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justo major
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     Results: We corrected 18 cases of ala nasi tumbling, 9 columella nasi deflexion, 9 apex nasi low combined with columella nasi short and 7 justo major of nans. The effect is satisfatery.
     结果:矫正鼻翼塌陷18例,鼻小柱偏斜9例,鼻尖低平合并鼻小柱短小9例,鼻孔过大7例,均获得满意疗效。
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     Major results are:
     主要研究结果如下:
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     The major conclusions are:
     具体来看,其主要结论为:
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     TR justo minor. Result:Sixteen cases(16 hips)were followed up for 12~30 months,with an average of 20 months.
     结果: 16例 ( 16髋 ) 有 12 ~30个月(平均 20个月) 的随访结果。
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     Results: We corrected 18 cases of ala nasi tumbling, 9 columella nasi deflexion, 9 apex nasi low combined with columella nasi short and 7 justo major of nans. The effect is satisfatery.
     结果:矫正鼻翼塌陷18例,鼻小柱偏斜9例,鼻尖低平合并鼻小柱短小9例,鼻孔过大7例,均获得满意疗效。
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Objective: To explore restitution ways of secondary defonnity of node after cruslaterale. Method: By suspending cartilage of ala nasi removing the points of attachment of crus mediale, laterale and implanting prosthesis the normal structure of cartilage of noae was recovered. Results: We corrected 18 cases of ala nasi tumbling, 9 columella nasi deflexion, 9 apex nasi low combined with columella nasi short and 7 justo major of nans.The effect is satisfatery. Conclusion: Operations for different kind of...

Objective: To explore restitution ways of secondary defonnity of node after cruslaterale. Method: By suspending cartilage of ala nasi removing the points of attachment of crus mediale, laterale and implanting prosthesis the normal structure of cartilage of noae was recovered. Results: We corrected 18 cases of ala nasi tumbling, 9 columella nasi deflexion, 9 apex nasi low combined with columella nasi short and 7 justo major of nans.The effect is satisfatery. Conclusion: Operations for different kind of abnormal forms of noae are designed to correct secondary deformity after cruslaterale from anatomical angulation.The efiect is satisfatory.

目的:探讨唇裂术后鼻部继发畸形整复的方法。方法:采用鼻翼软骨悬吊,内、外侧脚附着点移位,假体植入以恢复鼻部软骨正常形态结构。结果:矫正鼻翼塌陷18例,鼻小柱偏斜9例,鼻尖低平合并鼻小柱短小9例,鼻孔过大7例,均获得满意疗效。结论:从解剖学角度矫正唇裂术后继发畸形,可针对鼻部不同异常形态,灵活设计各种术式,术后效果满意。

Objective:To introduce the periacetabular triple osteotomy for the treatment of adolescence acetabular dysplasia.Method:From March 2000 to February 2003,the authors had modified Tǒnnis triple pelvic osteotomy and designed periacetabular triple osteotomy creatively,22 patients with acetabular dysplasia were operated upon with the new therapy.Computed radiography preoperation showed:CE angle was -25~15° with an average of 8.4°;Sharp angle 45~70°,averaged 58.6°;AHI 31%~76%,averaged 61.4%;ACP angle 100~170°,averaged...

Objective:To introduce the periacetabular triple osteotomy for the treatment of adolescence acetabular dysplasia.Method:From March 2000 to February 2003,the authors had modified Tǒnnis triple pelvic osteotomy and designed periacetabular triple osteotomy creatively,22 patients with acetabular dysplasia were operated upon with the new therapy.Computed radiography preoperation showed:CE angle was -25~15° with an average of 8.4°;Sharp angle 45~70°,averaged 58.6°;AHI 31%~76%,averaged 61.4%;ACP angle 100~170°,averaged 139.8°.Shenton's line broken.Computed tomography showed:ACEA justo major;AASA and AAVA justo minor.Three dimensional computed tomography showed:ALAL,PLAL and LAI justo major;TR justo minor.Result:Sixteen cases(16 hips)were followed up for 12~30 months,with an average of 20 months.Computed radiography showed:Average CE angle was 32.6°(15~52°),increased about 25°;average Sharp angle was 41.5°(38~46°),decreased about 18°;average AHI was 81.6%(69%~89%),increased about 20%;average ACP angle was 171.1°(140~180°),increased about 31%.Computed tomography showed:ACEA and AAVA decreased,AASA increased.Three dimensional computed tomography showed:ALAL,PLAL and LAI decreased,TR increased.Conclusion:The periacetabular triple osteotomy is a very safe and efficient procedure for the treatment of adolescence acetabular dysplasia.

