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Aesthetic result of dense-packing single-hair autologous grafting for eyelash.

Wen-Jie JIANG ; Wei-Ming JING ; Xiao-Ping WANG ; Bo WANG ; Zhi-Yun TANG

Chinese Journal of Plastic Surgery.2011;27(2):111-113.

OBJECTIVETo explore the aesthetic result of dense-packing single-hair grafting for eyelash.

METHODSTwenty-six female cases were treated with the donor sites at the occipital safe area. The single-hair grafts were made with the hair of 4cm in length. The grafts were transplanted to the upper lid margin with needle technique, 30-40 grafts at each side.

RESULTSThe hair grafts survived very well with good growth direction. It looked even better when it had a permanent wave or the mascara was applied. The survival rate of hair grafts was more than 95%.

CONCLUSIONSIt is feasible to improve the shorter and thinner eyelash by dense-packing single-hair grafts.

Adult ; Eyelashes ; Female ; Hair ; transplantation ; Humans ; Transplantation, Autologous ; Young Adult

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Correction of claw hand deformity after burns by elastic traction.

Chun-Sheng HOU ; Zhen-Ming HAO ; Jin LEI

Chinese Journal of Plastic Surgery.2011;27(2):107-110.

OBJECTIVETo investigate a new method for correction of claw hand deformity after burns.

METHODSFrom May 2006 to Jul. 2010, 12 patients with claw hands deformities after burns were treated with skin grafts (11 hands) and skin flap (1 hand) with unsatisfactory results. Then elastic traction (skin traction or skeletal traction) were performed with individual functional brace.

RESULTSAll patients were followed up for 0.5 to 2 years. Elastic traction was effective in the correction of metacarpophalangeal joint deformity, buttonhole deformity, thumb-in-palm deformity, scar contracture, and palmar arch deformity.

CONCLUSIONSElastic traction is a simple and effective way for the correction of claw hand deformity after burns with less morbidity and stable results.

Adolescent ; Adult ; Burns ; complications ; Cicatrix ; surgery ; Female ; Follow-Up Studies ; Hand Deformities, Acquired ; etiology ; surgery ; Humans ; Male ; Middle Aged ; Skin Transplantation ; methods ; Surgical Flaps ; Traction ; methods ; Treatment Outcome ; Young Adult

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Repair of circular scar in the forearm by expanded double-pedicle omega-shaped flap at the rear flank of bottom-waist.

Shuang-Yin XIA ; Wei-Hua CHEN ; He YIN ; Hao-Chen XIA

Chinese Journal of Plastic Surgery.2011;27(2):104-106.

OBJECTIVETo discuss the method for repairing the circular scar in the forearm.

METHODSLarge expander (400-600 ml) were implanted subcutaneously at the rear flank of bottom-waist in the way of overlapping or continued expansion. After expansion was completed, the horizontal opened omega-shaped flap was formed by advancement of expanded skin with the two pedicles at the two sides. Then the forearm was tunneled under flap with the wound covered by flap. The pedicles were cut off at the third stage.

RESULTSFrom April 1998 to June 2009, 8 cases were treated with no flap necrosis. The patients were followed up for 1 to 3 years with good flap color and thickness. Flap sensory was partially recovered. Linear atrophic scar was left in the donor sites.

CONCLUSIONSIt is feasible to repair forearm circular scar by expanded double-pedicle omega-shaped flap at the rear flank of bottom-waist.

Adolescent ; Adult ; Cicatrix ; surgery ; Female ; Follow-Up Studies ; Forearm ; surgery ; Humans ; Male ; Surgical Flaps ; Tissue Expansion ; Treatment Outcome ; Young Adult

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Emergency reconstruction of the complex dorsal digital defect using the composite flap with extensor tendon graft from the second toe.

Jian LIN ; Yun-Lan YU ; Chun WU ; Zheng-Li WANG ; Jian-Jun YING

Chinese Journal of Plastic Surgery.2011;27(2):101-103.

OBJECTIVETo report emergency reconstruction of the complex dorsal digital defect using the composite flap with extensor tendon graft from the second toe.

METHODSFrom February 2001 to March 2010, 6 fingers in 6 patients with complex dorsal digital defects were repaired using the composite flap. The defect of the extensor tendon was also repaired with the extensor tendon graft harvested from the second toe.

RESULTSAll the flaps survived completely with primary healing. The patients were followed up for 5 to 10 years. The flaps had a good match in skin color and texture. Both the esthetic and functional results were satisfactory either in recipient or in donor sites.

CONCLUSIONSThe emergency reconstruction of the complex dorsal digital defect using the composite flap with extensor tendon graft is an effective way to repair the skin defect and extensor tendon defect simultaneously with good long-term results.

Adult ; Female ; Finger Injuries ; surgery ; Follow-Up Studies ; Humans ; Male ; Middle Aged ; Skin Transplantation ; methods ; Surgical Flaps ; Tendons ; surgery ; transplantation ; Toes ; surgery ; Treatment Outcome

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Repair of concurrent skin and nerve defect at palm and carpal on ulnar side with free medial plantar flap.

