Full-thickness

全厚度
  • 文章类型: Journal Article
    传统上,使用1步或2步血管化皮瓣移植组合修复大的先天性眼睑瘤。然而,视觉轴阻塞数周是一个严重的问题,在小的孩子和最近的报道表明,皮瓣蒂不有助于血液灌注。最近在动物和人类中报道了一种“一步”替代大型盖子缺陷的方法,证明了单独的双层自体移植物的可行性。我们提出了一种替代的“一步”重建方法,该方法适用于6个月大的婴儿,该婴儿因先天性结肠缺损而位于中央的上眼睑缺损。从对侧上眼睑收获自由的全厚度双层自体移植物。随访时间为48个月。化妆品和功能效果良好,双层移植物存活下来,没有移植物缺血,坏死,或拒绝。这个男孩患上了马达罗病,盖子开槽,和轻微的轮廓不规则,但不需要再次手术,因为父母对手术结果感到满意。自由的双层眼睑自体移植似乎是重建大型结肠腺瘤性眼睑开口的“常规2步”和“现代1步”选项的出色替代方案,尤其是在不能耐受视轴阻塞的年轻婴儿中。这是一个简单的,实用,快,和有效的技术,也节省了医疗保健成本。
    Large congenital lid colobomas are traditionally repaired using 1- or 2-step vascularized flap-graft combinations. However, visual axis occlusion for weeks is a severe problem in small children and recent reports suggest that the flap pedicle does not contribute to blood perfusion. A \"one-step\" substitute for large lid defects has recently been reported in animals and humans, demonstrating the viability of a bilamellar autograft alone. We present an alternative \"one-step\" reconstructive approach in a 6-month-old infant who had a centrally-located large upper eyelid defect resulting from a congenital coloboma. The free full-thickness bilamellar autograft was harvested from the contralateral upper eyelid. The follow-up time was 48 months. Cosmetic and functional results were good, the bilamellar graft survived, and there was no graft ischemia, necrosis, or rejection. The boy developed madarosis, lid notching, and mild contour irregularity but needed no reoperation since the parent was satisfied with the surgical result. A free bilamellar eyelid autograft seems to be an outstanding alternative to both \"conventional 2-step\" and \"modern 1-step\" options for the reconstruction of large colobomatous eyelid openings, especially in young infants who cannot tolerate visual axis blockage. It is an easy, practical, fast, and effective technique that also saves cost in health care.
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  • 文章类型: Case Reports
    历史上,鼻子穿孔被认为是优雅的象征,有时也与地区仪式有关。在现代文明中,戴鼻环的趋势一直在减少,有些人要求关闭。在这里,我们报告了一个病例系列,其中3例患者成功进行了全层植皮以闭合鼻孔。
    Historically, nose piercing was considered as the symbol of elegance and sometimes also associated with regional ritual. In modern civilization, there has been a decreasing trend to wear nose rings and some people demand for its closure. Herein, we report a case series of three patients who were successfully managed with full-thickness skin grafting for the closure of nose piercing site.
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  • 文章类型: Case Reports
    背景:我们报告了一种相对罕见的情况,即在外侧半月板的下表面出现部分厚度的放射状撕裂,而上表面完好无损。这种情况类似于PASTA肩袖撕裂。同时,边缘有一个全厚度的径向撕裂。
    方法:一个17岁的男孩在打篮球时扭伤了左膝盖。磁共振成像(MRI)显示外侧半月板的放射状撕裂。在关节镜检查期间,发现边缘有大约2毫米的全厚度径向撕裂。进行部分半月板切除术以治疗位于白色区域的radial半月板撕裂。之后,我们发现外侧半月板的上表面是完整的。然而,在外侧半月板的下表面,发现部分厚度的径向撕裂延伸到红色区域。我们使用FASTFIX(史密斯和侄子)进行全内部缝合。手术后三个月,病人恢复顺利。
    结论:怀疑力作用在弯月面的特殊位置上,并且弯月面的厚度不均匀。因此,它导致下表面部分厚度的径向撕裂,而上表面完好无损。
    结论:外侧半月板下表面的部分厚度放射状撕裂相对罕见。这种情况类似于PASTA肩袖撕裂。因为弯月面的上表面是完整的,它可能导致误诊。容易忽视下表面损伤。
    BACKGROUND: We report a relatively rare case of partial-thickness radial tear in the inferior surface of lateral meniscus, while the superior surface is intact. This situation was similar to PASTA rotator cuff tear. Meanwhile, there is a full-thickness radial tear in the edge.
    METHODS: A 17-year-old boy twisted the left knee while playing basketball. Magnetic resonance imaging (MRI) revealed radial tear of the lateral meniscus. During arthroscopy, it was found that there was a full-thickness radial tear of about 2 mm located in the edge. Partial meniscectomy was performed to treat radial meniscal tear located in the white area. After that, we found that the superior surface of the lateral meniscus was intact. However, in the inferior surface of the lateral meniscus, partial-thickness radial tear was found extending to red zone. We used FASTFIX (Smith & Nephew) for all-inside suture. As of three months after this surgery, the patient recovered smoothly.
    CONCLUSIONS: Suspect that the force acts on a special position of meniscus and the thickness of the meniscus is uneven. Thus, it leads to partial-thickness radial tear in the inferior-surface, while the superior surface is intact.
    CONCLUSIONS: Partial-thickness radial tears in the inferior surface of lateral meniscus are relatively rare. This situation was similar to PASTA rotator cuff tear. Because the superior surface of the meniscus is intact, it may results in misdiagnosis. It\'s easy to ignore the inferior surface injury.
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