颊后的

All the patients had no facial nerves injuries, no limitation in mouth opening and no mastication difficulty. Conclusion The buccinator musculomucosal island flaps pedicled superior-anteriorly and posteriorly are trustworthy and safe for palatal fistula repair. It can be transferred conveniently to repair fistula of any position.

应用蒂在前上和蒂在后的岛状颊肌粘膜瓣修复腭瘘是一种比较安全可靠的方法，其成活率高，可以灵活转移修复各个部位的腭瘘，在修复软硬腭交界部位腭瘘的同时可延长软腭、矫正腭咽闭合不全。

The buccal frenum is also a fold of mucous membrane, but varies in shape from a single fold to a broad fan. The levator anguli oris muscle passes beneath it and its action affects its position, as does theorbicularis oris and the buccinator. The former pulls the frenum forwards, the latter backwards.

颊系带同样是一个粘膜皱襞，但形态，从一个细窄条带状到宽平如盘状而变化多样；提口角肌从其下通过，并在收缩时影响颊系带的位置；同样，口轮匝肌和咬肌，前者使颊系带向前，后者使其向后运动。

Palatal fistulae were repaired by this method, 4 pedicled superior-anteriorly and 14 pedicled posteriorly, 7 of which got velopharyngeal incompetence correction at the same time. Results All of the patients got satisfactory fistula closure except 3 complications. One flap got partly necrosis and two got fistulae at the hard palate. However, the fistula sizes were reduced greatly and one has been re-repaired well by the transferred buccinator musculomucosal flap one year later.

结果：共修复腭瘘患者18例；其中15例腭部瘘孔获得关闭，颊肌黏膜瓣成活良好，无感染、腮腺导管损伤或阻塞、面神经损伤，无张口受限、瘢痕挛缩及咀嚼障碍；2例因岛状颊肌粘膜瓣远端愈合不良再次出现硬腭前端瘘口，但面积较原来明显减小，其中1例再发腭瘘应用已转移到腭部的颊肌粘膜瓣组织行二次手术修复后愈合；1例岛状颊肌粘膜瓣部分坏死。

The main performance of the period similar to upper respiratory tract infection symptoms:① fever in all cases, more than for the moderate fever;② cough, runny nose and tears, pharynx, such as congestive catarrhal symptoms, eye symptoms prominent conjunctival inflammation, eyelid edema, increased tears, photophobia, eyelid under the edge of a clear line of congestive, the diagnosis of measles very helpful ③ Koplik spots, eruptive in 24 ~ 48 hours prior to the emergence of about 1.0mm in diameter outside the gray dots red halo, found only at the beginning of the mucosa under the molars, but the increase in one day can be involved very quickly and spread to the entire buccal mucosa lip and mucous membrane after the rash appears in the gradual disappearance of skin rash may have a small dark red points;④ occasional skin urticaria, rash or scarlet fever faint rash appears when the typical skin rash disappeared;⑤ Some patients may have some non-specific symptoms such as general malaise, anorexia, etc.

这一期的主要表现类似上呼吸道感染症状：①发热见于所有病例，多为中度以上发热；②咳嗽、流涕流泪、咽部充血等卡他症状，以眼症状突出结膜发炎、眼睑水肿、眼泪增多畏光、下眼睑边缘有一条明显充血横线，对诊断麻疹极有帮助③Koplik斑，在发疹前24~48小时出现，为直径约1.0mm灰白色小点外有红色晕圈，开始仅见于对着下臼齿的颊粘膜上，但在一天内很快增多可累及整个颊粘膜并蔓延至唇部粘膜，粘膜疹在皮疹出现后即逐渐消失可留有暗红色小点；④偶见皮肤荨麻疹，隐约斑疹或猩红热样皮疹在出现典型皮疹时消失；⑤部分病例可有一些非特异症状，如全身不适、食欲减退精神不振等。

ABSTRACT:OBJECTIVETo study the correlation between anatomic structure of the inferior alveolar nerve canal and dental implantation by measuring mandible innervation esemplarsMETHODSThe intramandibular course of mandibular canal and its dimendion were measured in 15 mandibles with teeth; the relationship between blood vessel and nerve was observed in 5 fresh samples in which the artery was filled; and then the data were analyzed by statisticsRESULTSThe mandibular canal was close to the lingual side and the inferior margin of the mandible, the mandibular canal and the 10mm underside of mandible were parallel in the region of the first and the second molars, it runned outboard to genal aperture when it was hereabout genal aperture, and the blood vessel lay above nerve in the mandibular canalCONCLUSIONIn implant operation performed according to normal anatomy, injury to inferior alveolar nerve may be avoided.

