RESUMEN
OBJECTIVE: To investigate a new technique for nasal reconstruction with total rib cartilage framework. METHODS: The expanded frontal flap was fabricated by skin expansion and flap delay to cover the reconstructed nose. The dorsal flap was reversed as the lining of reconstructed nose. The whole framework was made by rib cartilage. Secondary revision operation was also performed to make the reconstructed nose more natural. RESULTS: Total nasal reconstruction was performed successfully in 37 cases. Each patient underwent 4-7 operation during a period of 6-8 months. 32 patients were followed up for 12-24 months. The reconstructed nose had a natural skin color and symmetric appearance with good ventilation and less scar. Both doctors and patients were satisfied with the results. CONCLUSION: Satisfactory cosmetic result and ventilation function can be achieved by nasal reconstruction with total rib cartilage framework.
Asunto(s)
Nariz/cirugía , Rinoplastia/métodos , Costillas/trasplante , Adulto , Tirantes , Femenino , Humanos , Masculino , Resultado del TratamientoRESUMEN
OBJECTIVE: To investigate the correction of secondary nasal deformity of cleft lip with autogenous costal cartilage framework. METHODS: 237 cases with secondary nasal deformity of unilateral cleft lip were treated. The rib cartilage was harvested through a mini-invasive incision, and was fabricated as a C-shaped framework, as well as some cartilage fragments. Through transcolumella incision, the C-shaped framework was implanted to support the depressed alar and the cartilage fragments were used to augment the nasal base. RESULTS: Satisfactory cosmetic and functional results were achieved in all the patients with primary healing. 93 patients were followed up one year after operation with good cosmetic results. CONCLUSIONS: Autogenous costal cartilage framework can be used for the correction of secondary nasal deformity of cleft lip with satisfactory results.
Asunto(s)
Labio Leporino/cirugía , Cartílago Costal/trasplante , Deformidades Adquiridas Nasales/cirugía , Rinoplastia/métodos , HumanosRESUMEN
OBJECTIVE: To investigate the clinical effect of subcutaneous undermining dissection with continuous negative pressure drainage for the closure of cystic cavity-type bedsore. METHODS: 12 patients with cystic cavity-type bedsore underwent surgical debridement and the wounds were closed after subcutaneous undermining dissection. The negative pressure drainage was put in the deep space. The healing process was observed. RESULTS: Completed healing was achieved in all the 12 cases. The skin wounds healed after 17-20 days and the deep spaces closed after 36-43 days. 12 cases were followed up for 1 year with no occurrence. CONCLUSIONS: It is an easy and effective method to treat cystic cavity -type bedsore by subcutaneous undermining dissection with continuous negative pressure drainage.
Asunto(s)
Desbridamiento/métodos , Drenaje/métodos , Terapia de Presión Negativa para Heridas , Úlcera por Presión/cirugía , Cicatrización de Heridas , HumanosRESUMEN
OBJECTIVE: This clinical study was to find an effective method to prevent flap from necrosis. METHODS: When a flap showed blood flow problems, dexamethasone of 0.3 mg/kg was given intravenously for 2 days. Then the dose was decreased to 0.2 mg/kg at the third and the fourth day. At the fifth and the sixth day, dexamethasone of 0.1 mg/kg was given. RESULTS: A total of 51 flaps with blood flow problems was treated with this method. Thirty of them recovered completely; 18 survived mostly and 3 failed. CONCLUSION: Early application of dexamethasone can effectively ameliorate blood flow problems of the flap.