Pub Date : 2019-06-15DOI: 10.3760/CMA.J.ISSN.1671-0290.2019.03.016
Yulin Dong, Liwei Dong, Hao Dongyue, Wensen Xia
Objective To evaluate the clinical outcome of reduction plasty for labia minora hypertrophy with redundant praeputium clitoridis. Methods A total of 84 cases were included from June 2013 to December 2016. Arc-shaped resection of labia minora and crescent resection of redundant praeputium clitoridis were the two essntial surgical procedure, and 5-0 VICRYL Rapide was used for suturing the incision. Results The 84 cases were operated with this mothod with satisfactory aesthetic result. Complications, such as hematoma, infection and poor wound healing, were not observed. Edema was resoluted after one to two weeks. After the reduction plasty of the labial labia, the vagina and perineum were completely covered in the natural state, without scar, also the sensitivity of clitoris was improved due to the better expoure post-operationally. Conclusions The same-stage reduction plasty for labia minora hypertrophy with redundant praeputium clitoridis is a reliable and effective method. Both satisfactory aesthetic result and improved sexual sensitivity are achived, without hematoma, infection and poor wound healing. Key words: Clitoris; Reconstructive surgical procedures; Labia minora hypertrophy; Reduction plasty
{"title":"The same-stage reduction plasty for labia minora hypertrophy with redundant praeputium clitoridis","authors":"Yulin Dong, Liwei Dong, Hao Dongyue, Wensen Xia","doi":"10.3760/CMA.J.ISSN.1671-0290.2019.03.016","DOIUrl":"https://doi.org/10.3760/CMA.J.ISSN.1671-0290.2019.03.016","url":null,"abstract":"Objective \u0000To evaluate the clinical outcome of reduction plasty for labia minora hypertrophy with redundant praeputium clitoridis. \u0000 \u0000 \u0000Methods \u0000A total of 84 cases were included from June 2013 to December 2016. Arc-shaped resection of labia minora and crescent resection of redundant praeputium clitoridis were the two essntial surgical procedure, and 5-0 VICRYL Rapide was used for suturing the incision. \u0000 \u0000 \u0000Results \u0000The 84 cases were operated with this mothod with satisfactory aesthetic result. Complications, such as hematoma, infection and poor wound healing, were not observed. Edema was resoluted after one to two weeks. After the reduction plasty of the labial labia, the vagina and perineum were completely covered in the natural state, without scar, also the sensitivity of clitoris was improved due to the better expoure post-operationally. \u0000 \u0000 \u0000Conclusions \u0000The same-stage reduction plasty for labia minora hypertrophy with redundant praeputium clitoridis is a reliable and effective method. Both satisfactory aesthetic result and improved sexual sensitivity are achived, without hematoma, infection and poor wound healing. \u0000 \u0000 \u0000Key words: \u0000Clitoris; Reconstructive surgical procedures; Labia minora hypertrophy; Reduction plasty","PeriodicalId":10094,"journal":{"name":"Chinese Journal of Medical Aesthetics and Cosmetology","volume":"25 1","pages":"228-230"},"PeriodicalIF":0.0,"publicationDate":"2019-06-15","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"41548341","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 : 2019-06-15DOI: 10.3760/CMA.J.ISSN.1671-0290.2019.03.003
Wang Jingxian, Yang Yuan, Liu Wenying
Objective To explore the effect of the combination of bandage contact lenses and artificial tears on corneal epithelial injury, due to correction of blepharoptosis in patients. Methods Thirty-five patients (56 eyes) were included in this randomized controlled trial during May 2013 to May 2018, and randomly divided into observation group (combination of bandage contact lenses and artificial tears) and control group (combination of erythromycin eye ointment and artificial tears), and followed up for 3 months. The corneal wound healing, corneal fluorescent staining (FL), Schirmer test (Slt), break-up time (BUT) and the severity of eye pain were documented and compared by statistical method. Results The scores of FL in the observation group were reduced (t=-3.211, P 0.05; the scores of eye pain, t=-1.800, P>0.05; the corneal wound healing, χ2=1.018, P>0.05; the BUT score, t=1.661, P>0.05). Conclusions The combination of bandage contact lenses and artificial tears is recommended for the early use after correction of blepharoptosis, to alleviate eye symptoms and promote corneal wound healing. Key words: Blepharoptosis; Corneal injuries; Ptosis; Corneal epithelial injury; Contact lens