Bin WANG ; Chun-Jiang LI ; Chao CHEN ; Jian-Feng ZHANG ; Wen-Long ZHANG ; Tie-Peng MA ; Gang LI ; Wen-Ping JIANG

Chinese Journal of Plastic Surgery.2011;27(2):98-101.

OBJECTIVETo explore a new method for repair of concurrent skin and nerve defect at palm and carpal on ulnar side.

METHODSFrom April 2000 to August 2009, five cases with concurrent skin and nerve defect at palm and carpal on ulnar side were reconstructed with free medial plantar flaps. Palmar nervous proprii defect at ulnar side of little finger was repaired by the first toe tibia nervous proprii in one case. The superficial branch of radial nerve was applied to repair the defect of ulnar nerve, as well as its deep or superficial branch in two cases. The superficial branch of radial nerve was also used to repair the defect of superficial branch of ulnar nerve, common palmar digital nerve of the fourth finger, Little finger ulnar palmar nervous proprii in one case. The dorsal branch of ulnar nerve was applied to repair the defect of superficial branch of ulnar nerve, common palmar digital nerve of the fourth finger, little finger ulnar palmar nervous proprii in one case. The vascular bundle of medial plantar flap was anastomosed with ulnar vascular bundle. The wounds at donor sites were covered with free skin grafts which were obtained from upper leg.

RESULTSAll the flaps and skin grafts were survived completely. The five patients were followed up for six months to four years with no muscular atrophy or claw hand deformity. The esthetic result was satisfied. The Sensory of flaps and fingers recovered to S3 to S3+. The two-point discrimination distance on flaps was range from 7 mm to 10 mm. The postoperative comprehensive evaluation was excellent in the cases whose superficial and deep branches of ulnar nerve were repaired.

CONCLUSIONSFree medial plantar flap is an effective method to repair concurrent skin and nerve defect at palm and carpal on the ulnar side.

Adult ; Female ; Foot ; surgery ; Free Tissue Flaps ; Hand Injuries ; surgery ; Humans ; Male ; Skin ; injuries ; Ulnar Nerve ; injuries ; surgery ; Wrist Injuries ; surgery ; Young Adult

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Fibular head composite flap for bone and skin defect at medial malleolus in children: a report of 4 cases.

Yong LIU ; Cheng-Jin ZHANG ; Xing-Mao FU ; Jian-Li WANG ; Cheng-Qi WANG

Chinese Journal of Plastic Surgery.2011;27(2):95-97.

OBJECTIVETo investigate the therapeutic effect of fibular head composite flap for bone and skin defect at medial malleolus in children.

METHODSFrom Aug. 2005 to Apr. 2009, 4 children cases (2 male, 2 female, from 3 to 11 year) with bone and skin defect at medial malleolus were reconstructed with fibular head composite flaps pedicled with lateral inferior genicular vascular bundle. The skin defect was 3- 6 cm x 8-10 cm in size.

RESULTSAll the 4 composite flaps survived completely. The patients were followed up for 4 months to 4 years with good bony healing. Both esthetic and functional results were satisfactory in ankle joint.

CONCLUSIONSThe fibular head composite tissue flap has a good therapeutic effect for bone and skin defect at medial malleolus in children.

Ankle Injuries ; surgery ; Bone and Bones ; injuries ; Child ; Child, Preschool ; Female ; Fibula ; surgery ; Follow-Up Studies ; Humans ; Male ; Soft Tissue Injuries ; surgery ; Surgical Flaps ; Treatment Outcome

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Clinical application of reverse radial hypothenar flap for finger soft tissue defect.

You-Mao ZHENG ; Fa-Yun ZHANG ; Li-Zhi WU ; Zeng-Tao WANG ; Cheng WANG ; Li-Qi YI ; Zhi-Lin ZHAO

Chinese Journal of Plastic Surgery.2011;27(2):92-95.

OBJECTIVETo investigate the therapeutic effect of reverse radial hypothenar flap for finger soft tissue defect.

METHODSFrom Mar. 2006 to Mar. 2010, 13 cases (14 fingers) with finger soft tissue defects were treated with reverse radial hypothenar flaps pedicled with ulnar palmar digital artery of little finger. The defects were 1.9 cm x 1.5 cm -4.0 cm x 2.0 cm in size. The flap size ranged from 1.5 cm x 2.0 cm to 4.0 cm x 2.0 cm.

RESULTSAll the flaps survived completely with primary healing both in donor and recipient area. 12 cases (13 fingers) were followed up for 1-3 years. The flaps color was similar to the unaffected fingers. Cicatricial contracture happened in one case due to contracture of palmar fascia. The two-point discrimination distance on flap was 3.2-5.3mm. The active and passive movement of finger joints was evaluated as excellent in 12 fingers, good in one finger. There was no complaint about the feeling at the donor site. Two months after operation, all patients could go back to work.

CONCLUSIONSThe reverse radial hypothenar flap is very suitable for finger soft tissue defect with less morbidity to donor site.

Adolescent ; Adult ; Female ; Finger Injuries ; surgery ; Follow-Up Studies ; Humans ; Male ; Soft Tissue Injuries ; surgery ; Surgical Flaps ; Young Adult

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The relationship between cleft severity and incidence of associated heart defect in children with isolated cleft palate.

