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find Author "冯胜之" 4 results
  • VELOPHARYNGEAL FUNCTION FOLLOWING LEFORT Ⅲ ADVANCEMENT OSTEOTOMY

    Crouzon s syndrome is one of the craniofacial dysostosis. It not only presents midface retrusion but also obstructs the air way. There were much more effective changes on speech and velopharyngeal function following LeFort Ⅲ maxillary advancement. In our study, 9 cases underwent maxillary advancement in the last seven years. All patients in this series underwent serial cephalometric study before and after maxillary advancement. The results showed that the distance from the posterior nasal spine to the posterior pharyngeal wall on the posterior pharyngeal wall on the lateral cephalograms reached 18.89mm which was 9.30mm more larger than that of the preoperative distance in average.The angle formed by the soft palate and the hard palate reached 159.4 degree which was 16 degree larger than the preopertive angle 144.6 degree. Clinically, improvement of phonation was very obvious.

    Release date:2016-09-01 11:37 Export PDF Favorites Scan
  • 颅面部周围型神经纤维瘤切除后修复重建

    总结手术治疗颅面部周围型神经纤维瘤(craniomaxillofacial neurofibroma,CMFNF)的效果。方法 1999年5月~2003年8月,收治CMFNF患者27例。男10例,女17例;年龄2~70岁。病程2~50年。涉及瘤体的皮肤面积20~110 cm2,其中gt;100 cm2 6例,50~100 cm2 16例,lt;50 cm2 5例。多科合作进行CMFNF手术切除和颜面外形功能重建。一期手术25例,其中15例采用5 cm×3 cm~12 cm×7 cm皮瓣修复CMFNF切除后缺损,余直接缝合。二期手术2例。结果 术后切口均Ⅰ期愈合,皮瓣均成活;骨缺损修复和眼眶再造造型好。20例获随访2~6年,无再次手术,术后容貌明显改善,患者均可参与正常的社会活动。结论 多科合作手术切除及修复是治疗CMFNF的首选方法。

    Release date:2016-09-01 09:22 Export PDF Favorites Scan
  • LeFortⅢ型截骨术对面部外形的影响

    Crouzon综合征是颅面骨发育不全的一种。面部外形主要表现为面中部1/3严重后缩、突眼。我科在过去7年中,用LcFortⅢ型截骨术治疗Crouzon综合征,效果满意。术后患者面型基本正常。头颅定位测量及突眼度测量均有明显改变。

    Release date:2016-09-01 11:38 Export PDF Favorites Scan
  • 前臂游离皮瓣在全鼻再造一期手术的应用

    作者介绍14例前臂游离皮瓣作全鼻一期再造手术的临床经验,具有解剖位置恒定、血管口径粗,质地好,厚度适中等优点,而且可同时进行自体骨移植填高鼻梁,使外形效果更为良好,实践证明,前臂游离皮瓣是鼻再造的一块较为理想的“最佳皮瓣”。

    Release date:2016-09-01 11:46 Export PDF Favorites Scan
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