{"title":"Clinical effect of combined bandage contact lenses and artificial tears on corneal epithelial injury due to correction of blepharoptosis","authors":"Wang Jingxian, Yang Yuan, Liu Wenying","doi":"10.3760/CMA.J.ISSN.1671-0290.2019.03.003","DOIUrl":"https://doi.org/10.3760/CMA.J.ISSN.1671-0290.2019.03.003","url":null,"abstract":"Objective \u0000To explore the effect of the combination of bandage contact lenses and artificial tears on corneal epithelial injury, due to correction of blepharoptosis in patients. \u0000 \u0000 \u0000Methods \u0000Thirty-five patients (56 eyes) were included in this randomized controlled trial during May 2013 to May 2018, and randomly divided into observation group (combination of bandage contact lenses and artificial tears) and control group (combination of erythromycin eye ointment and artificial tears), and followed up for 3 months. The corneal wound healing, corneal fluorescent staining (FL), Schirmer test (Slt), break-up time (BUT) and the severity of eye pain were documented and compared by statistical method. \u0000 \u0000 \u0000Results \u0000The scores of FL in the observation group were reduced (t=-3.211, P 0.05; the scores of eye pain, t=-1.800, P>0.05; the corneal wound healing, χ2=1.018, P>0.05; the BUT score, t=1.661, P>0.05). \u0000 \u0000 \u0000Conclusions \u0000The combination of bandage contact lenses and artificial tears is recommended for the early use after correction of blepharoptosis, to alleviate eye symptoms and promote corneal wound healing. \u0000 \u0000 \u0000Key words: \u0000Blepharoptosis; Corneal injuries; Ptosis; Corneal epithelial injury; Contact lens","PeriodicalId":10094,"journal":{"name":"Chinese Journal of Medical Aesthetics and Cosmetology","volume":"25 1","pages":"179-182"},"PeriodicalIF":0.0,"publicationDate":"2019-06-15","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"48239897","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 : 2019-04-15DOI: 10.3760/CMA.J.ISSN.1671-0290.2019.02.010
Xin Su, Fangzhu Zhou
Objective To introduce an excellent one-stage procedure for repairing defects of the middle and distal part of the nose: nasal dorsal glabellar flap. Methods According to the size, shape and location of nasal defect, homologous nasal dorsal glabellar flap was selected to cover the nasal defect in 17 cases. Among 17 cases, there were 7 men and 10 women, with age of 38 to 76 years. The locations were nasal tip in 9 cases and dorsum of nose in 8 cases, The area of the defect ranged from 15 mm×15 mm to 30 mm×26 mm. The nasal dorsal glabellar flap, which received a versatile axial blood supply from branches of the facial artery and ophthalmic artery, took tissue from the lax glabellar skin and might appear to be too aggressive for closure of a distal nasal or mid-nasal defect. However, because its design was primarily that of a rotation flap with a back-cut in the glabella region, it was greater than the primary defect in order to maximize tissue movement and decreased wound closure tension at the flap donor site. The secondary defect of donor site was directly sutured. Results The nasal defect was successfully repaired in all patients, and the all flaps survived. The patients were available for follow-up of 1 to 6 months, no tumor recurrence occurred, and the repaired tissue were good match with surrounding tissue in color, thickness and texture, good nasal contour was obtained and no secondary deformity occurred, and therefore the cosmetic results were satisfactory. Conclusions The nasal glabellar flap has evolved into a choice flap for nasal defects of cover since it provides local skin with an exact color, thickness, and texture match for the nasal skin. It allows large reconstructions for up to 30 mm defects leaving minimal scars. It represents an interesting alternative for the reconstruction of defects of the nasal tip or supra tip of the nose. Key words: Nose; Skin; Reconstructive surgical procedures; Surgical flaps; Nasal glabellar flap; Defects
