The technique of periorbital defects reconstruction with island orbicularis oculi myocutaneous flap in orbital zone / 中华整形外科杂志

<p><b>OBJECTIVE</b>To investigate the technique of periorbital defects reconstruction with island orbicularis oculi myocutaneous flap in orbital zone.</p><p><b>METHODS</b>The upper or lower eyelid island orbicularis oculi myocutaneous flap,medially based,were used for the defects of the periorbital area, according to the position,shape and size of the defects. The donor site was closed directly.</p><p><b>RESULTS</b>From July 2003 to October 2009, 24 patients were treated in this method, the flaps survived totally. The flap proved to be flexible, safe, relatively simple, and provided good functional and aesthetic results with follow up 6 to 24 months. Complications were minimal.</p><p><b>CONCLUSIONS</b>The upper eyelid or lower eyelid island orbicularis oculi myocutaneous flap, medially based, is a satisfied method in repairing periorbital defects in one stage with good blood supply, excellent color texture matching and inconspicuous donor scar and deformity.</p>

Comparison study on the efficacy of three methods for the treatment of osmidrosis / 中华整形外科杂志

<p><b>OBJECTIVE</b>To compare the efficacy of decollement, combined tumescent liposuction and curettage, Botox injection in the treatment of osmidrosis.</p><p><b>METHODS</b>From September 2006 to April 2009, 350 patients with osmidrosis were treated by decollement method in 180 cases, curettage in 120 cases,and Botox injection in 50 cases. The therapeutic effect and complications were retrospectively analyzed.</p><p><b>RESULTS</b>The patients were followed up for 3-24 months. The cure rate was 90.6%, 84.8% and 84.2% in decollement, curettage and Botox groups, respectively. The effective rate was 100% in all groups.</p><p><b>CONCLUSIONS</b>All the three methods are effective for the treatment of osmidrosis. The odor symptom can be improved a lot with decollement method. Considering the complication, downtime and cosmetic results, Botox injection is suitable for patients with minor or median odor, while combined liposuction and curettage is selected for patients with median to severe odor.</p>

The clinical application of parotid fascia-SMAS-platysma flap in the lifting of lower face and neck / 中华整形外科杂志

<p><b>OBJECTIVE</b>To investigate the technique of lower face and neck lifting with parotid fascia-SMAS-platysma flap.</p><p><b>METHODS</b>To improve the lifting strength of SMAS and the cosmetic result, the traditional SMAS-platysma flap was modified as parotid fascia-SMAS-platysma flap. The modified flap was folded and suspended step by step to lift the lower face and neck.</p><p><b>RESULTS</b>From Oct. 2004 to Oct. 2008, 78 patients were treated with this method. The patients' age ranged from 40 to 65 years old. There were 2 cases of male and 76 cases of female. All the patients were followed up for 6 months to 4 year with satisfactory results.</p><p><b>CONCLUSIONS</b>Folding and suspension of the parotid fascia-SMAS-platysma flap step by step can effectively lift the saggy tissue of lower face and neck.</p>

Correction of secondary breast deformities after removement of injected polyacrylamide hydrophilic gel / 中华整形外科杂志

<p><b>OBJECTIVE</b>To investigate the correction of secondary breast deformities after removement of injected polyacrylamide hydrophilic gel (PAHG).</p><p><b>METHODS</b>From March 2003 to March 2008, 100 patients with bilateral breast augmentation with injected PAHG underwent operation to remove the PAHG. The age of patients ranged from 35 to 50 years. Ultrasound and MRI were performed before operation to show the distribution of PAHG and the muscle infiltration around the PAHG. According to the PAHG distribution, muscle infiltration, skin elasticity, infection and PAHG residue, the patients were treated respectively with breast implants at the same stage or at the second stage, or without implants.</p><p><b>RESULTS</b>The patients were followed up for 3 months to 3 years. The percentage of satisfactory, median satisfactory and dissatisfactory was 90%, 9%, and 1%. In the median satisfactory group, 3 breasts in 3 cases showed slight capsular contracture (Baker II), 8 implants in 6 cases were palpable on the lower pole of the breasts. The middle-aged patient in dissatisfactory group was not satisfied with the high-projected implants shape which were chosen by herself and placed at the second stage. Then implants were removed. There was no complication of implant hernia, infection, wound disruption, or asymmetry.</p><p><b>CONCLUSIONS</b>The secondary breast deformities could be corrected by breast augmentation with implants. Both breast appearance and the psychological affection can be improved.</p>