简介：AbstractMandibular condylar fractures are among the most common facial fractures and some of the most difficult to manage. Opinions about the management of mandibular condylar fractures differ among surgeons. With the implementation of new technology, an increased understanding of fracture management, and better functional and morphological outcomes reported in the literature, open reduction and internal fixation is becoming many surgeons’ preferred choice for the treatment of condylar fractures. Because surgical treatment of such fractures is complex, certain factors must be considered to achieve satisfactory outcomes. In this article, we summarise six key points in the management of mandibular condylar fractures: virtual evaluation of condylar fracture, a suitable surgical approach, good reduction, stable internal fixation, repair of the articular disc, and restoration of the mandibular arch width. We believe that these points will help to improve the prognosis of mandibular condyle fractures.

简介：Objective:Acommoncavitydeformity(CCD)isadeformedinnerearinwhichthecochleaandvestibuleareconfluentformingacommonrudimentarycysticcavitythatresultsinprofoundhearingloss.Therearefewstudiespayingattentiontocommoncavity.Ourgroupisengrossedinobservingtheimprovementofauditoryandverbalabilitiesinchildrenwhohavereceivedcochlearimplantation(CI),andcomparingthesetargetsbetweenchildrenwithcommoncavityandnormalinnerearstructure.Materialandmethods:Aretrospectivestudywasconductedin12patientswithprofoundhearinglossthatweredividedintoacommoncavitygroupandacontrolgroup,sixineachgroupmatchedinsex,ageandtimeofimplantation,basedoninnerearstructure.CategoriesofAuditoryPerformance(CAP)andspeechintelligibilityrating(SIR)scoresandaidedhearingthresholdswerecollectedandcomparedbetweenthetwogroups.AllpatientsworeCIformorethan1yearattheCochlearCenterofAnhuiMedicalUniversityfrom2011to2015.Results:PostoperativeCAPandSIRscoreswerehigherthanbeforeoperationinbothgroups(p<0.05),althoughthescoreswerelowerintheCCDgroupthaninthecontrolgroup(p<0.05).TheaidedthresholdwasalsolowerinthecontrolgroupthanintheCCDgroup(p<0.05).Conclusion:EventhoughaudiologicalimprovementinchildrenwithCCDwasnotasgoodasinthosewithoutCCD,CIprovidesbenefitsinauditoryperceptionandcommunicationskillsinthesechildren.

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简介：AbstractPurpose:The aim of this study is to evaluate the application value of virtual surgical planning in the management of mandibular condylar fractures and to provide a reliable reference.Methods:This was a prospective randomized controlled study and recruited 50 patients requiring surgical treatment for their mandibular condylar fractures. The inclusion criteria were patients (1) diagnosed with a condylar fracture by two clinically experienced doctors and required surgical treatment; (2) have given consent for the surgical treatment; and (3) had no contraindications to the surgery. Patients were excluded from this study if: (1) they were diagnosed with a non-dislocated or only slightly dislocated condylar fracture; (2) the comminuted condylar fracture was too severe to be treated with internal reduction and fixation; or (3) patients could not complete follow-up for 3 months. There were 33 male and 17 female patients with 33 unilateral condylar fractures and 17 bilateral condylar fractures included. The 50 patients were randomly (random number) divided into control group (25 patients with 35 sides of condylar fractures) and experimental group (25 patients with 32 sides of condylar fractures). Virtual surgical planning was used in the experimental group, but only clinical experience was used in the control group. The patients were followed up for 1, 3, 6 and 12 months after operation. Variables including the rate of perfect reduction by radiological analysis, the average distance of deviation between preoperative and postoperative CT measurements using Geomagic software and postoperative clinical examinations (e.g., mouth opening, occlusion) were investigated for outcome measurement. SPSS 19 was adopted for data analysis.Results:The average operation time was 180.60 min in the experimental group and 223.2 min in the control group. One week postoperatively, CT images showed that the anatomic reduction rate was 90.63% (29/32) in the experimental group and 68.57% (24/35) in the control group, revealing significant difference (X2= 4.919, p = 0.027). Geomagic comparative analysis revealed that the average distance of deviation was also much smaller in the experimental group than that in the control group (0.639 mm vs. 0.995 mm; t = 3.824, p < 0.001).Conclusion:These findings suggest that virtual surgical planning can assist surgeons in surgical procedures, reduce operative time, and improve the anatomic reduction rate & accuracy, and thus of value in the diagnosis and treatment of condylar fractures.

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简介：AbstractBackground:Giant serpentine aneurysms (GSA) originate from saccular or spindle aneurysm, dissimilar from dissected aneurysm, that are defined as partially thrombosed giant aneurysms with tortuous internal vascular channel. The clinical and neuroradiologic characteristics are clarified and the mechanism of formation and the efficacy of double stent implantation in GSA are discussed.Case presentation:An 18-year-old man presented himself with a GSA arising from the internal cerebral artery (ICA). In addition, a mandibular aneurysm (MA) arose from the external cerebral artery (ECA). Success was achieved in treating GSA through endovascular treatment with double stents implanted in the parent artery, which were LEO stent and Tubridge flow diverter. After 1 year of follow-up, three-dimensional reconstruction of blood vessels revealed the disappearance of the serpentine access of GSA, which was found to be replaced with a roughly normal vascular structure.Conclusions:Double stent implantation has provided a feasible treatment option for giant serpentine internal carotid aneurysms and eliminated the possibility of causing collateral circulation occlusion. Therefore, it represents a simple and suitable treatment method for anatomical structure and operation.