{"title":"Clinical effects of nasal glabellar flap on reconstruction of nasal dorsal and tip","authors":"Xin Su, Fangzhu Zhou","doi":"10.3760/CMA.J.ISSN.1671-0290.2019.02.010","DOIUrl":"https://doi.org/10.3760/CMA.J.ISSN.1671-0290.2019.02.010","url":null,"abstract":"Objective \u0000To introduce an excellent one-stage procedure for repairing defects of the middle and distal part of the nose: nasal dorsal glabellar flap. \u0000 \u0000 \u0000Methods \u0000According to the size, shape and location of nasal defect, homologous nasal dorsal glabellar flap was selected to cover the nasal defect in 17 cases. Among 17 cases, there were 7 men and 10 women, with age of 38 to 76 years. The locations were nasal tip in 9 cases and dorsum of nose in 8 cases, The area of the defect ranged from 15 mm×15 mm to 30 mm×26 mm. The nasal dorsal glabellar flap, which received a versatile axial blood supply from branches of the facial artery and ophthalmic artery, took tissue from the lax glabellar skin and might appear to be too aggressive for closure of a distal nasal or mid-nasal defect. However, because its design was primarily that of a rotation flap with a back-cut in the glabella region, it was greater than the primary defect in order to maximize tissue movement and decreased wound closure tension at the flap donor site. The secondary defect of donor site was directly sutured. \u0000 \u0000 \u0000Results \u0000The nasal defect was successfully repaired in all patients, and the all flaps survived. The patients were available for follow-up of 1 to 6 months, no tumor recurrence occurred, and the repaired tissue were good match with surrounding tissue in color, thickness and texture, good nasal contour was obtained and no secondary deformity occurred, and therefore the cosmetic results were satisfactory. \u0000 \u0000 \u0000Conclusions \u0000The nasal glabellar flap has evolved into a choice flap for nasal defects of cover since it provides local skin with an exact color, thickness, and texture match for the nasal skin. It allows large reconstructions for up to 30 mm defects leaving minimal scars. It represents an interesting alternative for the reconstruction of defects of the nasal tip or supra tip of the nose. \u0000 \u0000 \u0000Key words: \u0000Nose; Skin; Reconstructive surgical procedures; Surgical flaps; Nasal glabellar flap; Defects","PeriodicalId":10094,"journal":{"name":"Chinese Journal of Medical Aesthetics and Cosmetology","volume":"25 1","pages":"204-206"},"PeriodicalIF":0.0,"publicationDate":"2019-04-15","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"46948632","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 : 2019-04-15DOI: 10.3760/CMA.J.ISSN.1671-0290.2019.02.016
An-li Zhang, Ze-Chun Huang
Objective To evaluate the clinical efficacy of topical fat redistribution in combination with shortening of upper eyelid levator muscle in patients with excessively wide palpebral fissure after double-eyelid operation. Methods Twenty patients with excessively wide palpebral fissure after undergoing double-eyelid operation were selected. The double-eyelid line was aesthetically re-designed, the skin or incisional scar between the original and new double-eyelid lines was excised, and the scarring adhesion among different tissues was fully isolated. The fat tissues within the orbital septum, deep orbit and anterior orbital septum combined with ROOF reconstruction were performed to block the adhesion tissues, shortening of levator muscle of the upper eyelid was equally conducted to enhance the cosmetic effect. Results Seventeen patients were satisfied with the cosmetic appearance following once double-eyelid operation. Two cases underwent twice operations due to different height between bilateral papebral fissures. One patient was unsatisfied with the cosmetic appearance. Conclusions Fat redistribution in combination with shortening of levator muscle of the upper eyelid can not only repair excessively wide palpebral fissure complicated with ptosis and upper eyelid depression, but also enhance the exposure rate of the cornea and increase the cosmetic appearance, which is consistent with contemporary aesthetic perception. Key words: Blepharoplasty; Reconstructive surgical procedures; Construction of double eyelid; Repair; Shortening of upper eyelid levator muscle
{"title":"Application of fat redistribution combined with shortening of upper eyelid levator muscle in repair of wide double-eyelid","authors":"An-li Zhang, Ze-Chun Huang","doi":"10.3760/CMA.J.ISSN.1671-0290.2019.02.016","DOIUrl":"https://doi.org/10.3760/CMA.J.ISSN.1671-0290.2019.02.016","url":null,"abstract":"Objective \u0000To evaluate the clinical efficacy of topical fat redistribution in combination with shortening of upper eyelid levator muscle in patients with excessively wide palpebral fissure after double-eyelid operation. \u0000 \u0000 \u0000Methods \u0000Twenty patients with excessively wide palpebral fissure after undergoing double-eyelid operation were selected. The double-eyelid line was aesthetically re-designed, the skin or incisional scar