中华整形外科杂志最新文献

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[Clinical study of radiofrequency ablation combined with lauromacrogol for the treatment of parotid gland hemangioma in infants]. 【射频消融联合聚月桂醇治疗婴幼儿腮腺血管瘤的临床研究】。
中华整形外科杂志 Pub Date : 2016-07-01
Tao Han, Haini Chen, Jijun Zou, Yi Ji, Jianbing Chen, Weimin Shen, Jie Cui
{"title":"[Clinical study of radiofrequency ablation combined with lauromacrogol for the treatment of parotid gland hemangioma in infants].","authors":"Tao Han,&nbsp;Haini Chen,&nbsp;Jijun Zou,&nbsp;Yi Ji,&nbsp;Jianbing Chen,&nbsp;Weimin Shen,&nbsp;Jie Cui","doi":"","DOIUrl":"","url":null,"abstract":"<p><strong>Objective: </strong>To investigate the clinical effect of radiofrequency ablation (RFA) combined with lauromacrogol for the treatment of parotid gland hemangioma in infants.</p><p><strong>Methods: </strong>From Sep.2005 to Dec.2014,a total of 117 patients with parotid gland hemangioma were divided into observation group (n =32),control group 1 (n =30),control group 2 (n =28) and control group 3 (n =27).The observation group was treated by RFA combined with lauromacrogol, while the control group 1 was treated by RFA only, the control group 2 was treated by pingyangmycin only, and the control group 3 received additional pingyangmycin based on RFA. All the patients were followed up for 6 to 24 months, and the clinical effects were observed in four groups.</p><p><strong>Results: </strong>Control group 1:16 patients were cured (53.3%),and the number of patients with ≥2 treatments was 9.There was 1 case with skin ulceration,1 with abdominal discomfort,1 with liver function damage and 1 with high fever.Control group 2:17 patients were cured(60.7%),and number of patients with ≥2 treatments was 12.There were 3 cases with skin ulceration,9 with abdominal discomfort,6 with liver function damage and 5 with high fever.Control group 3:21 patients were cured(77.8%),and number of patients with ≥2 treatments was 2.There were 2 cases with skin ulceration,6 with abdominal discomfort,4 with liver function damage and 4 with high fever.However,in observation group,25 patients were cured(78.1%) and number of patients with ≥ 2 treatments was 4,which were significantly different from that in control group 1 or control group 2 (P <0.05).And the difference in postoperative adverse reactions between observation group and control group 2 or control group 3 was also of significance (2 with skin ulceration,1 with abdominal discomfort,1 with liver function damage and 6 with high fever,P < 0.05).</p><p><strong>Conclusions: </strong>Combined RFA and lauromacrogol has a good therapeutic effect on parotid gland hemangioma with relatively low adverse effect, so it deserves to be suggested and applied in clinical practice.</p>","PeriodicalId":69147,"journal":{"name":"中华整形外科杂志","volume":"32 4","pages":"254-8"},"PeriodicalIF":0.0,"publicationDate":"2016-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"36342559","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 individual prefabricated reconstructive titanic plate combined with vascularized iliac bone-muscular flap for reconstruction of mandibular defects] [单件预制重建钛板联合带血管髂骨-肌瓣在下颌缺损修复中的应用]
中华整形外科杂志 Pub Date : 2016-07-01
Lin Liu, Delin Xia, Libo Sun, Li Zhang, Lei Wang, Jingang Xiao
{"title":"[Application of individual prefabricated reconstructive titanic plate combined with vascularized iliac bone-muscular flap for reconstruction of mandibular defects]","authors":"Lin Liu,&nbsp;Delin Xia,&nbsp;Libo Sun,&nbsp;Li Zhang,&nbsp;Lei Wang,&nbsp;Jingang Xiao","doi":"","DOIUrl":"","url":null,"abstract":"<p><p>Objective To investigate the clinical effect of individual prefabricated reconstructive titanic plate combined with vascularized iliac bone-muscular flap for reconstruction of mandibular defects.