Expression of homeobox gene MSX-2 during cranial suture fusion of SD rats / 上海第二医科大学学报

Objective To investigate the expression of homeobox gene MSX-2 during cranial suture fusion of SD rats and discuss its significance. Methods SD rats aged 1, 2, 5, 8, 12, 15, 18, 22, 30 and 45 days were selected, and immunohistochemistry and Real-time PCR were employed to localize and quantify the expression of MSX-2 in different regions of cranial sutures. Results MSX-2 expressed in calvarial suture tissues including the extreme ends of the osteogenic fronts and the underlying dura mater. The expression of MSX-2 was low in posterior frontal suture (PF) and sagittal suture (SAG) from postnatal day 1 to day 8 before the initiation of suture fusion, while it was higher in PF than in SAG from postnatal day 12 to day 22 after the initiation of PF suture fusion. The expression of MSX-2 significantly declined in PF and was moderately higher than that in SAG from postnatal day 30 to day 45 after the initiation of suture fusion. Conclusion There is different expression of MSX-2 in PF and SAG during different suture fusion periods, which suggests the expression of MSX-2 may participate in the regulation of cranial bone development and the fusion of cranial sutures.

Construction and functional identification of eukaryotic expression vector carrying Sprague-Dawley rat MSX-2 gene / 中华整形外科杂志

<p><b>OBJECTIVE</b>To construct a high effective eukaryotic expressing plasmid PcDNA 3.1-MSX-2 encoding Sprague-Dawley rat MSX-2 gene for the further study of MSX-2 gene function.</p><p><b>METHODS</b>The full length SD rat MSX-2 gene was amplified by PCR, and the full length DNA was inserted in the PMD1 8-T vector. It was isolated by restriction enzyme digest with BamHI and Xhol, then ligated into the cloning site of the PcDNA3.1 expression plasmid. The positive recombinant was identified by PCR analysis, restriction endonudease analysis and sequence analysis. Expression of RNA and protein was detected by RT-PCR and Western blot analysis in PcDNA3.1-MSX-2 transfected HEK293 cells.</p><p><b>RESULTS</b>Sequence analysis and restriction endonudease analysis of PcDNA3.1-MSX-2 demonstrated that the position and size of MSX-2 cDNA insertion were consistent with the design. RT-PCR and Western blot analysis showed specific expression of mRNA and protein of MSX-2 in the transfected HEK293 cells.</p><p><b>CONCLUSIONS</b>The high effective eukaryotic expression plasmid PcDNA3.1-MSX-2 encoding Sprague-Dawley Rat MSX-2 gene which is related to craniofacial development can be successfully reconstructed. It may serve as the basis for the further study of MSX-2 gene function.</p>

Surgical correction of craniofacial dysostosis with midface distraction osteogenesis / 中华外科杂志

<p><b>OBJECTIVE</b>To investigate the effect of distraction osteogenesis on correction of craniofacial dysostosis.</p><p><b>METHODS</b>Le Fort III osteotomy was applied through coronal route on patients with craniofacial dysostosis such as Crouzon and Apert syndrome. The procedures included disconnecting the skeletal midface from base of cranium, setting up a RED II distraction device, and directing the device bars. The distraction was started 5 days after the surgery, with a rate of 1 mm forward per day. When midface approaching the right position, i.e. a slightly over correction of occlusion was reached, stopped distraction and kept the device for 2 - 4 months.</p><p><b>RESULTS</b>Eight cases completed all the therapy. The average blood lose was 300 ml and the average operation time was 3.5 hours. The midface had been moved averagely 9 mm forwardly and 1.5 mm downwards. The features had been improved obviously and the occlusion reached nearly normal. No serious complications occurred except for 1 case of seroma and 1 case of infection around pin on scalp. No recurrence was found in the 5 months of follow-up.</p><p><b>CONCLUSIONS</b>Midface distraction osteogenesis is propitious to teenage or severe cases of craniofacial dysostosis.</p>

Clinical efficacy of Nagata's techniques in auricular reconstruction for microtia / 浙江大学学报·医学版

<p><b>OBJECTIVE</b>To analyze the clinical efficacy of Nagata;s techniques in auricular reconstruction for microtia.</p><p><b>METHODS</b>One hundred and seventeen patients (120 ears) with congenital microtia underwent auricular reconstruction mainly by Nagata;s techniques.</p><p><b>RESULTS</b>All patients were followed up for 6 m approximately 5 y (average 1 y) after surgery. The anatomic structure and appearance were satisfactory in all 120 reconstructed ears.</p><p><b>CONCLUSIONS</b>Nagata's technique for auricular reconstruction is suitable to Asian patients with few complications, few stages and excellent reconstructed structure.</p>

