Objective\ This paper presents the experience in using the septal chondromucosal island flap in tarsoconjunctival defects repair. Methods\ The septal chondromucosal island flap based on the nasal alar basal artery and...Objective\ This paper presents the experience in using the septal chondromucosal island flap in tarsoconjunctival defects repair. Methods\ The septal chondromucosal island flap based on the nasal alar basal artery and nerve was passed through the subcutaneous tunnel of the infraorbital region and sutured to the defect to reconstruct the tarsoconjunctival plate of the missing eyelid. The rotation arch of the flap had its pivot point lateral to the nasal ala. Results\ The procedure was performed on three patients. The postoperative course was uneventful. All the flaps survived completely. No operative complications occurred. Conclusions\ The technique provides well vascularized tissue with sensitive innervation, without damage to the other eyelid and severe deformities in the donor site. The septal chondromucosal island flap allows reconstruction of the tarsoconjunctival layers of the eyelid, providing cartilaginous support and a mucous lining. The flap can provide enough tissue to repair partial or entire tarsoconjunctival defects of the upper or lower eyelid or combined defects of the upper and lower eyelids. \;展开更多
目的比较不同能量参数CO_2点阵激光联合A型肉毒毒素对眶周皮肤老化的改善效果,为选择CO_2点阵激光能量参数提供参考依据。方法将本院2013年1月至2016年1月收治的160例眶周皮肤老化者按照随机数表法分为A组、B组、C组及D组,每组各40例。...目的比较不同能量参数CO_2点阵激光联合A型肉毒毒素对眶周皮肤老化的改善效果,为选择CO_2点阵激光能量参数提供参考依据。方法将本院2013年1月至2016年1月收治的160例眶周皮肤老化者按照随机数表法分为A组、B组、C组及D组,每组各40例。所有研究对象均给予CO_2点阵激光联合A型肉毒毒素治疗,A组CO_2点阵激光能量参数为50 m J/8%覆盖,B组为50 m J/4%覆盖,C组为30 m J/8%覆盖,D组为30 m J/4%覆盖。观察所有研究对象不良反应发生情况,并对治疗1、2、3、6个月后眶周静态和动态皱纹改善情况及满意度进行评价,比较不同能量参数CO_2点阵激光的疗效与安全性。结果 4组研究对象不良反应发生情况比较差异均无显著性(P>0.05)。治疗后1个月和2个月,所有研究对象眶周动态和静态皱纹治疗总有效率、满意度比较差异均无显著性(P>0.05);治疗后3个月和6个月,B组、C组及D组研究对象眶周动态和静态皱纹治疗总有效率、满意度较治疗后1个月均显著降低(P<0.05)。结论不同能量参数CO_2点阵激光联合A型肉毒毒素治疗眶周皮肤老化均可取得良好的近期疗效,50 m J/8%覆盖治疗能够在保证安全性的前提下提高远期美容效果,可作为眶周皮肤老化治疗的首选参数,值得临床进一步关注。展开更多
文摘Objective\ This paper presents the experience in using the septal chondromucosal island flap in tarsoconjunctival defects repair. Methods\ The septal chondromucosal island flap based on the nasal alar basal artery and nerve was passed through the subcutaneous tunnel of the infraorbital region and sutured to the defect to reconstruct the tarsoconjunctival plate of the missing eyelid. The rotation arch of the flap had its pivot point lateral to the nasal ala. Results\ The procedure was performed on three patients. The postoperative course was uneventful. All the flaps survived completely. No operative complications occurred. Conclusions\ The technique provides well vascularized tissue with sensitive innervation, without damage to the other eyelid and severe deformities in the donor site. The septal chondromucosal island flap allows reconstruction of the tarsoconjunctival layers of the eyelid, providing cartilaginous support and a mucous lining. The flap can provide enough tissue to repair partial or entire tarsoconjunctival defects of the upper or lower eyelid or combined defects of the upper and lower eyelids. \;
文摘目的比较不同能量参数CO_2点阵激光联合A型肉毒毒素对眶周皮肤老化的改善效果,为选择CO_2点阵激光能量参数提供参考依据。方法将本院2013年1月至2016年1月收治的160例眶周皮肤老化者按照随机数表法分为A组、B组、C组及D组,每组各40例。所有研究对象均给予CO_2点阵激光联合A型肉毒毒素治疗,A组CO_2点阵激光能量参数为50 m J/8%覆盖,B组为50 m J/4%覆盖,C组为30 m J/8%覆盖,D组为30 m J/4%覆盖。观察所有研究对象不良反应发生情况,并对治疗1、2、3、6个月后眶周静态和动态皱纹改善情况及满意度进行评价,比较不同能量参数CO_2点阵激光的疗效与安全性。结果 4组研究对象不良反应发生情况比较差异均无显著性(P>0.05)。治疗后1个月和2个月,所有研究对象眶周动态和静态皱纹治疗总有效率、满意度比较差异均无显著性(P>0.05);治疗后3个月和6个月,B组、C组及D组研究对象眶周动态和静态皱纹治疗总有效率、满意度较治疗后1个月均显著降低(P<0.05)。结论不同能量参数CO_2点阵激光联合A型肉毒毒素治疗眶周皮肤老化均可取得良好的近期疗效,50 m J/8%覆盖治疗能够在保证安全性的前提下提高远期美容效果,可作为眶周皮肤老化治疗的首选参数,值得临床进一步关注。