</p><p><strong>Methods: </strong>From Aug.2010 to Dec.2014,12 cases with mandibular tumor received preoperative maxillofacial CT scans and 3-dimensional reconstruction. Based on the CT results, mirror imaging technology was used to simulate the reconstruction of the defect at affected side. The individual reconstructive titanium plate was prefabricated on the model. The iliac bone-muscular flap was designed according to the defect shape and size, combined with reconstructive plate. All patients underwent CT scan and oral curved surface tomography postoperatively. The maxillofacial function and appearance were also evaluated.</p><p><strong>Results: </strong>According to the CT scan and curved surface tomography, the 12 iliac bone-muscular flaps survived completely with good bone union and good condyle position. Both the functional and cosmetic results were satisfactory. There was no complication on the donor sites.</p><p><strong>Conclusions: </strong>Individual prefabricated reconstructive titanic plate combined with vascularized iliac bone-muscular flap provides an precise method for reconstruction of mandibular defects. The cosmetic and functional results could be expected.</p>","PeriodicalId":69147,"journal":{"name":"中华整形外科杂志","volume":"32 4","pages":"258-63"},"PeriodicalIF":0.0,"publicationDate":"2016-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"36342560","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
[Quantitative analysis based on three-dimensional stereophotogrammetry in the observation of curative effect of botulinum toxin A on masseter hypertrophy]. [基于三维立体摄影测量法的定量分析A型肉毒毒素治疗咬肌肥大的疗效观察]。
中华整形外科杂志 Pub Date : 2016-07-01
Zihan Xue, Wei Zeng, Zhaoyang Chen, Yan Han
{"title":"[Quantitative analysis based on three-dimensional stereophotogrammetry in the observation of curative effect of botulinum toxin A on masseter hypertrophy].","authors":"Zihan Xue,&nbsp;Wei Zeng,&nbsp;Zhaoyang Chen,&nbsp;Yan Han","doi":"","DOIUrl":"","url":null,"abstract":"<p><strong>Objective: </strong>To observe the curative effect of botulinum toxin A on masseter hypertrophy using three-dimensional stereophotogrammetry.</p><p><strong>Methods: </strong>46 cases with masseter hypertrophy (92 masseters) who received botulinum toxin A injection were enrolled from May 2013 to August 2014.Data were collected before and 3,6 and 9 months after injection.</p><p><strong>Results: </strong>The efficacy of botulinum toxin A in reducing the volume of the lower face has been proven by MAS 3D.3 and 6 months after injection, the volume reduction were measured as 7.23 %,2.15% respectively (P < 0.05).The coefficients between middle and lower thirds of the face showed an increase compatible with thinning of the lower face with statistical significance at 3 months follow up. The increase percentage was measured by MAS 3D as 40.21% between pre-and post-injection (P < 0.05),and the increase percentage was 21.03% at 6 months follow up (P < 0.05).While 9 months after injection,the value was insignificant comparing to pretreatment at 9 months.</p><p><strong>Conclusions: </strong>Three-dimensional stereophotogrammetry provides a safe effective and direct way to observe masseter hypertrophy.</p>","PeriodicalId":69147,"journal":{"name":"中华整形外科杂志","volume":"32 4","pages":"272-5"},"PeriodicalIF":0.0,"publicationDate":"2016-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"36341446","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 application of thoracoacromial artery perforator flap for hypopharyngeal reconstruction]. 胸肩峰动脉穿支瓣在下咽重建术中的临床应用
中华整形外科杂志 Pub Date : 2016-07-01
Dajiang Song, Zan Li, Xiao Zhou, Yixin Zhang, Xiaowei Peng, Bo Zhou, Chunliu Lyu, Lichang Yang, Wen Peng
