33 cases of craniofacial clefts: experience in diagnosis and treatment with tessier classification / 中华整形外科杂志

<p><b>OBJECTIVE</b>To introduce our experience in diagnosis and treatment of 33 patients with Tessier craniofacial clefts.</p><p><b>METHODS</b>33 patients with craniofacial clefts were classified by Tessier classification. According to the type and severity of the clefts, various techniques, from simple local flap transfer to complicated osteotomy and bone grafting were used to correct the deformity in 29 patients.</p><p><b>RESULTS</b>All patients who underwent corrective operation were satisfied with the result, and there were no complications.</p><p><b>CONCLUSIONS</b>(1) Tessier classification is very important for plastic surgeon to find potential craniofacial deformities related to main signs. (2) No. 7 cleft is one of most common Tessier craniofacial clefts. (3) Each Tessier cleft is unique, therefore, the treatment plans cannot be standardized. Specific corrective operation must be performed on each patient according to the type and severity of the cleft, including simple local flap transfer to complicated osteotomy and bone grafting or distraction osteogenesis.</p>

Subcutaneous pedicle limberg flap for facial reconstruction.

BACKGROUND: A residual dog-ear arising from the traditional Limberg flap transposition sometimes influences the cosmetic outcomes, and the Limberg flap with a subcutaneous pedicle is an innovation applicable to a variety of facial defects and free from the dog-ear. OBJECTIVE: To investigate the outcome of the subcutaneous pedicle Limberg flap for the reconstruction of medium-sized facial skin defects. MATERIALS AND METHODS: From August 2002 to June 2004, the subcutaneous pedicle Limberg flap was designed to repair facial skin defects in 17 patients (19 flaps), and the size of the lesions ranged from 2.0 x 1.9 cm to 5.0 x 4.5 cm. RESULTS: All flaps survived with primary healing postoperatively. The patients were followed up from 1 to 22 months, and functionally and cosmetically satisfactory outcomes were achieved. CONCLUSIONS: This subcutaneous pedicle Limberg flap provides a competitive repair alternative for the treatment of medium-sized skin defects in the face.

The role of releasing the fibrous bundles across levator muscle in correcting congenital blepharoptosis / 中华整形外科杂志

<p><b>OBJECTIVE</b>To investigate the role of releasing the fibrous bundles across the levator muscle between the medial canthus and lateral canthsus near the top of tarsus in the correction of the congenital blepharoptosis.</p><p><b>METHODS</b>Twenty-seven patients with 40 eyes of blepharoptosis were undergoing the treatment. It was performed by releasing the fibrous bundles across the levator muscle between the medial canthus and lateral canthsus near the top of tarsus to correct the mild and moderate blepharoptosis. A further procedure can also be added to by folding the levator aponeurosis if necessary. In the severe blepharoptosis, the frontalis aponeurose flap may be applied for the suspension as well during the operation.</p><p><b>RESULTS</b>Of the 40 eyes in 27 cases with mild, moderate and severe blepharoptosis were treated by using this method, with 38 eyes corrected satisfactorily and 2 eyes corrected mostly in the following-ups from 3 months to 1 year.</p><p><b>CONCLUSION</b>The above mentioned technique may be a good, simple and effect method to corret congenital blepharoptosis.</p>