例患儿双侧完全性唇裂。患者在同一位资深外科医生的指导下进行了一次唇部整形和鼻整形。定期复查,用三维图像测量记录鼻唇区7个项目。结果术后唇部、鼻部畸形均恢复正常。对上唇和鼻进行了矫正,获得了对称的外形。小柱被拉长以获得有利的鼻尖。鼻穹窿弧度向上。白唇的脊状突起连续不断,并与丰满的朱红色结节融为一体。观察组患者上唇总长度(Sn-Sto)、朱红色结节厚度(Ls-Sto)、鼻尖突出度(Nh)、鼻小柱高度(Ch)均显著改善,且观察组与对照组比较差异无统计学意义。两组间鼻孔宽度(Nw)值均显著高于对照组,白唇高度(Sn-Ls)值显著低于对照组。结论Mulliken法在双侧完全性唇裂一期吻合术中对鼻部畸形的矫正效果较好,随访效果理想。关键词:唇裂;重建外科手术;双侧完全性唇裂;马利肯的方法;3模式;唇鼻畸形同步修复
{"title":"Efficacy of repair of bilateral complete cleft lip and nasal deformity by 3dMD face system","authors":"Yu-ling Xu, M. Ran, Yuchuan Fu, Huilan Chen, Tuersunjiang Mireguli, Huixi Jin, J. Ke, Q. Meng, X. Long, Jian Li","doi":"10.3760/CMA.J.ISSN.1671-0290.2019.04.003","DOIUrl":"https://doi.org/10.3760/CMA.J.ISSN.1671-0290.2019.04.003","url":null,"abstract":"Objective \u0000To assess the effectiveness of the Mulliken's method in bilateral complete cleft lip patients with 3dMD system and anthropometric landmarks. \u0000 \u0000 \u0000Methods \u0000Thirty-one infants with bilateral complete cleft lip received treatment in Hospital of Stomatology, Wuhan University between January 2014 and December 2016. Patients underwent primary cheiloplasty and nasoplasty by the same senior surgeon. Periodic review was taken to measure and record the 7 items in the nasolabial area with three-dimensional (3D) images. \u0000 \u0000 \u0000Results \u0000The labial and nasal deformities were restored after primary surgery. The upper lip and nose were corrected and obtained the symmetric shape. The columella was elongated to acquire favorable nasal tip. The arc of nasal fornix was upward. The ridge of the white lip was continuous and integrated with full vermilion tubercle. Total length of upper lip (Sn-Sto), thickness of the vermilion tubercle (Ls-Sto), protrusion of the nasal tip (Nh) and columellar height (Ch) were markedly improved and there were no significant difference between the observation group and the control group. The significant differences between two groups occurred in values of the nostril width (Nw), which was greater than control group and white lip height (Sn-Ls) and lower than that of control group. \u0000 \u0000 \u0000Conclusions \u0000Mulliken's method during the primary cheiloplasty of the bilateral complete cleft lip shows better results in correction the nasal deformity and the ideal effects are achieved during follow-up. \u0000 \u0000 \u0000Key words: \u0000Cleft lip; Reconstructive surgical procedures; Bilateral complete cleft lip; Mulliken's method; 3dMD; Labial and nasal deformity synchronous repair","PeriodicalId":10094,"journal":{"name":"Chinese Journal of Medical Aesthetics and Cosmetology","volume":"25 1","pages":"269-273"},"PeriodicalIF":0.0,"publicationDate":"2019-08-15","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"48397933","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}
引用次数: 0
Efficacy of different doses of botulinum toxin A injections on bromhidrosis in adolescents 不同剂量A型肉毒毒素注射治疗青少年腋臭的疗效观察
Pub Date : 2019-08-15 DOI: 10.3760/CMA.J.ISSN.1671-0290.2019.04.011
Demei Zhao, Yanan Jiang, Shu-qin Wang, P. Xu, D. Zheng, Jie Wu