{"title":"[Clinical application of thoracoacromial artery perforator flap for hypopharyngeal reconstruction].","authors":"Dajiang Song,&nbsp;Zan Li,&nbsp;Xiao Zhou,&nbsp;Yixin Zhang,&nbsp;Xiaowei Peng,&nbsp;Bo Zhou,&nbsp;Chunliu Lyu,&nbsp;Lichang Yang,&nbsp;Wen Peng","doi":"","DOIUrl":"","url":null,"abstract":"<p><strong>Objective: </strong>To explore the clinical effect of thoracoacromial artery perforator (TAAP) flap as a reconstructive option for hypopharyngeal defects.</p><p><strong>Methods: </strong>Between June 2011 and November 2015,TAAP flap was used to restore oncologic hypopharyngeal defects in 13 patients with recurrence of hypopharyngeal carcinoma. The size of hypopharyngeal defects ranged from 7.0 cm× 4.5 cm to 8.5 cm × 5.5 cm. Doppler was used to detect the location of thoracoacromial artery perforator. The flap was designed on the line joining the acromion to the xiphoid process with the size 0.5-1.0 cm larger than the defect,the flap was passed under the clavicular head of the pectoralis major and under the clavicle bone and sternocleidomastoid to the recipient site for insetting. The donor site was closed directly.</p><p><strong>Results: </strong>The size of TAAP flap is from 7.0 cm×5.0 cm to 9.5 cmu×6.0 cm. The length of pedicle is 7.5-9.0 cm. The distance from pivot point of flap to central point of recipient site was 9.0-10.5 cm. All 13 flaps survived completely, the defect at donor site was closed directly in all cases. Good appearance was achieved at 8 months to 42 months' follow up, with no recurrence, fistulas, stenosis/strictures, dehiscence, or swelling, only linear scars were left on the donor sites, pectoralis major muscle function was completely preserved in all patients.</p><p><strong>Conclusions: </strong>TAAP flap is a good choice for reconstruction of hypopharyngeal defects.</p>","PeriodicalId":69147,"journal":{"name":"中华整形外科杂志","volume":"32 4","pages":"245-8"},"PeriodicalIF":0.0,"publicationDate":"2016-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"36342551","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
[Differential expression profile of long non-coding RNA in regressive scar and mature scar]. [长链非编码RNA在退行性瘢痕和成熟性瘢痕中的差异表达谱]。
中华整形外科杂志 Pub Date : 2016-07-01
Jun Li, Qian Li, Yanli Gao, Bei Zhou, Jingyun Li
{"title":"[Differential expression profile of long non-coding RNA in regressive scar and mature scar].","authors":"Jun Li,&nbsp;Qian Li,&nbsp;Yanli Gao,&nbsp;Bei Zhou,&nbsp;Jingyun Li","doi":"","DOIUrl":"","url":null,"abstract":"<p><strong>Objective: </strong>To analyze the expression profile of long non-coding RNA (lncRNA) in regressive scar and mature scar.</p><p><strong>Methods: </strong>Hematoxylin-eosin staining and Masson staining were used to examine the histology of regressive scar and mature scar.The technique of IncRNA microarray was used to test the IncRNA expression profile in regressive scar and mature scar. The raw data of lncRNA were pretreated for normalization. Kyoto Encyclopedia of Genes and Genomes (KEGG) pathway analysis was further performed. Four lncRNA expressions were validated by quantitative PCR.</p><p><strong>Results: </strong>Compared with mature scar, more fibroblasts and deeper Masson staining color were seen in the regressive scar, a total of 1 275 upregulated more than 3-fold were found in the regressive scar. And 596 down regulated more than seventy percent lncRNA were found in the regressive scar. Pathway analysis indicated that chemokine signaling pathway, TNF signaling pathway, insulin secretion and focal adhesion would play important roles in scar development.</p><p><strong>Conclusions: </strong>lncRNA expression profiles in the regressive scar is markedly different in comparison with the mature scar,revealing that lncRNA may participate in pathophysiological process of scar maturation.</p>","PeriodicalId":69147,"journal":{"name":"中华整形外科杂志","volume":"32 4","pages":"298-302"},"PeriodicalIF":0.0,"publicationDate":"2016-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"36341450","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
[Use of fan-shaped scar flap for reconstruction after auricular keloid core excision: an analysis of 193 lesions in 177 patients]. [应用扇形瘢痕瓣进行耳廓瘢痕核切除术后重建:177例193个病变分析]。
中华整形外科杂志 Pub Date : 2016-07-01
Wei Qian, Zuo Zhou, Jufeng Fan, Yan Zhang, Wei Lyu, Ying Hou, Qian Cao, Jing Li
