Introduction: The trapdoor effect can pose a significant cosmetic issue after transposition flap surgery or trauma. It is characterized with bulging of tissue around a circular or semi-circular scar commonly found aft...Introduction: The trapdoor effect can pose a significant cosmetic issue after transposition flap surgery or trauma. It is characterized with bulging of tissue around a circular or semi-circular scar commonly found after removal of cutaneous tumors.Case presentation: A 60-year-old female patient with trapdoor effect after surgery was successfully treated with long-term non-invasive technique of intralesional triamcinolone acetate set with a biweekly interval for twelve months.Discussion: There are currently no definitive methods of removing this condition. Non-surgical approach is often more preferred by patients, such as with the use of intralesional corticosteroid of triamcinolone acetate. However, information about this is still limited. In this case, the patient experienced satisfying result without observed complications related to corticosteroids injection on the infraorbital region.Conclusion: Intralesional corticosteroid is a safe and economical method to treat the trapdoor effect.展开更多
Laser and light treatments have recently become popular owing to its efficacy in treating laxity,rhytids,hyperpigmentation of the lower eyelids,and drooping of septum fat.For several decades,our department has explore...Laser and light treatments have recently become popular owing to its efficacy in treating laxity,rhytids,hyperpigmentation of the lower eyelids,and drooping of septum fat.For several decades,our department has explored the application of laser and light treatment for eye rejuvenation.This paper summarizes common treatment methods and analyzes the published literature on the indications and outcomes of multiple laser and light treatments for lower eyelid rejuvenation.An extensive survey of peer-reviewed literature was performed using PubMed,with the search terms“noninvasive treatment”,“infraorbital”,“palpebral bags”,“lower eyelid”,“radiofrequency(RF)”,“laser”,“nonsurgical skin tightening”,and“noninvasive fat reduction”.The results showed that the use of lasers,intense pulsed light(IPL),monopolar RF,bipolar RF,AdipoLASER rejuvenation(ALJ),and fractional RF microneedling are safe and effective treatments for palpebral bags.We conclude that using Qswitched lasers,IPL,RF,ALJ,and fractional RF microneedling is safe and effective for lower eyelid rejuvenation,with minimal complications and quick recovery.Further research and development of optoelectronic therapy may encourage breakthroughs in lower eyelid treatment,such as simplified complex surgery and noninvasive methods.展开更多
Using transganglionic degenerative methed, we investigated the primary afferentinformation of acupoints of Quanliao (SI 18) and Shibai(ST 2). The results showed that the largeamounts of degenerative fibers could be fo...Using transganglionic degenerative methed, we investigated the primary afferentinformation of acupoints of Quanliao (SI 18) and Shibai(ST 2). The results showed that the largeamounts of degenerative fibers could be found bilaterally in trigeminal spinal nucleus and its tract,trigeminal principal sensory nucleus, trigeminal mesencephalic nucleus and some degenerations couldbe observed ipsilaterally in solitary tract and its nucleus, medullary lateral reticular nucleus, giganto-cellular reticular nucleus and nucleus raphe magnus following transection of infraorbital nerve. A verymoderate degenerative fibers could be identifed in ipsilateral accessory spinal nucleus and spinal reticu-lar nucleus. A few degenerative fibers were seen on the contralateral magnocellular part of caudatepart of trigeminal spinal nucleus by passing through the posterior commissure of canalis centralis.These results suggest that the primary information of acupoints of Quanliao and Shibai could be trans-mittered into the above展开更多
<strong>Background:</strong> Aging changes to the lower eyelids and midface include all but not only these changes: pseudoherniated orbital fat, tear trough deformity, lid laxity, and dermatochalasis. Surg...<strong>Background:</strong> Aging changes to the lower eyelids and midface include all but not only these changes: pseudoherniated orbital fat, tear trough deformity, lid laxity, and dermatochalasis. Surgical repair often aims at treating redundant skin or orbital fat malposition with a lower eyelid blepharoplasty. In manipulating the inferior orbital fat pads, a surgeon has many options including excision, repositioning, or augmentation with synthetic dermal filler, autologous fat grafts, or acellular dermal allografts <a href="#ref1">[1]</a>. The aim of this study is to find the best approach in preventing fat herniation reccurnce in lower lid blepharoplasty. <strong>Methods: </strong>The patients in study were classified into three groups depending on the used surgical technique, to test the most effective technique associated with minimal rate of lower fat pad recurrence after surgery. Two of these techniques include a muscular flap suspension from the orbicularis oculae muscle. <strong>Results: </strong>The two surgical techniques that include orbicularis oculi muscle suspension are associated with no recurrence of lower herniated fat pads after blepharoplasty. <strong>Conclusions:</strong> The suspension of orbicularis oculi muscle has an important role in enhancing the lower orbital septum and prevents the recurrence of the lower herniated fat pads.展开更多
文摘Introduction: The trapdoor effect can pose a significant cosmetic issue after transposition flap surgery or trauma. It is characterized with bulging of tissue around a circular or semi-circular scar commonly found after removal of cutaneous tumors.Case presentation: A 60-year-old female patient with trapdoor effect after surgery was successfully treated with long-term non-invasive technique of intralesional triamcinolone acetate set with a biweekly interval for twelve months.Discussion: There are currently no definitive methods of removing this condition. Non-surgical approach is often more preferred by patients, such as with the use of intralesional corticosteroid of triamcinolone acetate. However, information about this is still limited. In this case, the patient experienced satisfying result without observed complications related to corticosteroids injection on the infraorbital region.Conclusion: Intralesional corticosteroid is a safe and economical method to treat the trapdoor effect.