Objective To explore the therapeutic effect of different doses of botulinum toxin A injections on bromhidrosis. Methods A total of 200 cases were divided into mild-to-moderate group (N=100) and severe group (N=100) based on the grade of bromhidrosis, and each group was further divided into two groups: low dose group (50 cases) were treated by botulinum toxin A injections (100 U) and high dose group (50 cases) were treated with 200 U for bilateral axillary. The total effective rate and recurrence rate in both groups were compared. Results In the mild to moderate group, after treatment for 3 months, the total effective rate of both groups had no statistical difference (P>0.05), and the same with recurrence rate in 6 months follow-up (P>0.05). In the severe group, after treatment for 3 months, the total effective rate of the high dose group (82%) was significantly higher than that of the low dose group (64%), with statistical significance (χ2=4.110, P<0.05). After 6 months follow-up, recurrence rate in the high dose group (22%) was significantly lower than that of the low dose group(46%), with statistical significance (χ2=6.417, P<0.05). Conclusions A suitable dose of botulinum toxin A can be selected based on the severity of bromhidrosis, which is a individualized therapy for cost savings and might have potential benefits for patients with osmidrosis. Key words: Bromidrosis; Botulinum toxins, type A; Dose-response relationship, drug; Treatment outcome; Disease classification
目的探讨不同剂量A型肉毒毒素注射液治疗腋臭的疗效。方法根据腋臭程度将200例患者分为轻度至中度组(N=100)和重度组(N=10 0),每组再分为两组:低剂量组(50例)注射肉毒杆菌毒素A(100 U),高剂量组(5 0例)注射200 U治疗双侧腋窝。比较两组的总有效率和复发率。结果轻中度组治疗3个月后,两组总有效率无统计学差异(P>0.05),随访6个月复发率相同(P>0.05);重症组治疗3月后,高剂量组总有率(82%)显著高于低剂量组(64%),具有统计学意义(χ2=4.110,P<0.05)。随访6个月后,高剂量组复发率(22%)显著低于低剂量组(46%),具有统计学意义,这是一种节省成本的个性化治疗,可能对腋臭患者有潜在的益处。关键词:溴化物;A型肉毒毒素;剂量-反应关系,药物;治疗结果;疾病分类
{"title":"Efficacy of different doses of botulinum toxin A injections on bromhidrosis in adolescents","authors":"Demei Zhao, Yanan Jiang, Shu-qin Wang, P. Xu, D. Zheng, Jie Wu","doi":"10.3760/CMA.J.ISSN.1671-0290.2019.04.011","DOIUrl":"https://doi.org/10.3760/CMA.J.ISSN.1671-0290.2019.04.011","url":null,"abstract":"Objective \u0000To explore the therapeutic effect of different doses of botulinum toxin A injections on bromhidrosis. \u0000 \u0000 \u0000Methods \u0000A total of 200 cases were divided into mild-to-moderate group (N=100) and severe group (N=100) based on the grade of bromhidrosis, and each group was further divided into two groups: low dose group (50 cases) were treated by botulinum toxin A injections (100 U) and high dose group (50 cases) were treated with 200 U for bilateral axillary. The total effective rate and recurrence rate in both groups were compared. \u0000 \u0000 \u0000Results \u0000In the mild to moderate group, after treatment for 3 months, the total effective rate of both groups had no statistical difference (P>0.05), and the same with recurrence rate in 6 months follow-up (P>0.05). In the severe group, after treatment for 3 months, the total effective rate of the high dose group (82%) was significantly higher than that of the low dose group (64%), with statistical significance (χ2=4.110, P<0.05). After 6 months follow-up, recurrence rate in the high dose group (22%) was significantly lower than that of the low dose group(46%), with statistical significance (χ2=6.417, P<0.05). \u0000 \u0000 \u0000Conclusions \u0000A suitable dose of botulinum toxin A can be selected based on the severity of bromhidrosis, which is a individualized therapy for cost savings and might have potential benefits for patients with osmidrosis. \u0000 \u0000 \u0000Key words: \u0000Bromidrosis; Botulinum toxins, type A; Dose-response relationship, drug; Treatment outcome; Disease classification","PeriodicalId":10094,"journal":{"name":"Chinese Journal of Medical Aesthetics and Cosmetology","volume":"25 1","pages":"296-298"},"PeriodicalIF":0.0,"publicationDate":"2019-08-15","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"47778144","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}