between the original and new double-eyelid lines was excised, and the scarring adhesion among different tissues was fully isolated. The fat tissues within the orbital septum, deep orbit and anterior orbital septum combined with ROOF reconstruction were performed to block the adhesion tissues, shortening of levator muscle of the upper eyelid was equally conducted to enhance the cosmetic effect. \u0000 \u0000 \u0000Results \u0000Seventeen patients were satisfied with the cosmetic appearance following once double-eyelid operation. Two cases underwent twice operations due to different height between bilateral papebral fissures. One patient was unsatisfied with the cosmetic appearance. \u0000 \u0000 \u0000Conclusions \u0000Fat redistribution in combination with shortening of levator muscle of the upper eyelid can not only repair excessively wide palpebral fissure complicated with ptosis and upper eyelid depression, but also enhance the exposure rate of the cornea and increase the cosmetic appearance, which is consistent with contemporary aesthetic perception. \u0000 \u0000 \u0000Key words: \u0000Blepharoplasty; Reconstructive surgical procedures; Construction of double eyelid; Repair; Shortening of upper eyelid levator muscle","PeriodicalId":10094,"journal":{"name":"Chinese Journal of Medical Aesthetics and Cosmetology","volume":"25 1","pages":"227-229"},"PeriodicalIF":0.0,"publicationDate":"2019-04-15","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"44207870","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 : 2019-04-15DOI: 10.3760/CMA.J.ISSN.1671-0290.2019.02.001
Jianke Ding, L. Lei, Zhou Yu, Yingjun Su
Objective To study the temporal distribution of macrophage and its phenotype markers in fibrous capsules around silicone implants. Methods Thirty rats were randomly divided into five groups: days 1, 3, 7, 14 and 35. Silicone prostheses (10 ml) were implanted subcutaneously into backs of rats. On each indicated day, the tissue specimens were collected, fixed in 4% paraformaldehyde for 24 hours and embedded in paraffin. Immunofluorescence was used to detect temporal distribution of M1/M2 macrophages. Results The number of CD68+ macrophages at day 1 (65.8±12.9) was smaller than that at day 3 (102.8±14.5, P<0.05) and day 7 (116.8±14.2, P<0.05); and the number of CD68+ macrophages at day 7 was larger than that at day 14 (56.8±12.9, P<0.05) and day 35 (21.40±6.35, P<0.05); the proportion of iNOS+ CD68+ M1 cells at day 1 and day 3 was 0.48±0.13, 0.60±0.13, respectively, and they were higher than that at day 7 (0.21±0.03, P<0.05), day 14 (0.21±0.03, P<0.05) and day 35 (0.17±0.04, P<0.05); the proportions of CD206+ CD68+ M2 cells at day 1, day 3, day 7, day 14, day 35 were 0.70±0.06, 0.60±0.07, 0.70±0.08, 0.67±0.02 and 0.60±0.06, respectively. Conclusions After the implantation of silicone prostheses, M1 cells increase in early stages and M2 cells maintain in high level throughout the experiment period. Key words: Macrophages; Silica gel; Prosthesis implantation; Implant capsular contracture; Rats
{"title":"Changes of macrophages phenotype markers in fibrous capsules around silicone implants","authors":"Jianke Ding, L. Lei, Zhou Yu, Yingjun Su","doi":"10.3760/CMA.J.ISSN.1671-0290.2019.02.001","DOIUrl":"https://doi.org/10.3760/CMA.J.ISSN.1671-0290.2019.02.001","url":null,"abstract":"Objective \u0000To study the temporal distribution of macrophage and its phenotype markers in fibrous capsules around silicone implants. \u0000 \u0000 \u0000Methods \u0000Thirty rats were randomly divided into five groups: days 1, 3, 7, 14 and 35. Silicone prostheses (10 ml) were implanted subcutaneously into backs of rats. On each indicated day, the tissue specimens were collected, fixed in 4% paraformaldehyde for 24 hours and embedded in paraffin. Immunofluorescence was used to detect temporal distribution of M1/M2 macrophages. \u0000 \u0000 \u0000Results \u0000The number of CD68+ macrophages at day 1 (65.8±12.9) was smaller than that at day 3 (102.8±14.5, P<0.05) and day 7 (116.8±14.2, P<0.05); and the number of CD68+ macrophages at day 7 was larger than that at day 14 (56.8±12.9, P<0.05) and day 35 (21.40±6.35, P<0.05); the proportion of iNOS+ CD68+ M1 cells at day 1 and day 3 was 0.48±0.13, 0.60±0.13, respectively, and they were higher than that at day 7 (0.21±0.03, P<0.05), day 14 (0.21±0.03, P<0.05) and day 35 (0.17±0.04, P<0.05); the proportions of CD206+ CD68+ M2 cells at day 1, day 3, day 7, day 14, day 35 were 0.70±0.06, 0.60±0.07, 0.70±0.08, 0.67±0.02 and 0.60±0.06, respectively. \u0000 \u0000 \u0000Conclusions \u0000After the implantation of silicone prostheses, M1 cells increase in early stages and M2 cells maintain in high level throughout the experiment period. \u0000 \u0000 \u0000Key words: \u0000Macrophages; Silica gel; Prosthesis implantation; Implant capsular contracture; Rats","PeriodicalId":10094,"journal":{"name":"Chinese Journal of Medical Aesthetics and Cosmetology","volume":"25 1","pages":"171-175"},"PeriodicalIF":0.0,"publicationDate":"2019-04-15","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"45716422","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 : 2019-04-15DOI: 10.3760/CMA.J.ISSN.1671-0290.2019.02.018