基金supported by the Shanghai Municipal Key Clinical Specialty Project(grant no.shslczdzk00901).
文摘Laser and light treatments have recently become popular owing to its efficacy in treating laxity,rhytids,hyperpigmentation of the lower eyelids,and drooping of septum fat.For several decades,our department has explored the application of laser and light treatment for eye rejuvenation.This paper summarizes common treatment methods and analyzes the published literature on the indications and outcomes of multiple laser and light treatments for lower eyelid rejuvenation.An extensive survey of peer-reviewed literature was performed using PubMed,with the search terms“noninvasive treatment”,“infraorbital”,“palpebral bags”,“lower eyelid”,“radiofrequency(RF)”,“laser”,“nonsurgical skin tightening”,and“noninvasive fat reduction”.The results showed that the use of lasers,intense pulsed light(IPL),monopolar RF,bipolar RF,AdipoLASER rejuvenation(ALJ),and fractional RF microneedling are safe and effective treatments for palpebral bags.We conclude that using Qswitched lasers,IPL,RF,ALJ,and fractional RF microneedling is safe and effective for lower eyelid rejuvenation,with minimal complications and quick recovery.Further research and development of optoelectronic therapy may encourage breakthroughs in lower eyelid treatment,such as simplified complex surgery and noninvasive methods.
文摘Using transganglionic degenerative methed, we investigated the primary afferentinformation of acupoints of Quanliao (SI 18) and Shibai(ST 2). The results showed that the largeamounts of degenerative fibers could be found bilaterally in trigeminal spinal nucleus and its tract,trigeminal principal sensory nucleus, trigeminal mesencephalic nucleus and some degenerations couldbe observed ipsilaterally in solitary tract and its nucleus, medullary lateral reticular nucleus, giganto-cellular reticular nucleus and nucleus raphe magnus following transection of infraorbital nerve. A verymoderate degenerative fibers could be identifed in ipsilateral accessory spinal nucleus and spinal reticu-lar nucleus. A few degenerative fibers were seen on the contralateral magnocellular part of caudatepart of trigeminal spinal nucleus by passing through the posterior commissure of canalis centralis.These results suggest that the primary information of acupoints of Quanliao and Shibai could be trans-mittered into the above
文摘<strong>Background:</strong> Aging changes to the lower eyelids and midface include all but not only these changes: pseudoherniated orbital fat, tear trough deformity, lid laxity, and dermatochalasis. Surgical repair often aims at treating redundant skin or orbital fat malposition with a lower eyelid blepharoplasty. In manipulating the inferior orbital fat pads, a surgeon has many options including excision, repositioning, or augmentation with synthetic dermal filler, autologous fat grafts, or acellular dermal allografts <a href="#ref1">[1]</a>. The aim of this study is to find the best approach in preventing fat herniation reccurnce in lower lid blepharoplasty. <strong>Methods: </strong>The patients in study were classified into three groups depending on the used surgical technique, to test the most effective technique associated with minimal rate of lower fat pad recurrence after surgery. Two of these techniques include a muscular flap suspension from the orbicularis oculae muscle. <strong>Results: </strong>The two surgical techniques that include orbicularis oculi muscle suspension are associated with no recurrence of lower herniated fat pads after blepharoplasty. <strong>Conclusions:</strong> The suspension of orbicularis oculi muscle has an important role in enhancing the lower orbital septum and prevents the recurrence of the lower herniated fat pads.
