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Objective:To explore the clinical application of orbital septum fat reset for tear though deformity and palpbromalar groove in the lower blepharoplasty.Methods:From March 2015 to March 2018, 72 cases of lower eye baggy deformity with tear though deformity and palabromalar groove were treated with the procedures of orbital septum fat reset, relaxing the tears ligament and orbicularis retaining ligament; the orbital fat that was released from orbital septum was repositioned at the inferior orbital and fixed on periosteum.Results:The incisions of 72 cases were healed successfully, the shape of the eyes was naturally symmetrical, the palpebral and buccal parts were excessive, and the contour lines formed a monoconvexcurve, with no obvious scar. All the cases were available for 6 to 24 months follow-up. 66 cases (91.67%) were satisfied with the cosmetic results.Conclusions:Orbital septum fat reposition is an effective method for correction of tear though and eyelid sulcus deformity.
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Objective To discuss the clinical effect of medial canthal skin defects reparation with nasofacial sulcus reversed fascio-cutaneous flaps.Methods Medial canthal skin defects in 10 patients were repaired with nasofacial sulcus reversed fascio-cutaneous flaps in the hospital.These patients included 3 cases of pigmented nevus,6 cases of skin tumors,1 case of scar.The size of defects varied from 0.8 cm× 1.0 cm to 1.8 cm×2.2 cm.Results In these 10 cases,the maximum area of fascio-cutaneous flaps was 2.0 cm×3.0 cm,and the minimum area was 1.2 cm× 1.5 cm.All the flaps survived with primary healing postoperatively.Incision line scar was inconspicuous and the color and texture of flaps were similar to those of surrounding tissues.Conclusions To maintain and restore the integrity of medial canthal by using nasofacial sulcus reversed fascio-cutaneous flaps would lead to a good aesthetic effects.
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Objective To investigate the causes,the prevention and the treatment of the complications of blepharoplasty for double eyelids.Methods The clinical data,the surgery methods and the causes were analyzed in 100 cases of blepharoplasty from July 2011 to December 2017.Results All of these patients underwent these perfect procedures with satisfied anesthesia.Incisions were all healed in one stage with no infection.Double eyelid width was (7.0± 1.2) mm with natural and smooth lines after 3 months operation,86 patients (86％) had double eyelid with natural and smooth lines,slight scars and good bilateral symmetry.14 patients (14％) required surgical revision for complications,as asymmetry of supratarsal folds (7 ％),over narrow of supratarsal folds (4 ％),over width of supratarsal folds (2 ％),disappearance of supratarsal folds (2 ％),multiple eyelid (3 ％) and ptosis (1％),and the effects were satisfactory.Conclusions In order to achieve the natural and smooth double eyelids,it is important for plastic surgeons to have the comprehensive grasp of overall outline and operational details in blepharoplasty for double eyelids.Preoperative design should be accurate,intraoperative procedures should be careful,and postoperative care should be standardized.
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AIM: The synthesis of sarmentosin. METHODS: Condensation of butane-1,2,4-triol-1,2-acetonide(3) with α-D-glucopyranosyl bromide tetraacetate in the presence of Ag2O and molecular sieves gave the desired β-glucoside 4,which was transformed into sarmentosin via a reaction sequence of 7 steps. RESULTS: The overall yield is 5.8%. CONCLUSION: The first synthesis of sarmentosin(1),a potent natural GPT lowering agent,was achieved.