Objective To study the curative effect of grafting great auricul ar nerve with pedic ulated fascial tube in defective dam age of facial nerve.Met hod All the patients in the study were tre ated by grafting great auric...Objective To study the curative effect of grafting great auricul ar nerve with pedic ulated fascial tube in defective dam age of facial nerve.Met hod All the patients in the study were tre ated by grafting great auricular nerv e which was covered by pediculated f ascial tube near facial nerve trunk.Resul t The 3otogenic fascial paralysis pat ients had grade III recovery of facia l n erve function(30%～38%)2.0to 2.5years after the nerve grafting ope ra tion;2post-traumatic facial paral ysis patients had grade II recovery o f facial nerve function(69%～71%)2.5to 3.5years after the nerve graf ting operation.Conclusion The grafting of pediculated fascial tube surrounded great auricular nerve can provide a biological environment wi th excellent blood supply for the ple rosis and regeneration of nerves and can accelerate the func tional recovery of nerves after the nerve grafting.展开更多
The principle of modern oncological surgery is to conserve the functional organs or tissues as much as possible based on eradication of the tumour.For salivary gland tumours,conservative and functional salivary surger...The principle of modern oncological surgery is to conserve the functional organs or tissues as much as possible based on eradication of the tumour.For salivary gland tumours,conservative and functional salivary surgery,including partial sialoadenectomy as well as anatomical and functional preservation of the facial nerve,great auricular nerve,superficial musculoaponeurotic system (SMAS),and Stensen’s duct,has become increasingly popular.In the present review,we discuss the following aspects of conservative and functional surgery in the treatment of salivary gland tumours:(i) partial superficial parotidectomy (PP) to treat benign parotid gland tumours,(ii) modification of surgical incisions to improve cosmetic results,(iii) modification of the surgical approach to decrease complications,(iv) extracardial dissection to treat benign superficial parotid tumours,(v) partial sialoadenectomy to treat benign submandibular gland tumours,and (vi) 125I brachytherapy to preserve facial nerves.The majority of the operated parotid or submandibular glands are preserved,and surgical complications are also decreased.Conservative and functional surgery plays a significant role in maintaining normal salivary gland function and in improving patients’ quality of life during the treatment of salivary gland tumours and thus should be further promoted.展开更多
对位于大兴安岭中北段四方山天池全新世以来湖泊沉积物中正构烷烃的分布特征及其单体碳同位素组成进行了讨论分析.结果表明,正构烷烃碳数分布范围为nC_(17)~nC_(33),绝大多数样品具有单峰型的分布特征,少数样品呈现双峰型分布特征,单峰...对位于大兴安岭中北段四方山天池全新世以来湖泊沉积物中正构烷烃的分布特征及其单体碳同位素组成进行了讨论分析.结果表明,正构烷烃碳数分布范围为nC_(17)~nC_(33),绝大多数样品具有单峰型的分布特征,少数样品呈现双峰型分布特征,单峰型以nC_(27)为主峰,双峰型分布中前峰群以nC_(21)为主峰、后峰群以nC_(27)为主峰;短链正构烷烃(<nC_(21))奇偶优势不明显,中链(n C23~n C25)和长链正构烷烃(>nC_(27))具有明显的奇碳优势;正构烷烃的分布特征揭示四方山天池湖泊沉积物中的有机质来源于陆生植物和水生植物的共同输入,并以陆生植物贡献为主.全新世以来,四方山天池湖泊沉积物中长链正构烷烃单体碳同位素值(δ^(13)C_(27~31))逐渐偏负,与太阳辐射的变化表现出明显的一致性,表明在轨道尺度上该区域的有效湿度的逐渐增加主要受太阳辐射的控制,湖泊水位的变化则既受到西太平洋副热带高压和鄂霍次克海高压相对位置的影响,又受到东南季风和东北季风势力强弱的制约.根据多种气候代用指标的变化,全新世以来四方山天池湖泊环境及其区域气候演化可以划分为5个阶段:(1)11.2-8.0 ka BP:区域有效湿度较低,陆生C_3植物中木本植物比例略有增加,湖泊水位频繁波动,湖泊初级生产力下降,湖泊营养状态发生贫化;(2)8.0-6.4 ka BP:区域有效湿度增加,陆生C_3植物中草本植物比例略有增大,湖泊水面收缩、水位下降,湖泊初级生产力变化不大,湖泊营养状态较为稳定;(3)6.4-3.4 ka BP:区域有效湿度比上一阶段更高,陆生C_3植物中木本植物扩张,草本植物比例相对收缩,湖泊水位上升、水面扩大,湖泊初级生产力增加,湖泊营养状态发生好转;(4)3.4-2.4 ka BP:区域有效降水量继续增加,陆生C_3植物中草本植物比例升高,湖泊水位下降、水面收缩,湖泊初级生产力下降,湖泊营养状态发生贫化;(5)2.4-0.9 ka BP:区域有效湿度较高,陆生C_3植物中木本植物逐渐增加,湖泊水位上升、水面扩张,湖泊初级生产力增加,湖泊营养状态有所好转.四方山天池湖泊沉积物所记录的全新世以来区域气候环境演化历史,既与中国东北地区其他高分辨率气候记录有较好的一致性,也存在着差异性,表现出独有的区域气候特征.展开更多
文摘Objective To study the curative effect of grafting great auricul ar nerve with pedic ulated fascial tube in defective dam age of facial nerve.Met hod All the patients in the study were tre ated by grafting great auricular nerv e which was covered by pediculated f ascial tube near facial nerve trunk.Resul t The 3otogenic fascial paralysis pat ients had grade III recovery of facia l n erve function(30%～38%)2.0to 2.5years after the nerve grafting ope ra tion;2post-traumatic facial paral ysis patients had grade II recovery o f facial nerve function(69%～71%)2.5to 3.5years after the nerve graf ting operation.Conclusion The grafting of pediculated fascial tube surrounded great auricular nerve can provide a biological environment wi th excellent blood supply for the ple rosis and regeneration of nerves and can accelerate the func tional recovery of nerves after the nerve grafting.