{"title":"[Use of fan-shaped scar flap for reconstruction after auricular keloid core excision: an analysis of 193 lesions in 177 patients].","authors":"Wei Qian,&nbsp;Zuo Zhou,&nbsp;Jufeng Fan,&nbsp;Yan Zhang,&nbsp;Wei Lyu,&nbsp;Ying Hou,&nbsp;Qian Cao,&nbsp;Jing Li","doi":"","DOIUrl":"","url":null,"abstract":"<p><strong>Objective: </strong>To investigate the clinical effects of fan-shaped scar flaps for reconstruction of the wounds after auricular keloid core excision.</p><p><strong>Methods: </strong>193 auricular keloid lesions in 177 patients were treated. The fan-shaped scar flap, harvested from the surface of the auricle keloid, was clipped into the suitable size. The curved surface of flap was shaped into flat surface to cover the wound after keloid core excision without tension. Adjuvant intralesional injection of corticosteroid was performed intraoperatively and postoperatively.</p><p><strong>Results: </strong>All the flaps survived completely with satisfactory aesthetic results. The effective rate of treatment was 96.4% (186/193),and the recurrence rate was 3.6% (7/193).</p><p><strong>Conclusions: </strong>Satisfactory results can be achieved with the fan-shaped scar flap in the reconstruction after auricular keloid core excision. It' s an effective treatment suitable for auricle keloids in different shapes and sizes.</p>","PeriodicalId":69147,"journal":{"name":"中华整形外科杂志","volume":"32 4","pages":"268-71"},"PeriodicalIF":0.0,"publicationDate":"2016-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"36341445","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
[Influences of human dermis derived mesenchymal stem cells on α-SMA and DCN expressions of hypertrophic scars fibroblasts]. [人真皮来源间充质干细胞对增生性瘢痕成纤维细胞α-SMA和DCN表达的影响]。
中华整形外科杂志 Pub Date : 2016-07-01
Wenduo Zhang, Chengliang Deng, Changmin Guo, Kaiyu Nie, Xiujun Tang, Zairong Wei, Dali Wang
{"title":"[Influences of human dermis derived mesenchymal stem cells on α-SMA and DCN expressions of hypertrophic scars fibroblasts].","authors":"Wenduo Zhang,&nbsp;Chengliang Deng,&nbsp;Changmin Guo,&nbsp;Kaiyu Nie,&nbsp;Xiujun Tang,&nbsp;Zairong Wei,&nbsp;Dali Wang","doi":"","DOIUrl":"","url":null,"abstract":"<p><strong>Objective: </strong>To preliminarily explore the effects of human dermis derived mesenchymal stem cells (hDMSCs) on expressions of α-smooth muscle actin (α-SMA) and decorin (DCN) in hypertrophic scars fibroblasts (HSFB) at different periods,and to explore the feasibility of MSCs in prevention and treatment of HSFBs.</p><p><strong>Methods: </strong>hDMSCs were cultured with mechanical method combined with enzyme digestion.The cells of the third generation which were well grown were taken,and flow cytometry (FCM) was used to detect CD molecules in hDMSCs.Immunocytochemistry was used to detect cytokeratin 19 (CK19) and vimentin and identify the separated cells.The cells were differentiated into lipoblasts,chondroblasts and osteoblasts.According to the formation course of hypertrophic scar,the scar specimens were divided into 6-month,l-year,and 2-year group with three cases in each group.HSFBs from different groups were co-cultured with well-adherent hDMSCs of the third generation in non-contact transwell co-culture system for 21 days. And HSFBs from the corresponding groups were cultured in normal six-well plate as the controls.Real-time fluorescent-polymerase chain reaction (RT-PCR) and Western Blot were used to detect the expressions of mRNA and proteins of α-SMA and DCN in HSFBs from different groups.</p><p><strong>Results: </strong>hDMSCs highly expressed the surface markers including CD73,CD105,CD44 and CD90,etc.,but did not express hematopoietic stem cell surface markers including CD 14,CD34 and CD45.They positively expressed vimentin but not CK19.The cells can be differentiated into lipoblasts,chondroblasts and osteoblasts,which was in line with the minimum identification standards of mesenchymal stem cells.For HSFB cultured in normal six-well plates,α-SMA mRNA and protein expressions of HSFB in the 6-month,1-year and 2-year groups were 198.20 ± 15.46/0.29 ± 0.070,175.24 ± 17.04/0.38 ± 0.110,and 125.73 ± 6.99/0.33 ±0.085,respectively;while DCN mRNA and protein expressions of HSFB in the corresponding