简介：客观：当在骨头织物工程(TE)和有钛蜂窝胃的公山羊的mandible的部分缺点的修理的脚手架增强了，调查使用自然poritos的可行性。方法：有在大约50%-65%的尺寸和孔的190-230μm的一个毛孔的自然poritos被塑造进小粒的形状5公里x5公里x在尺寸的5尼姑。扩展的自体同源的公山羊的髓间充质的干细胞被recombinant导致人的形态基因的protein-2(rhBMP2)到改进osteoblastic显型。然后，髓导出造骨细胞在4x10~7/ml的密度被播种进poritos并且在培植以前在vitro孵化了48个小时。然后，osteoblasticcells/poritos建筑群被植入进mandible的缺点，缺点被钛蜂窝胃增强。poritos的培植独自扮演了著名计算机生产厂商他控制。骨头新生被估计4，8，在用roentgenographicanalysis和组织学的观察的培植以后的16个星期在16个星期以后被做。结果：新骨头能是observedhistologically在表面上并且在在在cell-seedinggroup的所有标本的自然珊瑚的毛孔，而在控制组没有在构造的中心的成骨过程的证据。结果证明新骨头接枝16个星期成功地在培植以后被恢复。结论：当与髓移植的支架材料由TE方法导出造骨细胞，这研究建议使用多孔的珊瑚的可行性。借助于钛蜂窝胃加强，mandible的缺点能成功地被恢复。它显示出在诊所为骨头缺点的重建使用这个方法的潜力。

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简介：AIM:Toevaluatetheeffectofreleasingtheorbicularisretainingligament(ORL)complexoftheteartroughcombinedwiththetransconjunctivalblepharoplastyinthesurgicalmanagementofteartroughdeformitycomparedwiththeeffectofblepharoplastyalone.METHODS:Aprospective,randomized(byclosedenvelopetechnique),controlledsurgicaltrialwhichincluded50patients(100eyes)withbilateralvisibleteartroughdeformityandlowereyelidfatbulging,wasdividedintotwogroupswhere25patients(50eyes)hadteartrough-ORLreleasewithblepharoplastyand25patients(50eyes)didn’t.Qualitativeandquantitativeassessmentsofteartroughdeformityweredoneat6mopostoperatively,achievinggrade0or1ofBarton’sclassificationwasconsideredasuccess.Standardizedphotographicdocumentationofeachpatientwasdonepreandpostoperatively,alsoassessmentofthepatients’satisfactionpostoperativelywasdoneandrankedasexcellent,verygood,goodorfair.RESULTS:Therewasstatisticallysignificantdifferencebetweenthetwogroupsintheoverallaestheticresultspostoperativelyregardingthequalitativeandquantitativeanalysisoftheteartroughdeformity,wherepatientswhohadteartrough-ORLcomplexreleasehadmoresuccessfuloutcomesthanthoseofthesecondgroup.CONCLUSION:ORLreleaseshouldbedoneinpatientswithteartroughdeformityinordertoreleasethetetheringeffectofthisligamentwhichcausestheprominenceofthenasojugalgroove.

简介：Objective:Tostudytheeffectofnervegrowthfactor(NGF)andSchwanncellsonaxonregenerationoftheinferioralveolarnervefollowingmandibularlengtheningwithdistractionosteogenesis.Methods:Unilateralmandibularosteodistractionwasperformedin9healthyadultmalegoatswithadistractionrateof1mm/d.Every3goatswerekilledondays7,14and28aftermandibularlengthening,respectively.TheinferioralveolarnervesinthedistractioncalluswereharvestedandprocessedforultrastructuralandNGFimmunohistochemicalstudy.Theinferioralveolarnervesfromthecontralateralsidewereusedascontrols.Results:Onday7afterdistraction,axondegenerationandSchwanncellproliferationwereobserved,andverystrongstainingofNGFinthedistractednervewasdetected.Onday14afterdistraction,axonregenerationandremyelinationwereeasilyobserved,andNGFexpressionstartedtodecline.Onday28afterdistraction,thegrayscaleofNGFimmunoreactivityrecoveredtothenormalvalueandtheSchwanncellsalmostrecoveredtotheirnormalstate.Conclusions:Gradualmandibularosteodistractioncanresultinmildormoderateaxondegenerationoftheinferioralveolarnerve.NervetraumamaystimulatetheproliferationofSchwanncellsandpromotethesynthesisandsecretionofNGFintheSchwanncells.SchwanncellsandNGFmightplayimportantrolesinaxonregenerationoftheinjuredinferioralveolarnervefollowingmandibularlengthening.

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