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OBJECTIVE To study clinical application technique of skin soft tissue expansion in auricular reconstruction.METHODS 502 patients (517 ears)were selected for skin soft tissue expansion. Skin expander was implanted and liquid injected routinely to expand skin to obtain excessive skin for auricular reconstruction.RESULTS Of 502 patients (517 ears),10 patients(10 ears) had complicated skin hematoma formation which had been cleaned out successfully;12 patients(12 ears) had complicated skin expander uncover,skin expander was taken out and reposted 4 months later in 7 patients(7 ears) without affecting opertative effect;No infection was found and all patients obtain satisfactory effect. CONCLUSION Skillful and normative operation is the key for preventing complication.Fibre layer must be got rid of during operation.Skin expander auricular reconstruction has the advantage of obvious concave and protruding figure as well as satisfactory cubical sense.It is the perfect method for treating ear malformation at present.
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Objective To know the situation of upper GI diseases among the residents in Dong tai city. Methods With three levels examination methods of Occult Blood Bead Detector,Gastroscope and pathological examination,residents aged over 30 yrs in Dongtai were screened during Aug 2005 to Sept 2006. Results 70 809 residents,about 6.13% of whole city population,were taken the screen with occult blood bead detector. There were about 28 392 people positive; the positive rate was 40.10%. Among the positive people,there were 8 121 people taking gastroscope inspection,and while 2 294 of them also took the pathological examination. The gastroscope results showed that 4 636 people suffered from chronic superficial gastritis,1 431 rotten gastritis,565 esophagus gastritis,339 chronic & atrophic gastritis,24 suspicious cancers,53 stomach cancer,44 esophagus cancer. Of these 97 cases with cancers diagnosed by gastroscope,87 cases were confirmed by pathological examination,the false positive rate of gastroscope examination was about 10.31%; Among 2 197 of the non-cancer subjects diagnosed by gastroscope,there were 25 cases with cancer diagnosed by pathological method,the false negative rate of gastroscope was 1.14%. For those 112 cancer cases diagnosed by pathology,there were 83 cases (74.11%) who were in the early or middle phase of cancer. Conclusion The prevalence of upper GI diseases in Dongtai City was higher. It should strengthen the education and the improvement of the health situation.