Xuehong Yu
Objective To compare the efficacy of monochromatic excimer light and narrow-band ultraviolet in the treatment of facial vitiligo patients. Methods Seventy-nine patients with facial vitiligo were randomly divided into MEL group and NB-UVB group. The MEL and 311-nm NB-UVB were applied respectively. Both groups were treated twice a week, total 30 times. Results After ten times treatment, the effective rate of MEL group and NB-UVB group was 39.02% and 15.79%, respectively. There was significant difference between the two groups (P 0.05). The efficacy of both groups showed that disease duration was a negative factor. It seemed that shorter duration of facial vitiligo would obtain better clinical effect. MEL and NB-UVB were safe and effective for the progressive vitiligo. In both groups, few adverse effets in some patients were observed. Conclusions The clinical effect of MEL in treating facial vitiligo is more rapidly than NB-UVB, but as the treatment times increase, the efficacy becomes similar. Both methods are safe in treating facial vitiligo of different stages. Key words: Vitiligo; Face; 308 nm monochromatic excimer light; Ultraviolet B, narrow-band
{"title":"Efficacy of 308 nm monochromatic excimer light and 311 nm narrow band ultraviolet on facial vitiligo","authors":"Xuehong Yu","doi":"10.3760/CMA.J.ISSN.1671-0290.2019.02.018","DOIUrl":"https://doi.org/10.3760/CMA.J.ISSN.1671-0290.2019.02.018","url":null,"abstract":"Objective \u0000To compare the efficacy of monochromatic excimer light and narrow-band ultraviolet in the treatment of facial vitiligo patients. \u0000 \u0000 \u0000Methods \u0000Seventy-nine patients with facial vitiligo were randomly divided into MEL group and NB-UVB group. The MEL and 311-nm NB-UVB were applied respectively. Both groups were treated twice a week, total 30 times. \u0000 \u0000 \u0000Results \u0000After ten times treatment, the effective rate of MEL group and NB-UVB group was 39.02% and 15.79%, respectively. There was significant difference between the two groups (P 0.05). The efficacy of both groups showed that disease duration was a negative factor. It seemed that shorter duration of facial vitiligo would obtain better clinical effect. MEL and NB-UVB were safe and effective for the progressive vitiligo. In both groups, few adverse effets in some patients were observed. \u0000 \u0000 \u0000Conclusions \u0000The clinical effect of MEL in treating facial vitiligo is more rapidly than NB-UVB, but as the treatment times increase, the efficacy becomes similar. Both methods are safe in treating facial vitiligo of different stages. \u0000 \u0000 \u0000Key words: \u0000Vitiligo; Face; 308 nm monochromatic excimer light; Ultraviolet B, narrow-band","PeriodicalId":10094,"journal":{"name":"Chinese Journal of Medical Aesthetics and Cosmetology","volume":"25 1","pages":"233-236"},"PeriodicalIF":0.0,"publicationDate":"2019-04-15","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"41541639","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 : 2019-04-15DOI: 10.3760/CMA.J.ISSN.1671-0290.2019.02.012
Xianjie Ma, Yang Li, Hengxin Liu, Liwei Dong
Objective To investigate the application of expanded local flap in repairing extremity scars. Methods Thirty patients with extremity scars contracture as a result of trauma, surgery or infection during July 2000 and March 2013 were included. There were 11 male and 19 female patients with age ranging from 11 to 34 years. Tissue expansion, scar resection, flap transfer and scar management were involved in this process. Results There 24 patients suffered from upper extremity scars and 6 patients suffered from lower extremity scars. Expander exposure was noted in 3 patients, and 3 patients suffered from infection during the expansion. During the 6-month to 1-year follow-up, all patients satisfied with the results in terms of the skin texture, color, flexibility after the treatment with expanded local skin flap. Conclusions The expanded local flaps are suitable for the repair of the longitudinal and oblique scars in the extremities. Key words: Cicatrix; Contracture; Extremities; Dilatation; Surgical flaps