Xiang-Hua CHEN ; Zheng-De TANG ; Ting SUN

Chinese Journal of Plastic Surgery.2011;27(2):89-91.

OBJECTIVETo analyze the relationship between cleft severity and incidence of associated heart defect in children with isolated cleft palate (CP), as well as the characteristics of the heart defect.

METHODSFrom Aug 2008 and Dec 2009, a total 416 children with CP underwent echocardiogram, and were divided into complete and incomplete CP groups. Then each group was further classified as unilateral or bilateral groups. Incomplete CP was subdivided into submucous cleft palate, soft palate cleft, hard and soft palate cleft. The associated heart defects were recorded and analyzed in each group. The data were analyzed statistically using SPSS 13.0. Chi-square test was used to compare the incidence between groups.

RESULTSIn the series of 416 patients, 46 (11.1%) children were found to have an associated congenital heart disease. The incidence of heart defect was 9.9% (38/384) in the incomplete cleft group, and 25% (8/32) in the complete cleft group, showing a significant difference between the two groups ( F = 6.852, P < 0.05). Atrial septal defect was the most common heart defect, which accounted for 52.2% (24/46) of all associated heart malformations.

CONCLUSIONSCompared to incomplete cleft palate, complete cleft palate has a higher risk of heart defect. Cleft severity may be a predictor for congenital heart diseases in cleft palate. Routine echocardiogram should be considered in CP patients.

Chi-Square Distribution ; Child ; Child, Preschool ; Cleft Palate ; complications ; Female ; Heart Defects, Congenital ; complications ; epidemiology ; Humans ; Incidence ; Infant ; Infant, Newborn ; Male

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Endoscopy-assisted surgery for deviated nose with the preoperative 3-D CT reconstruction.

Xukurhan AYHEN ; Alim NILUPAR ; Yasen YALKUN ; Dildar YASENJAN ; Ilminur PERDON ; Juan FENG ; Jun YONG

Chinese Journal of Plastic Surgery.2011;27(2):85-88.

OBJECTIVETo discuss the endoscopy-assisted surgery for deviated nose with the preoperative 3-D CT reconstruction.

METHODSSixty-six cases with deviated nose deformities underwent preoperative 3-D CT reconstruction. The deformities were showed in detail. The deviated nasal septum and deviated nose were corrected with the assistance of nasal endoscopy.

RESULTSThe patients were visited after operation at 1 week, 1 month, 3 months and 6 months. The nose shape and nose deviation were measured. Among the 66 cases, satisfactory result was achieved in 53 cases, good in 11 cases, unsatisfactory in 2 cases.

CONCLUSIONSPreoperative CT reconstruction is very help in understanding the deviated nose deformity. The rhinoplasty with nasal endoscopy has good exposure of the fracture deformity with less morbidity and side effect. The intraoperative time can be decreased also.

Adult ; Endoscopy ; Female ; Humans ; Male ; Middle Aged ; Nasal Septum ; abnormalities ; surgery ; Nose Deformities, Acquired ; surgery ; Rhinoplasty ; methods ; Treatment Outcome ; Young Adult

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Application of 3-D skull models and guide plates in the treatment of unilateral orbitozygomatic deformity after fracture.

Jin-Gang AN ; Yi ZHANG ; Yang HE ; Jiang-Ming LI

Chinese Journal of Plastic Surgery.2011;27(2):81-85.

OBJECTIVETo discuss the application of 3-D skull models and guide plates in treatment of unilateral orbitozygomatic deformity after fracture.

METHODSEach patient underwent CT scan and DICOM data was obtained preoperatively. Two 3-D resin skull models were produced by rapid prototyping technique. The first model was produced based on the patient's original data and the second was the reshaped model by mirroring the unaffected facial side to the traumatic side. The original model was used for measurement of the fracture displacement in three directions and model surgery. On the second model, one 2.0 mm miniplate (Synthes Inc) was bended along the orbital rim as the repositioning guide plate. During the operation, osteotomy and reduction of zygomatic and the periorbital fractures was guided by prepared repositioning guide plate, following by orbital wall reconstruction and bone grafting.

RESULTSFrom March 2007 to February 2009, 7 cases (6 males and 1 female) were treated successfully with no infection or graft extrusion. One week after operation, the patient received CT examination again. The shape and location of zygomatic bone and arch was good. Three cases were followed up for 3 months. Among them, facial symmetry was achieved in 2 cases. Cicatricial contracture and temporal soft tissue atrophy occurred in one case.

CONCLUSIONSReliable therapeutic effect can be achieved by application of rapid prototyping technique and repositioning guide plate in the treatment of complicated posttraumatic orbitozygomatic deformity.

Adult ; Bone Plates ; Female ; Humans ; Imaging, Three-Dimensional ; Male ; Middle Aged ; Models, Anatomic ; Orbital Fractures ; surgery ; Osteotomy ; methods ; Retrospective Studies ; Treatment Outcome ; Zygomatic Fractures ; surgery

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