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Objective To investigate treatment effects of correcte d severe blepharoptosis using an orbicularis oculi muscle flap. Meth ods After the lid creased incision, the subtaneous plane was dissect ed between the skin and the orbicularis oculi muscle, reaching as far as the sup erior margin of eyebrow. In a plane between the obicularis and the orbital sept um, the dissection was extended bluntly upward to above the superior orbital rim . to advance the orbicilaris oculi muscle flap to the tarsal plate and to suture the flap with the tarsus directly. Results Based on cri teria of the ″satisfactory″results by Souther, postoperative results of all bl ep haroptosis of twenty-four eyes in fifteen paitents were satisfactory. Conclusion The orbicularis oculi muscle flap for correction of s evere blepharoptosis is simple and reliable technique, which has several advanta ges over the conventional frontalis muscle flap technique, such as single incis ion on the supratarsal fold, the preservation of the function of frontalis mucle , no depression on the forehead, no risk of neurovascular injury and no asymmet rical eyebrows in unilateral ptosis.
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Objective To investigate the administration of antibiotics in the treatment of infection of burns based on bacteriological surveillance from burn wound.Methods A retrospective analysis of bacterial culture and drug-sensitivity results from burn wound and subeschar tissues in 581 patients during 1999 to 2004 was carried out.Results Eight hundred and eighty-seven strains of bacteria were isolated from burn wound and subeschar tissues in 581 patients,among which 481 strains were gram negative(54.23%),and 406 strains were gram positive(45.77%).Among the bacteria of gram negative,the most majority was Pseudomonas and then was the Enterobacteriaceae.Among the bacteria of gram positive,Staphylcoccus aureus was the majority,and MRSA accounted for 71.48% in the Staphylcoccus aureus.The resistance of Pseudomonas to Netilmicin was decreased from 20.1% to 4.9%,and the resistance of Enterobacteriaceae to Imipenem was still in a low level.All bacteria of gram positive were sensitive to Vancomycin.Conclusion The majority of the bacteria of burn infection is gram negative.The isolated bacteria show multiple resistance to antibiotic.The analysis of bacteria from burn wound and resistance of bacteria to antibiotic is very important to experiential treatment of antibiotic for burn infection.
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OBJECTIVE To study the characteristics and management of fungal infection in severely burn patients.METHODS The clinical data of 51 severely burn patients with fungal infection in our department from 2000 to 2004 were analyzed.RESULTS The infection rate in total 213 severely burn patients was 23.72%.Candidiasis was the most frequent type in fungal infection accounting for 93.98%.The risk factors for fungal infection were the(severity) of burn,tracheal intubations,body catheterizations,long-term use of broad-spectrum antibiotic and(hospitalization).CONCLUSIONS Development and the types of fungi in severely burn patients with fungal infection have their own characterizations and inducing factors.it is important to eluminate the susceptible factors and provide early diagnosis and treatment.