Midcheek mass: 10 year of clinical experience

This is a literature review and retrospective chart review of ten years experience on the treatment of midcheek masses in our department. The purpose of this study is to provide the reader with an overview of the pathology of this complex anatomic area focusing the attention on the differential diagnosis and the recent surgical strategies.From May 2002 to December 2012 we enrolled 22 consecutive patients studied for masses located in the midcheek area. Only four studies were found in the literature describing the experience of individual centres reporting few cases of midcheek masses. Combined with the previously reported 37 cases, we describe 22 lesions for a total of 59 cases. Patients were evaluated with a head and neck clinical and instrumental examination. Apart from 4 cases treated with intramuscular infiltration of botulinum toxin for masseter hypertrophy, surgical approach to the lesions was varied: 10 patients received an external approach (standard parotidectomy approach or face-lift-type approach); 6 patients had the lesion removed through an intraoral approach; in 2 cases a direct skin incision was performed. In our series we found a significant rate (55.5%) of temporary complications in all the procedures performed (external, intraoral, direct skin approach). This study aims to emphasize the role of endoscope assisted surgery as a possible alternative to the traditional approaches for the management of well selected benign midcheek masses.It would be advisable to increase the study of the endoscopic anatomy of the midcheek area in order to standardize the procedure and better define the surgical indications.     

超声诊断女性生殖器畸形的临床价值

二维超声可诊断较典型的子宫畸形。三维超声既能显示子宫外形，又能显示宫腔情况，还能量化畸形的程度，而且无创、费用低、可重复性高，相比二维超声、输卵管子宫造影准确性较高，已经被越来越多的应用于诊断复杂的子宫畸形。     

先天性二尖瓣瓣上隔膜合并复杂心脏畸形一例并文献复习

1病例资料 患儿男性，8岁7个月，因“发现心脏杂音8年”入院。生长发育、活动量稍差，多汗，易感冒。无发作呼吸困难、发绀、晕厥、黑蒙，无咯血，无水肿。既往史：无特殊。查体：血压：右上：100／60mmHg（1mmHg=0．133kPa）：右下：80／50mmHg。     

Case of double-outlet right ventricle after repair with pulmonary arteriovenous malformations using cardiac CT

We present a case where cardiac CT clearly defines the complex anatomy of a 22 year old man with double outlet right ventricle who is status bilateral bidirectional Glenn and Fontan conduit. This case also shows the association of pulmonary arteriovenous malformations with Fontan and Glenn procedures.