groups were 61.30 ± 9.79/0.015 ± 0.003,70.89 ± 11.29/0.020 ± 0.007,and 77.31 ± 4.80/0.023 ± 0.003,respectively.For HSFB co-cultured with 5 × 104 hDMSCs, oα-SMA mRNA and protein expressions of HSFB in the 6-month,1-year and 2-year groups were 48.40 ± 6.42/ 0.100 ± 0.020,192.16 ± 11.37/0.110 ± 0.014,and 73.33 ± 6.29/0.110 ± 0.016,respectively;while DCN mRNA and protein expressions of HSFB in the corresponding groups were 156.92 ± 14.91/0.049 ±0.015,154.42 ± 18.17/0.033 ± 0.008,and 140.82 ± 7.32/0.030 ± 0.004,respectively.Compared with the control group(Cultured in normal six-well plates), mRNA and protein expressions of α-SMA in HSFBs were decreased after co-culture with 5 × 104 hDMSCs, mRNA and protein expressions of DCN were increased. Furthermore, it suggested that hypertrophic scar changed significantly in the early formation stage namely in the 6-month group.</p><p><strong>Conclusions: </strong>hDMSCs can down-regulate α-SMA mRNA an","PeriodicalId":69147,"journal":{"name":"中华整形外科杂志","volume":"32 4","pages":"285-92"},"PeriodicalIF":0.0,"publicationDate":"2016-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"36343379","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
[Experts' consensus on prevention and management of complications cause by hyaluronic acid dermal filters]. 【专家对透明质酸皮肤滤清器并发症防治的共识】。
中华整形外科杂志 Pub Date : 2016-07-01
Shuzhong Guo, Xiongzuo Mu, Jiaming Sun, Xiangdong Chen, Guangyu Chen, Hang Wang, Jinan Chen, Yuanhong Li
{"title":"[Experts' consensus on prevention and management of complications cause by hyaluronic acid dermal filters].","authors":"Shuzhong Guo,&nbsp;Xiongzuo Mu,&nbsp;Jiaming Sun,&nbsp;Xiangdong Chen,&nbsp;Guangyu Chen,&nbsp;Hang Wang,&nbsp;Jinan Chen,&nbsp;Yuanhong Li","doi":"","DOIUrl":"","url":null,"abstract":"","PeriodicalId":69147,"journal":{"name":"中华整形外科杂志","volume":"32 4","pages":"241-4"},"PeriodicalIF":0.0,"publicationDate":"2016-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"36341452","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
[An anatomy study of temporal layers : the safe space for hyaluronic acid injection]. 【颞层解剖研究:透明质酸注射的安全空间】。
中华整形外科杂志 Pub Date : 2016-07-01
Ping Jiang, Qiqing Chen, Weifeng Huang
{"title":"[An anatomy study of temporal layers : the safe space for hyaluronic acid injection].","authors":"Ping Jiang,&nbsp;Qiqing Chen,&nbsp;Weifeng Huang","doi":"","DOIUrl":"","url":null,"abstract":"<p><strong>Objective: </strong>To determine the safe space for hyaluronic acid(HA) injection through anatomy study of temporal layers.</p><p><strong>Methods: </strong>6 fresh and 8 formaldehyde-fixed cadaver heads were dissected. The skin soft-tissue layers of temporal region were incised through the cranial coronal plane and elevated layer by layer. The morphological features of layers were observed and documented, as well as the relationship of the superficial temporal artery (STA),the temporal branch of facial nerve (TFN) and the middle temporal vein(MTV) with corresponding layers. Relevant neasurements of the superficial temporal fat pad (sTFD) were recorded. With reference of cardever dissection, temporal region injection with HA was carried out clinically to confirm the safety and effect.</p><p><strong>Results: </strong>In the temporal region, from surface to the temporal fossa, the layers are skin, subcutaneous tissue, superfiacial temporal fascia (STF),loose areolar tissue, superficial layer of deep temporal fascia(sDTF), sTFD, deep layer of deep temporal fascia (dDTF),deep temporal fat pad (dTFD) and temporalis. The temporal skin is tightly attached with the subcutaneous tissue. The STA runs within the subcutaneous tissue on the STF, whereas the TFN within the areolar tissue was just beneath the STF. The loose areolar tissue is a potential layer space. The DTF splits into two sheets of fascia at the line 1 cm above the upper orbital rim to envelope the sTFD, within which the MTV runs backward. The dTFD is the temporal extension of buccal fat pad. With reference of cadever dissection, the target space of temporal HA injection was beneath the temporalis for the area superior to the MTV, whereas within the sTFD for the area inferior to the MTV.67 cases were completed with good result and no complication.