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整复双侧颊脂肪垫疝1例
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作者 韩建群 《中国美容医学》 CAS 1994年第1期34-34,共1页
患者某女,45岁,自30岁起两侧口角旁逐渐出现一突起,随年龄增长逐渐明显,立位口内用力时突出,卧位消失。自述其父双侧口角旁亦有明显突起。检查:患者双侧口角旁2.5cm处有对称性椭圆形肿物,触之软,无压痛,如李子大,平卧时肿物消失。该部... 患者某女,45岁,自30岁起两侧口角旁逐渐出现一突起,随年龄增长逐渐明显,立位口内用力时突出,卧位消失。自述其父双侧口角旁亦有明显突起。检查:患者双侧口角旁2.5cm处有对称性椭圆形肿物,触之软,无压痛,如李子大,平卧时肿物消失。该部皮肤薄,与皮下组织无密切联系,可触及指头大疝囊口。诊断:双侧颊脂肪垫疝。局麻下行双侧颊脂肪垫疝孔修补术。从患者某女,45岁,自30岁起两侧口角旁逐渐出现一突起,随年龄增长逐渐明显,立位口内用力时突出,卧位消失。自述其父双侧口角旁亦有明显突起。检查:患者双侧口角旁2.5cm处有对称性椭圆形肿物,触之软,无压痛,如李子大,平卧时肿物消失。该部皮肤薄,与皮下组织无密切联系,可触及指头大疝囊口。诊断:双侧颊脂肪垫疝。局麻下行双侧颊脂肪垫疝孔修补术。从疝的口内相对应处切开颊粘膜约1.0cm,分离粘膜下见黄色脂肪团突出约2.5×3.0cm,剪除突出的脂肪,将该处的肌间隙疝囊口缝合,最后缝合颊粘膜。术后5天拆线。讨论:颊脂肪垫在颊部位于颊肌与口腔粘膜之间,由“1体4突”组成。体部从咬肌内面延伸至翼突上颌裂,为一扁长形脂肪组织。其中翼腭突、颞突、翼突分别位于翼腭窝、颞肌前缘和翼突后下方,而颊突自体的前端发出,位于咬肌、笑肌和颧肌之间,表面被覆一层菲薄筋膜、腮腺导管横过其上方或浅面,面神经颊支在其附近通过。由咬肌、笑肌、颧肌及颊肌形成的肌间隙如果先天性联系松散,或因年龄增大肌肉萎缩而间隙加宽,口内压力增大时颊脂肪垫的部分体部及其颊突就会从肌间隙突出于肌肉表面至皮下形成颊脂肪垫疝。该病虽无其他临床症状,但由于其影响面容,增加老态,故患者愿手术治疗。经以上治疗效果满意见附图。 展开更多
关键词 脂肪垫 颊突 咬肌 翼突 椭圆形肿物 颊肌 颌裂 面神经颊支 腮腺导管 颊粘膜
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国外口腔颌面外科学核心期刊部分文题及译名
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《口腔颌面外科杂志》 CAS 1994年第3期187-187,共1页
Eritish Journal of oral and Maxillofacial Surgery Volume 32 Number l,2,3.1994B Castling,M Telfer,B S Avery:compllication of trachesotomy in major head and neck cancer surgery;a retrospective study of 60 consecutive ca... Eritish Journal of oral and Maxillofacial Surgery Volume 32 Number l,2,3.1994B Castling,M Telfer,B S Avery:compllication of trachesotomy in major head and neck cancer surgery;a retrospective study of 60 consecutive cases严重头颈癌手术气管切开术的并发症;60例连续病例的回顾性研究L k cheung,V Samman E hui,H Tideman:The 3-dimensional stability of maxillary osteotomies in cheftpalate patients with residual alveolar 展开更多
关键词 口腔颌面外科学 头颈癌 气管切开术 ALVEOLAR 期刊部 RETROSPECTIVE Number Surgery 颌裂 consecutive
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7周龄婴儿郝-吉综合征的早期表现为皮肤紧和关节活动受限
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作者 Sevenants L. Wouters C. +1 位作者 De Sandre-GiovannoliA. 王经纬 《世界核心医学期刊文摘(儿科学分册)》 2005年第9期44-44,共1页
We present a 7-week-old male infant with pseudoscleroderma as a primary manifestation of the Hutchinson-Gilford syndrome of premature aging. He had suffered intra-uterine growth retardation; micrognathism and a cleft ... We present a 7-week-old male infant with pseudoscleroderma as a primary manifestation of the Hutchinson-Gilford syndrome of premature aging. He had suffered intra-uterine growth retardation; micrognathism and a cleft palate were evident at birth. He presented with feeding difficulties and severe, diffuse scleroderma-like lesions, a faint peri-oral cyanosis and prominent scalp veins. With time, special facial features became more and more apparent: frontal bossing, prominent eyes, thin and fine nose and lips, microstomia, low-set ears and occipito-parietal alopecia. Histopathology of the skin showed an increased density and thickness of collagen in the dermis and hypodermis. Within the 1st year of life, typical skeletal characteristics were observed. The diagnosis of Hutchinson-Gilford syndrome was confirmed by analysis of the lamin A gene, revealing a heterozygous c.1824C > T (G608G) mutation. Conclusion:Hutchinson-Gilford syndrome is an extremely rare disorder of which the full clinical spectrum becomes evident with time. Sclerodermatous changes in the infant can be the first manifestation. 展开更多
关键词 婴儿期 额部隆起 头皮静脉 硬皮病 颌裂 外周性 眼球突出 核纤层蛋白 口过 病理学检查
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