{"title":"Repair of extremity scar contracture by expanded local flaps","authors":"Xianjie Ma, Yang Li, Hengxin Liu, Liwei Dong","doi":"10.3760/CMA.J.ISSN.1671-0290.2019.02.012","DOIUrl":"https://doi.org/10.3760/CMA.J.ISSN.1671-0290.2019.02.012","url":null,"abstract":"Objective \u0000To investigate the application of expanded local flap in repairing extremity scars. \u0000 \u0000 \u0000Methods \u0000Thirty patients with extremity scars contracture as a result of trauma, surgery or infection during July 2000 and March 2013 were included. There were 11 male and 19 female patients with age ranging from 11 to 34 years. Tissue expansion, scar resection, flap transfer and scar management were involved in this process. \u0000 \u0000 \u0000Results \u0000There 24 patients suffered from upper extremity scars and 6 patients suffered from lower extremity scars. Expander exposure was noted in 3 patients, and 3 patients suffered from infection during the expansion. During the 6-month to 1-year follow-up, all patients satisfied with the results in terms of the skin texture, color, flexibility after the treatment with expanded local skin flap. \u0000 \u0000 \u0000Conclusions \u0000The expanded local flaps are suitable for the repair of the longitudinal and oblique scars in the extremities. \u0000 \u0000 \u0000Key words: \u0000Cicatrix; Contracture; Extremities; Dilatation; Surgical flaps","PeriodicalId":10094,"journal":{"name":"Chinese Journal of Medical Aesthetics and Cosmetology","volume":"25 1","pages":"212-214"},"PeriodicalIF":0.0,"publicationDate":"2019-04-15","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"49279135","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 : 2019-04-15DOI: 10.3760/CMA.J.ISSN.1671-0290.2019.02.020
Ma Zhibing, Fengying Yuan, P. Jin, A. Zhang, Chang-bo Tao, Xue-yang Li, Caiqi Shen, Yanping Guo
Objective To study the cell morphology and differentiation efficiency when rabbit bone marrow mesenchymal stem cells (BMSCs) were induced osteogenic differentiation as culturing by autologous platelet-rich plasma (PRP) instead of serum, and to explore a new method of inducing BMSCs osteogenic differentiation. Methods The PRP was prepared by arterial blood of rabbit. Punctured and The bone marrow was sampled from rabbit＇s iliac bone, and BMSCs were collected, which divided into PRP group, fetal calf serum (FBS) group and serum-free control group, and cultured in 10% autologous PRP, 10% FBS and serum-free respectively, combined with DMEM-F12 medium. The second generation cells were divided into experimental and control groups. The experimental groups＇ medium was added dexamethasone, β-sodium glycerophosphate and ascorbic acid, and the control groups went on. The cell morphological difference of each group was Observed between anterior and after inducing differentiation, and compared between each group. Results BMSCs of PRP and FBS groups grew quickly, presented like fusiform form before induction, and increasd in volume, became a triangle, polygonal and round form gradually after osteogenic induction. Cells of PRP and FBS groups aggregated spontaneously and multilayered, and formed calcium nodules and bone-like structure after induced 7 days averagely, which could be stained red by alizarin red S; cells of serum-free groups were induced 14 days averagely, only three samples showed osteogenesis performance. Cells of PRP and FBS groups differentiation efficiency was superior to serum-free groups when inducd 20 days, the difference was statistically significant (P 0.05). Conclusions Autologous PRP could be used to proliferate and induce osteogenic differentiation of BMSCs instead of serum. Key words: Rabbits; Bone marrow; Stromal cells; Stem cells; Platelet-rich plasma; Osteoblasts; Cell Differentiation