引用次数: 0
Clinical effects of modified single Z-shaped asymmetric flap on correction of epicanthus combined with horizontal double eyelid surgery 改良单Z型不对称皮瓣矫正内皮赘皮联合水平双眼皮手术的临床疗效
Pub Date : 2019-08-15 DOI: 10.3760/CMA.J.ISSN.1671-0290.2019.04.012
Qiang Zhang, Jun-jie Guo, Wang Liu, Youzhi Feng
Objective To investigate the possibility and aesthetic results of plastic and cosmetic surgery incorporating the modified single z-type epicanthoplasty with the horizontal double-eyelid blepharoplasty. Methods A total of 150 patients with epicanthus fold and single eyelid were performed the horizontal double-eyelid blepharoplasty with single Z-shaped asymmetric flap method in one-stage procedure. Results After 3 to 12 months following up, three cases presented mild scar proliferation in epicanthal incision, and then with the swelling subsided and scar removal, the scars were gradually disappeared. All of other patients had no obvious scar after the surgery. Conclusions This is an effective combined surgical procedure. There is no obvious scar in endocanthion. This method could be widely used in clinic. Key words: Blepharoplasty; Epicanthal folds; Double-lid blepharoplasty; Single Z-shaped asymmetric flap plasty
目的探讨改良单z型上睑成形术与水平双眼皮成形术相结合的整形美容手术的可行性及美学效果。方法对150例单眼皮和内眦赘肉患者采用单z型不对称皮瓣一期完成水平双眼皮成形术。结果随访3 ~ 12个月后,3例患者表皮切口出现轻度瘢痕增生,随肿胀消退及瘢痕切除,瘢痕逐渐消失。其余患者术后无明显瘢痕。结论这是一种有效的联合手术。表皮内未见明显瘢痕。该方法可广泛应用于临床。关键词:眼睑成形术;Epicanthal折叠;Double-lid追求;单z形不对称皮瓣成形术
{"title":"Clinical effects of modified single Z-shaped asymmetric flap on correction of epicanthus combined with horizontal double eyelid surgery","authors":"Qiang Zhang, Jun-jie Guo, Wang Liu, Youzhi Feng","doi":"10.3760/CMA.J.ISSN.1671-0290.2019.04.012","DOIUrl":"https://doi.org/10.3760/CMA.J.ISSN.1671-0290.2019.04.012","url":null,"abstract":"Objective \u0000To investigate the possibility and aesthetic results of plastic and cosmetic surgery incorporating the modified single z-type epicanthoplasty with the horizontal double-eyelid blepharoplasty. \u0000 \u0000 \u0000Methods \u0000A total of 150 patients with epicanthus fold and single eyelid were performed the horizontal double-eyelid blepharoplasty with single Z-shaped asymmetric flap method in one-stage procedure. \u0000 \u0000 \u0000Results \u0000After 3 to 12 months following up, three cases presented mild scar proliferation in epicanthal incision, and then with the swelling subsided and scar removal, the scars were gradually disappeared. All of other patients had no obvious scar after the surgery. \u0000 \u0000 \u0000Conclusions \u0000This is an effective combined surgical procedure. There is no obvious scar in endocanthion. This method could be widely used in clinic. \u0000 \u0000 \u0000Key words: \u0000Blepharoplasty; Epicanthal folds; Double-lid blepharoplasty; Single Z-shaped asymmetric flap plasty","PeriodicalId":10094,"journal":{"name":"Chinese Journal of Medical Aesthetics and Cosmetology","volume":"25 1","pages":"299-301"},"PeriodicalIF":0.0,"publicationDate":"2019-08-15","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"46089343","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}
引用次数: 0
Application of radiofrequency lipolysis combined with linear lifting in 237 cases of facial rejuvenation 射频溶脂联合直线提升术在面部年轻化237例中的应用
