CT辅助咽后壁瓣手术设计

目的 建立CT辅助设计咽后壁瓣的方法,以提高治疗效果。方法 应用CT测量26例腭咽闭合不全者在静止和发“i”时腭咽腔的宽度和长度,观察分析咽后壁瓣成形术所需的宽度、长度和咽后壁瓣蒂的位置和与软腭的附着位置。结果 静止时腭咽腔的宽度15.10-37.25mm,平均27.01mm,长度12.54-30.39mm,平均22.10mm;发“i”时腭咽腔的宽度为9.11-34.06mm,平均17.69mm;咽后壁瓣蒂的位置都在第一颈椎平面或以上;与软腭的附着位置大部分在软腭的中后1/3处。结论 CT作为一种定量评价腭咽闭合功能的方法,能够辅助设计咽后壁瓣手术方法。     

软衬材料用于下颌慢性牙槽嵴疼痛的临床评价

目的：评价软衬材料用于治疗下颌慢性牙槽嵴疼痛的效果。方法：对16例下颌慢性牙槽嵴疼痛的患者,采用Molloplast-B软衬材料衬垫下颌全口义齿,于修复后1个月行舒适度问卷调查,采用秩和检验进行统计学分析,于使用软衬前后进行咀嚼效能测定。结果：16例患者的疼痛症状均有缓解,7例患者的固位有改善,14例咀嚼效果有改善;使用软衬后咀嚼效能显著提高。结论：短期内Molloplast-B软衬材料对下颌慢性牙槽嵴疼痛,有良好的临床效果。     

Heterotrophic ossification on a skin graft in a postburn scar of the chin

Some patients who have heterotrophic ossification (HO) in a postburn scar are occasionally seen in the clinic. The occurrence of HO following hip and abdominal surgery is common in males, whereas females are frequently affected following burns. The HO of skin grafts in burn scars of the superior body parts is uncommon, especially on the face. We report a recent case of a male patient in whom HO arose on skin grafts on his chin. The patient presented with a history of a painless chin mass for 48 years. Computed tomography scan suggested that the mass was located within subcutaneous tissue away from the lower jaw. The density of the mass was almost the same as the cortical bone of the lower jaw. The mass was completely resected under general anesthesia. It was a rectangular mass of 3× 0.5× 0.3 cm. Histological examination gave the diagnosis of HO, which was also confirmed by immunohistochemical stainings for vimentin. Recurrence was not found in this case by clinical and radiologic follow-up at 1 year after surgery.     

Sudden change of a large congenital melanocytic nevus to neurocutaneous melanosis

Neurocutaneous melanosis (NCM) is a congenital phakomatosis in which large congenital melanocytic nevi are associated with a benign or malignant melanocytic tumor of the leptomeninges. Because the prognosis of patients with symptomatic NCM is poor, it is essential to monitor the large congenital melanocytic patient regularly for a neurological evaluation. However, it has not been reported how quickly the lesion could appear. We observed a case of NCM suddenly developing in a large congenital melanocytic nevi patient. With this case, the NCM had developed within six months and was aggravated during the subsequent six months.     

舌大小二维超声成像测量分析方法的建立及其评价

目的：建立一种舌大小测量分析方法，为舌大小在错He发病中的作用研究奠定基础。方法：采用B超超声像方法取舌正中纵断面和横切面图像，选取代表舌大小的参数进行测量，从而分析舌大小。结果：通过对测量结果的可重复性和准确性检验。认为这一测量方法是准确可行的，结论：建立的舌大濒分析方法可以作为研究手段使用。     

骨性二类错患者上、下颌骨矢状结构病因机制分析

目的:研究我国骨性二类错患者的病因机制是以上颌前突为主,还是下颌后缩为主,根据其病因机制找出合理的治疗方法。方法:在头颅定位侧位X线片上,以ANB角大于5°作为判定标准,随机选取56例骨性二类错患者为研究样本,以SNA、SNB为分析指标,分析上、下颌在矢状方向上的突、凹程度代表的结构特征,以分析骨性二类错形成的病因机制。结果:所研究的骨性二类错患者中92.9%的患者不存在上颌前突病因机制,67.9%的患者存在下颌后缩病因机制,而且这种上、下颌骨病因机制方面的差异性是有显著的统计学意义的。结论:我国骨性二类错患者是以下颌后缩为主要机制的,提示要注重对于这种骨性二类错患者的早期下颌前移矫治,而在对于生长发育高峰期已过的患者,要注意使用能代偿这种下颌后缩骨性机制的矫治设计方案。     