［目的］探讨下颌管的解剖结构与牙种植的关系［方法］选取15具牙列完整的成人离体下颌骨标本和5具经过动脉血管内灌注的新鲜标本，测量下颌骨在每个牙位截面上有关牙槽嵴及下颌管的相关数据，进行统计学分析［结果］牙槽嵴顶以及下方10mm宽度由前向后逐渐增宽；牙槽嵴由上向下逐渐增宽；下颌管位于下颌骨体内下方走行中偏舌侧，并近下颌骨下缘，在下颌第1，2磨牙区下颌管走行与下颌下缘成平行状，在近颏孔处转向外和向颊侧出颏孔；下颌管内血管位于下牙槽神经之上［结论］牙种植术中按正常解剖部位并且侧重颊侧骨板操作，可避免损伤下牙槽神经；如果术中下颌管内突然涌出大量新鲜血液，则提示若继续手术可能损伤下牙槽神经。

In this case, we tried to use the alveolar bone splitting technique with the Piezosurgery, and the incison line was put in the alveolar ridge as lingually as possible that the integrity of the cortical plate of the alveolar ridge is reserved in the buccal side. Because the resistance to the mesial movement of the posterior teeth is greatly decreased, the possibility of the root resorption or dehiscence is reduced, and the stability after the orthodontic treatment would be improved while the height and width of the alveolar bone increase.

本病例尝试以超音波骨刀，於缺牙区进行齿槽骨劈开手术，其切线尽可能靠近齿槽之舌侧，以使齿槽上的皮质骨板可完整置於颊侧；这样当后牙向前牵引时，才不会因皮质骨板而阻碍前进及牙根被吸收或裂开，同时也能增加齿槽骨之高度与宽度，亦可使矫正后的牙齿更加稳定。

The static shape of tongue after reconstruction with submentalental island flap were acceptable. the dynamic function such as movement, speech and swallowing, were all well reformed. cheek mucosity were velvet and has no plump or overstaffed . 4 patients were all given radiotherapy after operation.the figuration and function of tissue defect region,that reconstructed, had no obviously change after radiotherapy.

修复后的舌体静态形态佳；动态表现舌的运动不受限，语音清晰，吞咽功能良好；修复后的颊粘膜表面光滑，无肥厚臃肿，不影响上下颌的咬合。4例术后均给予放疗，放疗后舌、颊部无异常变化。

For each subject, the buccolingual bone thickness was measured by postulating that the miniscrews would be inserted at 16 positions (10, 12, 14 and 16 mm above the median sagittal planes of the interradicular spaces between the first molars and the second premolars in the maxilla, and 30°, 45°, 60°, 90° from the cortical bone surface).

在重建后的锥形线束CT影像上测量上颌第二前磨牙与第一磨牙牙根间矢状面上距离参考平面10，12，14，16 mm的4个植入高度上，以与骨皮质表面成30°，45°，60°，90°的4个方向共16个部位的颊舌侧骨质厚度，计算各植入部位触及上颌窦的危险率，在骨厚度大于6 mm的植入部位模拟植入微螺钉种植体并测量其周围骨质密度。

After giving perfusion 4% paraform trans-heart to internal fixation, the specimens were get and made bucco-lingual paraffin sections at lower first molar and made HE staining. The area of buccal and lingual gingival epithelial and connective tissue, the length of the longest rete pegs were measured with the image analysis system. Data were analyzed by two-way analysis of variance of factorial design.

内固定取材后制作下颌第一磨牙颊舌向石蜡切片，HE染色，利用图像分析系统分别测量颊侧和舌侧牙龈上皮面积、结缔组织面积、最长钉突长度，行完全随机分组两因素析因设计资料的方差分析。

Methods One band with a lingual button was bonded on the crown of lingual inclined lower second molar, then a removable, uprighter was put on, the tipping molar was uprighted by using buccal traction force produced by the latex elastics between the button and the hook of removable uprighter.

先在患牙上装戴一焊有舌侧扣的带环，再将预先制作好的带颊侧牵引钩的下颌可摘式磨牙颊向竖直器装戴就位，然后在舌侧扣与矫正器的牵引钩之间使用乳胶弹力圈对患牙进行颊向牵引。待患牙扶正后再使用固定矫正器进行精细调整。

I am accused of being overreligious," she said in her quiet, frank manner,"but that does not prevent me thinking the children very cruel who obstinately commit such suicide.""

客人们在卡罗利娜·埃凯家里，举止就文雅一些，因为卡罗利娜的母亲治家很严厉。

Designed by French fashion house Herm è s, this elegant uniform was manufactured in our home, Hong Kong, and was the first without a hat.

由著名品牌 Herm è s 设计，这件高贵的制服是香港本土制造，是我们第一套不配帽子的制服。