Pub Date : 2019-06-15 DOI: 10.3760/CMA.J.ISSN.1671-0290.2019.03.006
T. Zhao, W. Guo, Hui-Ling Chen, Ma Cui-ling, Wang Gang
Objective To explore the application of radiofrequency lipolysis combined with linear lifting in fine lipolysis, facial rejuvenation and treatment of common complications. Methods From February 2016 to October 2018, 237 patients were treated by radiofrequency lipolysis combined with linear lifting. According to the patient's face shape, skin laxity and fat accumulation, the thickness of fat was measured by B-mode ultrasonography before operation, and the operative plan was formulated after sufficient communication with the patients. Then, we marked the range of lipolysis, the orientation of serrated line and the position of puncture point, followed by the adjustment of the treatment parameters. Subsequently, we placed FaceTite handle after swelling anesthesia, moving slowly and fixing the treatment point, as well as monitoring the temperature and swelling status of the skin. Immediately after the completion of lipolysis, the treatment area of skin was ice compressed, with the trocar needles inserted and serrated lines introduced for linear lifting operation. Neck-jaw sleeves were put on after operation. Results 237 patients had different degrees of post-operative edema, of which the period ranged from 2 to 7 days. 168 patients were followed up for 6 to 24 months, and 8 patients had subcutaneous sclerosis that then gradually disappeared within 2 months after operation. Folliculitis occurred in 5 cases of scalp puncture, and recovered after topical antibiotics. Facial skin relaxation and sagging, fat accumulation, facial shape, pouch and wrinkles of 160 patients were improved in varying degrees, and the outcomes of facial rejuvenation were obvious. However, the self-reported treatment outcomes of 7 patients were not obvious. One patient was reported that the sagging of the skin after sacrificial lipolysis was worse than before; 48 patients underwent autologous fat transplantation, botulinum toxin injection, hot pull, E-light, and water-light injection during the follow-up period, and were not included in the evaluation of efficacy; 21 patients were lost to follow-up. Conclusions Radiofrequency lipolysis combined with linear lifting is an effective method for facial rejuvenation, and it has obvious effect in fining lipolysis and facial rejuvenation by avoiding the disadvantage of single approach. Post-operative edema should be controlled and avoided to improve patients' satisfaction. Key words: Face; Radiofrequency lipolysis; Linear lifting; Facial rejuvenation; Fat accumulation; Firmness upgrading
目的探讨射频溶脂联合直线提升术在精细溶脂、面部年轻化及常见并发症治疗中的应用。方法2016年2月至2018年10月,对237例患者进行射频溶脂联合线性提升治疗。术前根据患者脸型、皮肤松弛程度及脂肪堆积情况,通过b超测量脂肪厚度,与患者充分沟通后制定手术方案。然后标记脂解范围、锯齿线方向、穿刺点位置,调整治疗参数。随后,肿胀麻醉后放置FaceTite手柄,缓慢移动并固定治疗点,同时监测皮肤的温度和肿胀状态。脂解完成后,立即冰压治疗区皮肤,插入套管针并引入锯齿线进行线性提升手术。术后戴上颈颌套。结果237例患者术后出现不同程度水肿,水肿时间为2 ~ 7 d。168例患者随访6 ~ 24个月,8例出现皮下硬化,术后2个月内逐渐消失。头皮穿刺发生毛囊炎5例,经局部抗生素治疗后痊愈。160例患者面部皮肤松弛下垂、脂肪堆积、脸型、眼袋、皱纹均有不同程度改善,面部年轻化效果明显。但7例患者自我报告的治疗效果不明显。据报道,1例患者牺牲性脂肪溶解后皮肤下垂比术前更严重;48例患者在随访期间接受了自体脂肪移植、肉毒杆菌毒素注射、热拔、E-light、水光注射,未纳入疗效评价;21例患者失访。结论射频脂溶联合线性提升术是一种有效的面部年轻化方法,避免了单一入路的缺点,在细化脂溶和面部年轻化方面效果明显。术后应控制和避免水肿,提高患者满意度。关键词:人脸;射频脂解作用;线性提升;面部复兴;脂肪堆积;坚定升级
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中华医学美学美容杂志
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