Surgical correction of craniofacial dysostosis with midface distraction osteotogenesis / 中华整形外科杂志

<p><b>OBJECTIVE</b>Correction of craniofacial dysostosis with midface distraction osteotogenesis.</p><p><b>METHODS</b>Le Fort III osteotomy has been employed through coronal route on patients with midface craniofacial dysostosis such as Crouzon and Apert syndrome. Then a REDII distraction device was set up, and the device bars directed. The distraction begins 6.4 days after the surgery, with a rate of 1 mm per day. When midface approaching the right position, i.e. an slightly over correction of occlusion is reached, the distraction stops and the device is held for the next 2-4 months.</p><p><b>RESULTS</b>There are 8 cases completed all the therapy with an average age of 11.9 years old. The midface had been moved averagely 9.7 mm forwards and 1.6 mm downwards. The features had been improved obviously and the occlusions reach nearly normal. The exophthalmos reduced from 20.3 mm to 11.9 mm. In cephalometry, SNA was averagely enlarged 9 degrees, and ANB enlarged 8.8 degrees. The snore during sleeping was also improved in 87.5% cases. No serious complication had occurred except minor one such as 1 case of seroma and 1 case of infection around pin on scalp. According to 5 months averagely follow-up, there is no recurrence in our list.</p><p><b>CONCLUSIONS</b>Midface distraction osteotogenesis is propitious to teenage or severe cases of craniofacial dysostosis.</p>

The diagnoses and classifying of congenital craniofacial cleft / 中华整形外科杂志

<p><b>OBJECTIVE</b>To diagnose and classify the congenital craniofacial cleft with a uniform scale is helpful to evaluate the abnormality and select the repairing methods.</p><p><b>METHODS</b>We analyzed 81 cases of congenital craniofacial cleft basically using Tessier craniofacial cleft classification. Furthermore, according to the position of soft tissue or bone, the character and degree of clefts or dysplasia and the results of CT scanning, we subdivided the congenital deformities based on S (skin), T (tissue), and O (OS). Arabic numerals were used to express the degree of the abnormality.</p><p><b>RESULTS</b>Of all the cases analyzed with the STO classification, No. III and IV clefts are often seen in the infraorbital region (24.70%). No. IX and X clefts are mostly seen in the supraorbital region (38.27%). The relationship between the cleft types and involved tissue has not been found.</p><p><b>CONCLUSIONS</b>The STO classification reinforces Tessier classification. It offers the basis for craniofacial cleft repair.</p>

Correction of hypoplastic orbit after eradiation therapy with the technique of ostectomy and flap transplantation / 中华整形外科杂志

<p><b>OBJECTIVE</b>To introduce an effective method for reconstruction of hypoplastic orbit caused by eradiation therapy.</p><p><b>METHODS</b>The orbital reestablishment was carried out by using the orbital ostectomy to enlarge the orbital cavity and a flap transferring for the socket reconstruction and the repair of the concave deformity around the orbit.</p><p><b>RESULTS</b>Twelve treated patients demonstrated the satisfactory improvement.</p><p><b>CONCLUSIONS</b>The ostectomy combined with the flap transplantation may be available for reconstruction of the hypoplastic orbit.</p>

Analysis of the Millard method for unilateral cleft lip repair / 中华整形外科杂志

<p><b>OBJECTIVE</b>To analyze and describe the advantages and disadvantages of the Millard repair in the unilateral cleft lip (UCL).</p><p><b>METHODS</b>In 30 patients with UCL undergoing the cleft lip repair with the Millard I or II method, the vermilion was repaired by a modified method with a triangle flap, while the alar cartilage reposition was performed.</p><p><b>RESULTS</b>Postoperative follow-up of 6-12 months revealed the good results with invisible scar, good preservation of philtrum dimple and column, full vermilion and lengthened columella, good alar cartilage reposition.</p><p><b>CONCLUSION</b>The Millard method is good for UCL repair. The modified technique with a triangle flap on the vermilion edge can overcome Millard's disadvantages. The anatomic reposition of the affected alar cartilage by blunt dissection at the first stage is suitable for the oriental.</p>