{"title":"Effect of autologous platelet-rich plasma on directional induced differentiation of rabbit bone marrow mesenchymal stem cells","authors":"Ma Zhibing, Fengying Yuan, P. Jin, A. Zhang, Chang-bo Tao, Xue-yang Li, Caiqi Shen, Yanping Guo","doi":"10.3760/CMA.J.ISSN.1671-0290.2019.02.020","DOIUrl":"https://doi.org/10.3760/CMA.J.ISSN.1671-0290.2019.02.020","url":null,"abstract":"Objective \u0000To study the cell morphology and differentiation efficiency when rabbit bone marrow mesenchymal stem cells (BMSCs) were induced osteogenic differentiation as culturing by autologous platelet-rich plasma (PRP) instead of serum, and to explore a new method of inducing BMSCs osteogenic differentiation. \u0000 \u0000 \u0000Methods \u0000The PRP was prepared by arterial blood of rabbit. Punctured and The bone marrow was sampled from rabbit＇s iliac bone, and BMSCs were collected, which divided into PRP group, fetal calf serum (FBS) group and serum-free control group, and cultured in 10% autologous PRP, 10% FBS and serum-free respectively, combined with DMEM-F12 medium. The second generation cells were divided into experimental and control groups. The experimental groups＇ medium was added dexamethasone, β-sodium glycerophosphate and ascorbic acid, and the control groups went on. The cell morphological difference of each group was Observed between anterior and after inducing differentiation, and compared between each group. \u0000 \u0000 \u0000Results \u0000BMSCs of PRP and FBS groups grew quickly, presented like fusiform form before induction, and increasd in volume, became a triangle, polygonal and round form gradually after osteogenic induction. Cells of PRP and FBS groups aggregated spontaneously and multilayered, and formed calcium nodules and bone-like structure after induced 7 days averagely, which could be stained red by alizarin red S; cells of serum-free groups were induced 14 days averagely, only three samples showed osteogenesis performance. Cells of PRP and FBS groups differentiation efficiency was superior to serum-free groups when inducd 20 days, the difference was statistically significant (P 0.05). \u0000 \u0000 \u0000Conclusions \u0000Autologous PRP could be used to proliferate and induce osteogenic differentiation of BMSCs instead of serum. \u0000 \u0000 \u0000Key words: \u0000Rabbits; Bone marrow; Stromal cells; Stem cells; Platelet-rich plasma; Osteoblasts; Cell Differentiation","PeriodicalId":10094,"journal":{"name":"Chinese Journal of Medical Aesthetics and Cosmetology","volume":"25 1","pages":"240-244"},"PeriodicalIF":0.0,"publicationDate":"2019-04-15","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"46208133","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 : 2019-04-15DOI: 10.3760/CMA.J.ISSN.1671-0290.2019.02.007
Xinyu Huang, Xingxing Wang, Haitao Xu, Rui Tian, Yuan Y Du
Objective To explore the treatment of unilateral blepharoptosis caused by oculomotor nerve paralysis with pseudo-Graefe phenomenon after craniocerebral trauma or operation. Methods Three patients suffered from blepharoptosis caused by oculomotor nerve paralysis with pseudo-Graefe phenomenon were collected in this study and the modified levator resection technique was applied to correct ptosis. The observation index after operation included the height of upper palpebral margin, the radian of double eyelid, the change of eye movement and the corresponding upper eyelid height, the eye closure function and the incidence of exposure keratitis. Results One case of oculomotor nerve palsy with moderate ptosis achieved an ideal height of upper eyelid after surgery, two cases of oculomotor nerve palsy with severe ptosis were undercorrection. All the three patients had smooth double eyelid radian, no obvious change of eye movement and corresponding upper eyelid height compared with preoperative. The two severe ptoses could close eyes well, but the moderate ptosis patient couldnot close eyes completely. Conclusions The technique of modified levator resection is an effective method to treat the moderate ptosis caused by oculomotor nerve paralysis with pseudo-Graefe phenomenon, but the results are unfavorable in the treatment of severe ptosis. Key words: Oculomotor nerve; Paralysis; Blepharoptosis; Pseudo-Graefe phenomenon, ptosis; Modified levator resection technique
{"title":"Treatment of blepharoptosis with pseudo-Graefe phenomenon caused by oculomotor nerve paralysis: report of three cases","authors":"Xinyu Huang, Xingxing Wang, Haitao Xu, Rui Tian, Yuan Y Du","doi":"10.3760/CMA.J.ISSN.1671-0290.2019.02.007","DOIUrl":"https://doi.org/10.3760/CMA.J.ISSN.1671-0290.2019.02.007","url":null,"abstract":"Objective \u0000To explore the treatment of unilateral blepharoptosis caused by oculomotor nerve paralysis with pseudo-Graefe phenomenon after craniocerebral trauma or operation. \u0000 \u0000 \u0000Methods \u0000Three patients suffered from blepharoptosis caused by oculomotor nerve paralysis with pseudo-Graefe phenomenon were collected in this study and the modified levator resection technique was