 目的: 介绍经髋臼基底三联截骨术治疗青少年髋臼发育不良。方法: 2000年 3月~2004年 2月改进Tǒnnis术式, 设计经髋臼基底三联截骨治疗 22例患者。术前X线片显示:CE角为-25~15°, 平均 8. 4°; Sharp角为 45 ~70°, 平均 58. 6°: 臼头指数为 31% ~76%, 平均 61. 4%; ACP角为100~170°, 平均 139. 8°。CT片示: 髋臼前CE角大于正常, 髋臼前断面角和前倾角小于正常。CT三维重建示: 前、后外侧壁边缘角, 外侧髋臼倾斜角均大于正常, 水平面髋臼旋转角小于正常。结果: 16例 ( 16髋 ) 有 12 ~30个月(平均 20个月) 的随访结果。X线片示: CE角平均 32. 6°(15~52°), 比术前增大约 25°; Sharp角平均 41. 5°(38~46°), 减小约 18°; 臼头指数平均 81. 6% (69% ~89% ), 增大约 20%; ACP角平均 171. 1° ( 140 ~180°), 增大约31°。CT示: 髋臼前CE角和前倾角变小, 髋臼前断面变大。CT三维重建示: 髋臼前、后外侧壁边缘...

 目的: 介绍经髋臼基底三联截骨术治疗青少年髋臼发育不良。方法: 2000年 3月~2004年 2月改进Tǒnnis术式, 设计经髋臼基底三联截骨治疗 22例患者。术前X线片显示:CE角为-25~15°, 平均 8. 4°; Sharp角为 45 ~70°, 平均 58. 6°: 臼头指数为 31% ~76%, 平均 61. 4%; ACP角为100~170°, 平均 139. 8°。CT片示: 髋臼前CE角大于正常, 髋臼前断面角和前倾角小于正常。CT三维重建示: 前、后外侧壁边缘角, 外侧髋臼倾斜角均大于正常, 水平面髋臼旋转角小于正常。结果: 16例 ( 16髋 ) 有 12 ~30个月(平均 20个月) 的随访结果。X线片示: CE角平均 32. 6°(15~52°), 比术前增大约 25°; Sharp角平均 41. 5°(38~46°), 减小约 18°; 臼头指数平均 81. 6% (69% ~89% ), 增大约 20%; ACP角平均 171. 1° ( 140 ~180°), 增大约31°。CT示: 髋臼前CE角和前倾角变小, 髋臼前断面变大。CT三维重建示: 髋臼前、后外侧壁边缘角变小, 外侧髋臼倾斜角变小, 水平面髋臼旋转角变大。结论: 经髋臼基底三联截骨术治疗青少年髋臼发育不良能够获得满意疗效。

>=Objective to review the reconstruction of mandible by folding up vascularized fibular free flap with simultaneous placement of implant.Method 7 ease of sclerous tissues defect of oral and maxillofacial region reconstructed by vascularized fibular free flap were reviewed.There were 5 male and 2 female while the average age was 49.3 case of carcinoma of floor of mouth,2 case of adenoid cystic carcinoma from submaxillarysalivary gland and 2 ease of carcinoma of gingival were involved.The largest defect area of...

>=Objective to review the reconstruction of mandible by folding up vascularized fibular free flap with simultaneous placement of implant.Method 7 ease of sclerous tissues defect of oral and maxillofacial region reconstructed by vascularized fibular free flap were reviewed.There were 5 male and 2 female while the average age was 49.3 case of carcinoma of floor of mouth,2 case of adenoid cystic carcinoma from submaxillarysalivary gland and 2 ease of carcinoma of gingival were involved.The largest defect area of soft tissue was 4×6cm,while the largest area of the skinisland used to reconstruct the defect of the jaw and soft tissuewas 4×7cm.Results All the defects were reconstructed successfully which used thevascularized free flibula flap.Conclusion The vascularized free fibula flap was the better choice to reconstruct the combined bone and soft tissuedefect of oral and maxillofaeial region alone with the simplified operation and less pain.However the largest area of the skin island would be 4 ~ 7cmwith two arteriovenous system.And the justo major defect of soft tissue should be reconstructed by the vascularized free fibula flap combined withthe other soft tissue flap.

目的总结腓骨肌皮瓣加皮岛修复口腔颌面部软硬组织复合缺损的临床经验。临床资料收集我院2003年2月至2004年12月口腔颌面部软硬组织复合缺失应用腓骨肌瓣加皮岛修复病例7例(男性5例,女性2例),平均年龄49岁,其中口底癌3例,颌下腺腺样囊性癌2例,牙龈癌2例,软组织最大缺损面积4×6cm,皮岛最大切取面积4×7cm,均修复颌骨及口内软组织缺损。结果上述游离腓骨肌瓣加皮岛修复口腔颌面部软硬组织复合缺损病例均成功。结论游离腓骨肌瓣加皮岛修复口腔颌面部软硬组织复合缺损无需附加其他游离皮瓣,简化了手术,减少病人的痛苦,是很好的修复口腔颌面部软硬组织复合缺损的方法,但皮岛的切取面积不要超过4×7cm,面积较大的皮岛需附带两个动静脉系统,过大软组织缺损还需要复合其它软组织皮瓣修复。

 
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