Orbicular oris muscle flap wrapped by acellular dermis for the treatment of upper lip atrophy in children / 中华整形外科杂志

<p><b>OBJECTIVE</b>To investigate the treatment of upper lip atrophy resulted by previous therapy.</p><p><b>METHODS</b>From Mar. 2008 to Mar. 2012, 4 cases with upper lip atrophy resulted by radiotherapy and sclerosing agent injection were treated with lower orbicularis oris muscle flap wrapped by acellular dermis. The thickness and height of upper lip were increased to improve the lip atrophy.</p><p><b>RESULTS</b>Primary wound healing was achieved in all the 4 cases. All the patients were followed up for 3 years with obvious improvement and inconspicuous scar.</p><p><b>CONCLUSION</b>The volume of lower lip in children is not sufficient as donor site. The lower orbicularis oris muscle flap wrapped by acellular dermis can effectively improve the lip thickness and vermilion portion of upper lip.</p>

Plagiocephaly resulted from frontosphenoidal synostosis and squamosal suture synostosis: a report of five cases / 中华整形外科杂志

<p><b>OBJECTIVE</b>To investigate the diagnosis and mapagement of plagiocephaly resulted from For frontosphenoidal synostosis, frontosphenoidal synostosis and squamosal suture synostosis.</p><p><b>METHODS</b>orthotic nolding therapy should be selected for patients under 3-month-old. If it can' t make effect after treatment for 3 months, transcranial surgery should be adopted with the horizontal advancement of orbitofrontal bar at the affected side. Patients with squamosal suture synostosis should receive prohotic molding From 2005 to 2012, five patients were therapy for six month, remolding the cap every month.</p><p><b>RESULTS</b>treated with satisfactory result, including 3 patients with frontosphenoidal synostosis who received surgery and 2 patiens with squamosal suture synostosis who receive orthotic molding therapy only.</p><p><b>CONCLUSIONS</b>Few patients with plagiocephaly are caused by frontosphenoidal synostosis and squamosal suture synostosis. The orthotic molding therapy should be selected at an early time, but mostly, surgery may be needed for</p>

Diagnosis and treatment of children sinus pericranii / 中华整形外科杂志

<p><b>OBJECTIVE</b>To discuss the diagnosis and treatment of children sinus pericranii (SP).</p><p><b>METHODS</b>From Jan. 2000 to Dec. 2008, 12 cases of SP were treated. The clinical data and CT results were studied. If the SP had no communication with the intracranial vessels, DSA was performed to know its venous drainage. The operation procedures included excision of bump, followed by hemostasis. Then the local flap was used to cover the cranial defect.</p><p><b>RESULTS</b>12 cases all had scalp bump whose size was changed with body position. Three-dimensional CT showed a crater-like depression and multiple honeycomb diploic holes in the skull. 6 cases with venous malformation received DSA. 12 patients were operated.</p><p><b>CONCLUSIONS</b>SP can be diagnosed with typical CT results and symptoms. DSA should be performed if the communication with the intracranial vessels is existed. The main methods include operation, embolization and reserved observation. Medicine injection is not recommended due to the high risk.</p>

Treatment of airway obstruction with mandibular distraction osteogenesis in Pierre Robin syndrome / 中华整形外科杂志

<p><b>OBJECTIVE</b>To investigate the feasibility of mandibular distraction osteogenesis (MDO) in the treatment of airway obstruction in Pierre Robin syndrome (PRS).</p><p><b>METHODS</b>From 2007 to 2009, 8 newborns with PRS were treated with MDO. The mandibular distractors were fixed after bilateral oblique mandibular osteotomy. The distraction was started one day after operation, three times a day. The distraction distance was 1.2 mm per day until it reached about 12 -20 mm (mean 15 mm).</p><p><b>RESULTS</b>The distraction was successfully completed in 8 cases with no complication. The distraction distance reached 15 mm, as we expected. The discontinuity cyanosis, inspiratory dyspnea, dystithia were improved after distraction.</p><p><b>CONCLUSIONS</b>MDO is feasible and safe for the treatment of airway obstruction in PRS.</p>

3-Dimensional CT for preoperative measurement and postoperative assessment in craniosynostosis / 中华整形外科杂志

<p><b>OBJECTIVE</b>To investigate the significance of 3-dimensional (3-D) CT for preoperative measurement and postoperative assessment in craniosynostosis.</p><p><b>METHODS</b>17 cases with craniosynostosis underwent 3-D CT reconstruction. The 3-D images were used to perform cephalometry. The cases included brachycephalic, caphocephalia, plagiocephaly. The CVAI must be measured for plagiocephaly. Measurement results were compared before and after operation in 9 cases.</p><p><b>RESULTS</b>The bone segments were advanced 1.5 - 3 cm in brachycephalic, retruded 2 - 4 cm in scaphocephalic, moved back and forth about 2 cm in plagiocephaly.</p><p><b>CONCLUSIONS</b>Preoperative 3-D CT reconstruction and measurement can be used to design the advancement distance of bone flap and orbito-frontal bone bridge, as well as to estimate the treatment results before operation.</p>

Cranial vault reconstruction of plagiocephaly / 中华整形外科杂志

<p><b>OBJECTIVE</b>Treatments of unilateral lambdoid synostosis and unilateral coronal synostosis.</p><p><b>METHODS</b>Approach to coronal, double frontal flaps were rotated with orbit advancement and anteversion of the frontal to enlarge the volume of ante cranial fossa., and reconstruct the contour of orbit and the frontal. The gap was between the frontal and parietal to reconstruct the coronal suture after fixation and reconstruction of the frontal os. For post plagiocephaly, double rotated occipital flap and plum-plasty flap were performed to reconstruct the occiput. The gap between the parietal and occiput was to reconstruct the lambdoid suture.</p><p><b>RESULTS</b>Eight cases have favourable prognosis with satisfactory contour.</p><p><b>CONCLUSIONS</b>It is optimal to use frontal flap rotation, orbit advancement and frontal anteversion to correct the unilateral coronal synostosis. Bilateral rotated occipital-parietal crossing flap and plum-plasty were performed to reconstruct the occiput. Keeping the gap between the parietal and occiput for reconstruction of the lambdoid suture is suitable to infant.</p>

Surgical management of neonate lip and palate cleft / 中华整形外科杂志

<p><b>OBJECTIVE</b>To explore the security and feasibility in ambi-operation of the neonate lip and palate cleft correction.</p><p><b>METHODS</b>Using Ornizuka's and innovated Langenbeck's method to correct the lip and palate cleft in 30 cases with detailed program, the effect after operation was evaluated.</p><p><b>RESULTS</b>All physiological index were normal in the group of ambi-operation, which had no difference to other newborn. The effect is satisfactory. 5 of them have the fistula under the gingival.</p><p><b>CONCLUSIONS</b>Based on controlling on surgery indication, screening the well-developed newborn, it is secure and feasible to correct lip and palate in one stage, and it can get excellent effect.</p>