Case Report
Application of Intra-Orbital Septal Transfer of Lateral Orbital Septal Pedicled Fat Flap in the Treatment of Upper Eyelid Dents
Issue:
Volume 12, Issue 1, February 2024
Pages:
1-4
Received:
10 January 2024
Accepted:
31 January 2024
Published:
20 February 2024
Abstract: Objective: To observe the clinical effect of intraorbital septal transfer of the lateral upper eyelid mass and orbital septum pedicled fat flap in the treatment of upper eyelid depression. Method: During the double eyelid surgery, the fat mass on the lateral side of the upper eyelid was exposed, a small incision was made on the outside of the orbital septum, the fat in the orbital septum was released, the blood vessels on the inside of the root of the fat mass were preserved, and the fat was sharply separated from the outside to the inside. The mass is trimmed into a strip-shaped pedunculated fat flap. A small lateral incision is made along the lateral side to separate the medial fat mass in the orbital septum. The separated fat flap is refilled into the orbital septum from the lateral incision and pulled to the medial side for fixation. Results: 33 patients were followed up for 3 to 12 months after surgery. Except for 1 patient with severe upper eyelid skin laxity who underwent surgical repair, the rest of the patients' upper eyelid depression was effectively relieved and the upper eyelids looked natural. The patients were satisfied with the surgical results. Conclusion: The intra-orbital septum transfer of the lateral upper eyelid mass and orbital septum pedicled fat flap is a simple and effective surgical method for the treatment of upper eyelid depression, with less pain and quick recovery. It is worth recommending in the treatment of upper eyelid depression.
Abstract: Objective: To observe the clinical effect of intraorbital septal transfer of the lateral upper eyelid mass and orbital septum pedicled fat flap in the treatment of upper eyelid depression. Method: During the double eyelid surgery, the fat mass on the lateral side of the upper eyelid was exposed, a small incision was made on the outside of the orbit...
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Case Report
Cervical Vertebrae Internal Fixation Revision in a Patient with Ankylosing Spondylitis: A Case Report
Jianxiong Wu,
Yongchun Xiao,
Hongsheng Lin,
Zhisheng Ji,
Guowei Zhang*
Issue:
Volume 12, Issue 1, February 2024
Pages:
5-10
Received:
30 January 2024
Accepted:
18 February 2024
Published:
29 February 2024
Abstract: Ankylosing spondylitis (AS) is a chronic progressive inflammatory disease that affects the sacroiliac joints and surrounding joints. It is a seronegative spondyloarthritis that invades connective tissue. Managing cervical spine fractures in patients with AS is particularly challenging due to the severity of the deformity and the instability of the fracture. Cervical spine fracture combined with spinal cord injury is the leading cause of death and is strongly correlated with in-hospital mortality in patients with ankylosing spondylitis. There have been limited reports on the revision of cervical spine fractures after internal fixation in patients with AS. The case report is about a patient who is a 34-year-old man who underwent emergency surgery at a local hospital for a cervical spine fracture resulting from a car accident. A postoperative review revealed that the anterior internal fixation was detached, leading to a revision surgery being performed according to the patient's actual condition. Unfortunately, the internal fixation became dislodged fol-lowing the initial surgery, exacerbating the patient's condi-tion and leading to the development of pneumonia. In order to prevent the need for revision surgery, it is crucial to carefully evaluate and determine the most suitable surgical approach for patients with cervical spine fractures and spinal cord injury before proceeding with the initial surgery.
Abstract: Ankylosing spondylitis (AS) is a chronic progressive inflammatory disease that affects the sacroiliac joints and surrounding joints. It is a seronegative spondyloarthritis that invades connective tissue. Managing cervical spine fractures in patients with AS is particularly challenging due to the severity of the deformity and the instability of the ...
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