五倍子水提取物去除根管内玷污层的扫描电镜观察

目的:观察五倍子对根管内玷污层的去除效果。方法:72个离体单根牙随机分为9组,冲洗液为五倍子组(分别为200、100、50、25、12.5、6.25mg/mL)、30mL/L过氧化氢液加生理盐水组、170g/LEDTA加52.5g/LNaOCl组(阳性对照)、双蒸水组(阴性对照)。根管预备后用各冲洗液冲洗,选根中部分进行扫描电镜观察。样本分为10个区,分别评分,结果进行统计学分析。结果:170g/LEDTA加52.5g/LNaOCl组去除玷污层效果最好,但管周牙本质有过度脱矿现象。25、50、100、200mg/mL五倍子组去除玷污层的效果较好,其去除玷污层的能力随浓度增加而增大,且牙本质小管有缩小的现象,当大于50mg/mL时牙本质小管被堵塞。30mL/L过氧化氢液加生理盐水组和双蒸水组不能去除玷污层。结论:大于6.25mg/mL的五倍子水提取物有去除玷污层的作用,随浓度增大,牙本质小管缩小并出现堵塞。     

Mandibular distraction osteogenesis reconstructed the upper airway in a case of Melnick�CNeedles syndrome

Introduction

We report a 16-year-old female with Melnick?CNeedles syndrome complicated with severe obstructive sleep apnea?Chypoxia syndrome.

Clinical report

An overnight sleep study demonstrated that the patient had severe obstructive sleep apnea with an apnea?Chypopnea index of 95/h. The lowest oxygen saturation was only 34%. The distraction osteogenesis technique was used to lengthen her mandible for the reconstruction of her upper airway.

Result and Discussion

Postoperative panorex showed that the bilateral body of her mandible had been distracted about 16?mm singulorumly in the end of our distraction. Lateral radiograph revealed that the diameter of oral pharynx widen nearly 5?mm. The patient recovered after the upper airway reconstruction.     

CGF-1型复合体抑龋能力的研究

目的 :评价CGF - 1型复合体的抑龋能力。方法 :新拔除的磨牙 40个 ,于釉牙骨质交界处制洞(4mm× 2mm× 1.5mm) ,分别用CGF - 1型复合体、Dyract复合体、FujiⅠ玻璃离子、Durafill复合树脂充填 ,致龋酸胶(pH =4)中浸泡 2 1d后 ,偏光镜下观察充填材料周围类龋损的形成情况。结果 :充填体周围类龋损呈矩形 ,呈正双折射改变 ,CGF - 1型复合体周围类龋损在釉质和牙本质 -牙骨质的平均深度大于FujiⅠ玻璃离子和Dyract复合体 ,但较Durafill复合树脂小。结论 :CGF - 1型复合体具有一定的抑龋能力但较FujiⅠ玻璃离子和Dyract复合体弱。     

静态拉伸应变对人牙周膜成纤维细胞的影响

目的：研究人牙周膜成纤维细胞(PDLF)在机械拉伸应变作用下，细胞和细胞核投影面积及其细胞骨架的改变情况，探讨PDLF的形态、功能和应变之间的关系。方法：采用自制的细胞体外静态机械加载装置用不同的拉伸应变量加力于细胞上，通过激光扫描共聚焦显微镜观察细胞骨架的形态及其改变情况，并进行统计分析。结果：在8％、12％、16％力值组，细胞和细胞核投影面积随着加力时间和力值的增加而每天递增，肌动蛋白纤维也随之逐渐增粗，排列更有规律；而在20％力值组，其结果则反之。结论：静态拉伸应变可影响牙周膜成纤维细胞的骨架。