ObjectiveTo study absorbed mechanism of free bone auto-graft in cranium.MethodsTwenty-four adult New Zealand rabbits were randomly divided into two groups of twelve each. Cranium graft or rib graft was implanted on each side of the cranium. The onlay graft was harvested at the 12th and 24th week, and the collagen fibers were scrutinized under scanning electron microscope. ResultsThe number of the bone collagen fibrils at twenty- fourth week was more than that of the twelfth week, the arrangement of collagen fibrils at the twenty- fourth week was more regular than that of the twelfth week, and the collagen fibrils of the cranium graft were more numberous and regular than those of the rib graft observed at the twelfth week, but they were similar at twenty - fourth week. ConclusionRemoding time of cranium graft is shorter than that of rib graft, but bone remoding of both cranium and rib has finished in 24th week after operated.

Objective:To analyze the clinical effect of small incision approach conjoint fascial sheath (CFS) suspension in the treatment of congenital severe blepharoptosis, and to discuss its advantages and disadvantages compared with conventional CSF suspension.Methods:From February 2020 to August 2022, 42 cases of severe blepharoptosis in the Department of Burn, Plastic and Cosmetic Surgery, Shaanxi Provincial People's Hospital were divided into the observation group (23 cases, 39 eyes) and the control group (19 cases, 37 eyes). The observation group was treated with small incision CFS suspension surgery, while the control group was treated with conventional CFS suspension surgery. The correction effect, complications, recovery time and other conditions between the two groups at different times after surgery were compared.Results:During postoperative follow-up at 1 week, 1 month, 3 months, and 6 months, there was no significant difference in the corrective effect between the two surgical methods at each time point (all P>0.05). The incidence of complications in the observation group at each time point that was 26.3%, 15.7%, 10.5%, and 5.2%, respectively, while the incidence of complications in the control group was 60.0%, 20.0%, 14.2%, and 8.6%, with statistical differences in the first week after surgery (χ 2=8.74, P=0.011). The average postoperative swelling time in the observation group was 4.2 days, which was less than 5.8 days in the control group. During a 6-month follow-up, it was found that there was a decrease in scar hyperplasia in the observation group of 9.1% (2/22) compared to the control group of 16.7% (3/18) (χ 2=0.023, P=0.878). The difference was of no statistical significance. Conclusions:CFS suspension with small incision in the treatment of moderate and severe blepharoptosis has the advantages of ideal correction effect, small damage range, and few postoperative complications, but the operation area is small, the operation is difficult, and the surgeon has higher requirements.

Humans ; Non-alcoholic Fatty Liver Disease ; Prospective Studies ; Risk Factors ; Exercise ; Liver