applied to correct ptosis. The observation index after operation included the height of upper palpebral margin, the radian of double eyelid, the change of eye movement and the corresponding upper eyelid height, the eye closure function and the incidence of exposure keratitis. \u0000 \u0000 \u0000Results \u0000One case of oculomotor nerve palsy with moderate ptosis achieved an ideal height of upper eyelid after surgery, two cases of oculomotor nerve palsy with severe ptosis were undercorrection. All the three patients had smooth double eyelid radian, no obvious change of eye movement and corresponding upper eyelid height compared with preoperative. The two severe ptoses could close eyes well, but the moderate ptosis patient couldnot close eyes completely. \u0000 \u0000 \u0000Conclusions \u0000The technique of modified levator resection is an effective method to treat the moderate ptosis caused by oculomotor nerve paralysis with pseudo-Graefe phenomenon, but the results are unfavorable in the treatment of severe ptosis. \u0000 \u0000 \u0000Key words: \u0000Oculomotor nerve; Paralysis; Blepharoptosis; Pseudo-Graefe phenomenon, ptosis; Modified levator resection technique","PeriodicalId":10094,"journal":{"name":"Chinese Journal of Medical Aesthetics and Cosmetology","volume":"25 1","pages":"193-197"},"PeriodicalIF":0.0,"publicationDate":"2019-04-15","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"42059247","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 : 2019-04-15DOI: 10.3760/CMA.J.ISSN.1671-0290.2019.02.014
Xia Zhou
Objective It is crucial to restore and fix the position of nasal septum which elaborates supportive function in rhinoplasty for secondary nose deformity of cleft lip and palate patients. The aim of this study was to explore the fixation technique with absorbable material in rhinoplasty for correction cleft lip nose deformity. Methods Nineteen cases with unilateral cleft lip /with or without palate cleft were included in this study. Absorbable screw was used to fix the implanted and re-positioned grafted cartilage septum which was shaped into strip with anterior nasal spine. Results Full success was achieved for all of 19 cases with internal fixation technique to re-position nasal septum to correct nasal deformity. There was no complications occurred. Conclusions Internal fixation technique with absorbable material could be used to correct secondary nasal deformity in cleft lip and palate patients and fixed re-positioned grafted cartilage septum can apply a strong support to ala nasi cartilage in cleft site. Key words: Cleft lip; Internal fixation; Nose; Deformity; Absorbable screw
{"title":"Application of internal fixation technique with absorbable material for rhinoplasty to correct secondary nose deformity of unilateral cleft lip with or without cleft palate","authors":"Xia Zhou","doi":"10.3760/CMA.J.ISSN.1671-0290.2019.02.014","DOIUrl":"https://doi.org/10.3760/CMA.J.ISSN.1671-0290.2019.02.014","url":null,"abstract":"Objective \u0000It is crucial to restore and fix the position of nasal septum which elaborates supportive function in rhinoplasty for secondary nose deformity of cleft lip and palate patients. The aim of this study was to explore the fixation technique with absorbable material in rhinoplasty for correction cleft lip nose deformity. \u0000 \u0000 \u0000Methods \u0000Nineteen cases with unilateral cleft lip /with or without palate cleft were included in this study. Absorbable screw was used to fix the implanted and re-positioned grafted cartilage septum which was shaped into strip with anterior nasal spine. \u0000 \u0000 \u0000Results \u0000Full success was achieved for all of 19 cases with internal fixation technique to re-position nasal septum to correct nasal deformity. There was no complications occurred. \u0000 \u0000 \u0000Conclusions \u0000Internal fixation technique with absorbable material could be used to correct secondary nasal deformity in cleft lip and palate patients and fixed re-positioned grafted cartilage septum can apply a strong support to ala nasi cartilage in cleft site. \u0000 \u0000 \u0000Key words: \u0000Cleft lip; Internal fixation; Nose; Deformity; Absorbable screw","PeriodicalId":10094,"journal":{"name":"Chinese Journal of Medical Aesthetics and Cosmetology","volume":"25 1","pages":"219-222"},"PeriodicalIF":0.0,"publicationDate":"2019-04-15","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"43127731","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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