</p><p><strong>Conclusions: </strong>In the upper area of temporal region adjacent to the frontal border, the sub-temporalis space is the safety space for HA injection, while inferior to the middle temporal vein and near the zygoma, the superficial temporal fat pad is the target space for safe HA injection.</p>","PeriodicalId":69147,"journal":{"name":"中华整形外科杂志","volume":"32 4","pages":"280-5"},"PeriodicalIF":0.0,"publicationDate":"2016-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"36341449","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
[Influence of immediate breast reconstruction after mastectomy on postoperative survival]. [乳房切除术后立即乳房重建对术后生存的影响]。
中华整形外科杂志 Pub Date : 2016-07-01
Ganlin Zhang, Di Chen, Jiazuo Zhang, Xiaozuo Liu, Xiaofang Hong, Chenyang Ji, Lianjie Bin, Xiaorong Liu
{"title":"[Influence of immediate breast reconstruction after mastectomy on postoperative survival].","authors":"Ganlin Zhang,&nbsp;Di Chen,&nbsp;Jiazuo Zhang,&nbsp;Xiaozuo Liu,&nbsp;Xiaofang Hong,&nbsp;Chenyang Ji,&nbsp;Lianjie Bin,&nbsp;Xiaorong Liu","doi":"","DOIUrl":"","url":null,"abstract":"<p><strong>Objective: </strong>To compare over survival(OS),recurrence free survival(RFS) of 5 years and survival quality between patients with immediate breast reconstruction and patients without breast reconstruction after mastectomy.</p><p><strong>Methods: </strong>From January 2009 to December 2010,156 patients were diagnosed as breast cancer. Among them,56 patients, aged 30-55 years old, were treated with mastectomy and immediate breast reconstruction as rec onstruction group.100 patients, aged 30-55 years old, were treated with mastectomy without breast reconstruction as control group. The last follow-up time was June 2015.Patients' age, pathological type, clinical stage, lymph node metastasis were analyzed retrospectively. RFS and OS of 5 years and survival was compared by Kaplan Meier method. Survival quality of 1 year and 2 years after operation was compared between them.</p><p><strong>Results: </strong>Pathologic classification, clinical staging, sentinel lymph node positive rate, axillary lymph node positive rate and triple negative breast cancer had no difference between two groups(P >0.05).The median follow-up time was 56.3±13.7 (23-78) and 57.9 ± 14.1(27-78) months in the reconstruction group and control group respectively at end of the June of 2015.RFS 5 years was 75.2% and 63.3% respectively in the reconstruction group and control group, showing significant difference between them (P < 0.05).OS 5 years was 81.7% and 83.3% respectively in the reconstruction group and control group, with no statistical difference (P > 0.05).Five aspects of physiological status, social/family status, emotion, functional status,additional focus in the reconstruction group 1 year postoperative were higher than those in control group (P < 0.05).Physiology, social/family situation, emotion, functional status of the reconstruction group 2 years after operation were higher than that in control group (P < 0.05).Scores of physiologic al status, social/family status, emotion, functional status and addition of 2 years in the reconstruction group were higher than those in 1 year after operation, with significant difference (P < 0.05).The score improvement in control group was not obvious.</p><p><strong>Conclusions: </strong>Immediate breast reconstruction after mastectomy of breast improve the survival quality and postoperative RFS, but has no obvious effect on overall survival.</p>","PeriodicalId":69147,"journal":{"name":"中华整形外科杂志","volume":"32 4","pages":"275-9"},"PeriodicalIF":0.0,"publicationDate":"2016-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"36341448","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
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