基金the financial support from the National Foundation of Natural and Science China (grant nos 81671005, 39270723, 39470753, 30572050, and 03031102)
文摘The principle of modern oncological surgery is to conserve the functional organs or tissues as much as possible based on eradication of the tumour.For salivary gland tumours,conservative and functional salivary surgery,including partial sialoadenectomy as well as anatomical and functional preservation of the facial nerve,great auricular nerve,superficial musculoaponeurotic system (SMAS),and Stensen’s duct,has become increasingly popular.In the present review,we discuss the following aspects of conservative and functional surgery in the treatment of salivary gland tumours:(i) partial superficial parotidectomy (PP) to treat benign parotid gland tumours,(ii) modification of surgical incisions to improve cosmetic results,(iii) modification of the surgical approach to decrease complications,(iv) extracardial dissection to treat benign superficial parotid tumours,(v) partial sialoadenectomy to treat benign submandibular gland tumours,and (vi) 125I brachytherapy to preserve facial nerves.The majority of the operated parotid or submandibular glands are preserved,and surgical complications are also decreased.Conservative and functional surgery plays a significant role in maintaining normal salivary gland function and in improving patients’ quality of life during the treatment of salivary gland tumours and thus should be further promoted.
文摘对位于大兴安岭中北段四方山天池全新世以来湖泊沉积物中正构烷烃的分布特征及其单体碳同位素组成进行了讨论分析.结果表明,正构烷烃碳数分布范围为nC_(17)~nC_(33),绝大多数样品具有单峰型的分布特征,少数样品呈现双峰型分布特征,单峰型以nC_(27)为主峰,双峰型分布中前峰群以nC_(21)为主峰、后峰群以nC_(27)为主峰;短链正构烷烃(<nC_(21))奇偶优势不明显,中链(n C23~n C25)和长链正构烷烃(>nC_(27))具有明显的奇碳优势;正构烷烃的分布特征揭示四方山天池湖泊沉积物中的有机质来源于陆生植物和水生植物的共同输入,并以陆生植物贡献为主.全新世以来,四方山天池湖泊沉积物中长链正构烷烃单体碳同位素值(δ^(13)C_(27~31))逐渐偏负,与太阳辐射的变化表现出明显的一致性,表明在轨道尺度上该区域的有效湿度的逐渐增加主要受太阳辐射的控制,湖泊水位的变化则既受到西太平洋副热带高压和鄂霍次克海高压相对位置的影响,又受到东南季风和东北季风势力强弱的制约.根据多种气候代用指标的变化,全新世以来四方山天池湖泊环境及其区域气候演化可以划分为5个阶段:(1)11.2-8.0 ka BP:区域有效湿度较低,陆生C_3植物中木本植物比例略有增加,湖泊水位频繁波动,湖泊初级生产力下降,湖泊营养状态发生贫化;(2)8.0-6.4 ka BP:区域有效湿度增加,陆生C_3植物中草本植物比例略有增大,湖泊水面收缩、水位下降,湖泊初级生产力变化不大,湖泊营养状态较为稳定;(3)6.4-3.4 ka BP:区域有效湿度比上一阶段更高,陆生C_3植物中木本植物扩张,草本植物比例相对收缩,湖泊水位上升、水面扩大,湖泊初级生产力增加,湖泊营养状态发生好转;(4)3.4-2.4 ka BP:区域有效降水量继续增加,陆生C_3植物中草本植物比例升高,湖泊水位下降、水面收缩,湖泊初级生产力下降,湖泊营养状态发生贫化;(5)2.4-0.9 ka BP:区域有效湿度较高,陆生C_3植物中木本植物逐渐增加,湖泊水位上升、水面扩张,湖泊初级生产力增加,湖泊营养状态有所好转.四方山天池湖泊沉积物所记录的全新世以来区域气候环境演化历史,既与中国东北地区其他高分辨率气候记录有较好的一致性,也存在着差异性,表现出独有的区域气候特征.
