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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.

  • 标签: BLEPHAROPLASTY TEAR TROUGH DEFORMITY TEAR TROUGH
  • 简介:  当我觉得我还可以用第一人称故张声势摇头晃脑,迫不及待地向你们展示我凌乱而顽固的也许永远不会有纹路改变的巴掌.这个时候外面是凌晨二点半的漆黑.我还想让这个一人称很无赖地把这个苍白的语言组织继续下去,若无其事,滔滔不绝.……

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  • 简介:由于mediopatellar襞的眼泪胀大和前面的痛苦的膝的一个案例被报导。锁住的patellofemoral关节和膝的耐心的也感到的笨蛋。在arthroscopic检查下面,厚、含纤维的襞被发现中间到膝盖骨,并且沿着到infrapatellar脂肪的从中间的膝盖骨的支持带的襞的桶眼泪垫。极化的显微镜的检查显示出骨胶原纤维碎片和轻思考性质的损失。Neuroimmunohistology在裂缝附近在区域建议了synovial襞神经分布的起来规定。这可能与疼痛有关。mediopatellarplicacaused疼痛的桶眼泪和膝的锁比以前报导是更普通的。

  • 标签: 膝关节 撕裂 疼痛 锁定 显微镜检查 胶原纤维