整复术

Objective To observe the possible effect of Fibrin Glue on the healing of wound after cleft palate surgery.

目的 观察生物蛋白胶在腭裂整复术创口中的应用对伤口愈合效果的影响。

The routine preoperative CT examination, proper anesthesia and correct surgical route were equally important for giant tumor of mediastinum. Its postoperative management includes the prevention of sunken trachea and dilatant pulmonary edema.

术前应常规行CT检查，选择合适的麻醉及手术径路，术中可视情况分块切除或整块切除，术后注意防治气管软化和复张性肺水肿。

Up.Conclusion The routine preoperative CT examination, proper anesthesia and correct surgical route were equally important for giant tumor of mediastinum. Its postoperative management includes the prevention of sunken trachea and dilatant pulmonary edema.

术前应常规行CT检查，选择合适的麻醉及手术径路，术中可视情况分块切除或整块切除，术后注意防治气管软化和复张性肺水肿。

Objective To explore a good method for the treatment of earlobe defect .

目的：探讨采用不同方式的皮瓣法尤其是皮肤扩张术+自体肋软骨移植再造法对不同程度的耳垂缺损畸形患者进行手术整复。

Objective To observe the possible effect of Fibrin Glue onthe healing of wound after cleft palate surgery.

目的 观察生物蛋白胶在腭裂整复术创口中的应用对伤口愈合效果的影响。

Methods 78 cases with the broad nostril and droopy nasal ala were treated with rhomboid excision of the part of soft tissue of nasal vestibule and with nose augmentation at the same time.

采用鼻前庭软组织菱形切除法对78例有宽大鼻孔、下垂鼻翼的就医者进行整复，并同期行隆鼻术。

e-PTFE was implanted into the pitting area after subcuntaneous disjunction. Results: 15 cases were followed for about 3 and 6 momths after implant of e-PTFE, including cases with saddle nose, pitting deformity of orbit, congenital lip cleft with depressed soft tissue around pyriform opening, parbial defect of helix. In these cases, satisfaction rate is evaluated as high as 97.9%, unexpected tissue response was not shown in this clinical trail.Conclusion: Depended on this clinical trail, we believe local e-PTFE manufactured by Shanghai Suo-kang Medical Implants Co., Ltd.

由于e-PTFE的组织相容性好，在80年代初期一些发达国家已经应用于整形美容外科[1]，尤其应用于隆鼻术、面部凹陷畸形的整复、唇线增高、唇加厚、鼻唇沟过深的整形美容术、耳廓缺损等手术中，学者们认为e-PTFE排斥反应的发生率低，弹性和硬度与软组织相似，周围组织细胞能够长期进入移植物内，不形成纤维囊，在整形美容外科领域有重要的应用价值。

Results:Incidence rate of restricted ocular motility, diplopia and enophthalmos were 63.2%, 62.3% and 59.6% respectively; The incidence of optic nerve injury, lacrimal injury and rupture of the globe was 15.8%, 15.8% and 12.3% respectively.

结果：眼球运动障碍、复视和眼球内陷发生率分别为63.2％、62.3％和59.6％；视神经损伤、泪道损伤和眼球破裂的发生率分别为15.8％、15.8％和12.3％。95.6％的患者接受了眶壁整复和人造骨植入术；72.8％的患者进行了骨折复位内固定术；部分患者进行了视神经减压术、眼球修补术和泪道手术。

Methods: A little improvement was made on the management of orbital septum and septal fat while doing the general lower eyelid blepharoplasty. Separate the plane between them. Orbicularis oculi and orbital septum to the infraorbital marginalis, incise the orbital septum transversely, then sewing up the orbital fat onto the periosteum of the infraorbital marginaslis in order to fill up and correct the sunken deformity of this area.

在进行常规的睑袋整复术同时，对眶隔和眶脂的处理作适当的改进，在眼轮匝肌下平面分离到眶下缘，横向切开下睑眶隔筋膜，将眶脂缝合在眶缘的骨膜上，填充和纠正该区域的凹陷畸形。

Methods: Two hundred and forty-seven patients with head and neck lesions were operated on from 1983 to 2001. The surgical procedure was decided on the pathologic conditions. The surgical defects were repaired by pectoralis major myocutanous flap or combined with delto-ectopectoralis flap, split skin flap, laryngotracheal flap, tongue flap, stomach flap, sternohyoid myofascial flap, sternocleidomastoid myoperiosteal flap, epiglottis flap.

1983至2001年手术治疗了247例头颈部肿瘤患者，用胸大肌肌皮瓣或联合其他组织瓣如胸三角皮瓣、裂层皮片、喉气管瓣、舌根瓣、胃瓣、胸骨舌骨肌筋膜瓣、胸锁乳突肌骨膜瓣、会厌瓣等对术中组织缺损进行了整复。

The split between the two groups can hardly be papered over.

这两个团体间的分歧难以掩饰。

This approach not only encourages a greater number of responses, but minimizes the likelihood of stale groupthink.

这种做法不仅鼓励了更多的反应，而且减少跟风的可能性。