施氏砭术综合疗法治疗面神经炎疗效观察

目的 观察施氏砭术综合疗法治疗面神经炎的临床疗效。方法 将120例面神经炎患者随机分为治疗组和对照组,每组60例。治疗组采用施氏砭术综合疗法治疗,对照组采用电针配合TDP治疗。比较两组治疗前后中医症状疗效及House-Brackmann（H-B）分级情况。结果 治疗组痊愈率和总有效率分别为60.0%和100.0%,对照组分别为40.0%和100.0%。治疗组治疗后痊愈率与对照组比较,差异具有统计学意义（P＜0.05）。两组患者治疗后H-B面神经功能与同组治疗前比较,差异均具有统计学意义（P＜0.01）。治疗组风寒袭络、风热袭络、风痰阻络、气虚血瘀证患者痊愈率分别为69.2%、61.1%、33.3%和50.0%,对照组分别为64.0%、33.3%、0%和10.0%,治疗组风热袭络、风痰阻络、气虚血瘀证患者痊愈率与对照组比较,差异均具有统计学意义（P＜0.05）。结论 施氏砭术综合疗法是一种治疗面神经炎的有效方法。     

王鹏琴教授针药结合治疗急性期面瘫

王鹏琴教授认为,面瘫急性期病位在经络,经气阻滞是本病病机之关键。人的体质各异,对病邪的易感性也不同,在临床将面瘫分为风寒、风热、气虚和肝阳上亢四种证型进行辨证论治。针药结合治疗面瘫,时机是关键,病程2周以内,是面瘫治疗的黄金时期,越早干预,疗效越好。     

黎凯宁心安神治疗面肌痉挛

黎凯教授认为面肌痉挛呈渐进式发展,与精神情志关系密切,病程在两个月之内治疗后易痊愈,病程长病情重经治疗后多能减轻,一定要早期尽快治疗。治疗上宜坚持针药并用原则,除平肝熄风外,重点把握宁心安神,临床有效率可大幅度提高。自拟稳神汤辨证施治,联合缪刺平衡调气、激发气血养筋针刺手法;指出根据疾病不同程度,除选取面部穴位之外,可适当选取远端穴位。     

口腔面部多间隙感染治疗分析

目的:探讨口腔面部多间隙感染的中医治疗方法与临床疗效。方法:将口腔面部多间隙感染者60例,根据治疗方法的不同分为治疗组与对照组各30例,两组都采用广谱抗生素与甲硝唑联合静滴或(和)手术治疗,在此基础上治疗组加用自拟中药汤治疗。结果:两组治愈率对比差异明显(P<0.05),两组并发症对比无明显差异(P>0.05)。结论:口腔颌面部多间隙感染是颌面部较严重的感染之一,中西药结合治疗能提高治愈率,且安全性好,值得临床推广应用。     

加减逍遥散改善面部激素依赖性皮炎患者皮肤屏障功能的临床研究

目的：观察加减逍遥散治疗面部糖皮质激素依赖性皮炎的临床疗效,探讨其改善面部皮肤屏障功能的作用机制。方法：将100 例患者随机分为两组,50 例治疗组内服加减逍遥散;50 例对照组内服氯雷他定、维生素EC 颗粒。30 天为1 个疗程。测定两组患者治疗前后经皮水分丢失量（TEWL）和皮肤红斑量,并同时检测血清IL-4 变化情况。结果：治疗组与对照组临床有效率分别是82.0%、58.0%。治疗组治疗后TEWL、皮肤红斑量均显著降低（P＜0.05）。治疗组血清IL-4 水平降低幅度明显大于对照组（P＜0.05）。结论：加减逍遥散可修复面部激素依赖性皮炎患者受损的皮肤屏障功能、降低皮肤红斑量,治疗机理可能与调节血清IL-4 有关。     

综合治疗耳部带状疱疹所致面瘫效果观察

目的：观察针刺、TDP 照射并中药内服治疗耳部带状疱疹所致面瘫临床效果。方法：选取我科近3年来收治的30例耳部带状疱疹所致面瘫患者,采用针刺＋TDP照射＋中药内服治疗。结果：治愈20例,显效6例,有效4例。结论：中医结合物理疗法治疗耳部带状疱疹所致面瘫行之有效。     

Transmylohoid/Submental Endotracheal Intubation in Pan-facial Trauma: A Paradigm Shift in Airway Management with Prospective Study of 35 Cases

The present study was planned to assess the efficacy, utility and complications of transmylohoid intubation in facial polytrauma patients, by setting and design: prospective study. This study was conducted between May 2008 and May 2011 and 35 patients of facial polytrauma were included irrespective of sex, caste and religion. All the selected 35 patients were male and the age of patients ranged between 15 to 45 years (mean age 31 years). All the patients were intubated with transmylohoid, orotracheal intubation using an armoured endotracheal tube (ETT). Average time to perform transmylohoid intubation was 15.51 + 1.85 min (mean + standarad deviation). Average time for drawing the ETT transmylohoid from the submental incision was 49.7 + 24.8 s. Mean duration for which the ETT was kept indwelling was 0.37 + 1.03 days. Accidental extubation of ETT was noted in two patients. Minor post operative complications like swelling in the submental area (2 patient), dehiscence of the submental incision (2 patient) and minor infection at the site of submental incision (3 patients) were noticed, which were found to be statistically insignificant. The transmylohoid intubation allowed simultaneous reduction and fixation of all the facial fractures and intraoperative control of dental occlusion without interference from the tube during the surgery without interfering in the maintenance of the anesthesia and air way.     

The investigation of the changing facial appearance of identical twins employing a three-dimensional laser imaging system

OBJECTIVE: An investigation to determine the changing facial appearance of identical twins. DESIGN: Clinical study. MATERIALS AND METHODS: Two Minolta Vivid 900 3D optical laser scanners were placed as a stereo pair to capture the soft tissues of a pair of identical twins. Each scan took approximately 2.5 s. The scanned whole faces were superimposed to determine changes in facial morphologies at different time intervals. OUTCOME MEASURES: The shell deviations between left and right scans of each patient were recorded and analysed for differences. Furthermore, final merged faces were overlaid to determine the changes in facial morphology over time. RESULTS: The results showed that changes in height and weight correlated with changes in facial morphology. CONCLUSION: The 3D laser scanning device is a clinically useful tool in the study of facial growth and facial morphology in a pair of twins.     

中国人Schwarz颜面侧貌分类的审美研究

目的 应用Schwarz侧貌分类方法对中国人颜面侧貌的审美进行调查。方法 选取标准中国人面像的男女各1名，拍摄侧貌像，用Photoshop图像处理软件得到符合Schwarz分类方法的男女面像各9幅。随机选取成都市居民212名对上述面像进行评价。结果 通过多组方差分析及两两比较，男性侧貌以直面型为最佳，女性侧貌以双颌稍前突面型为最佳，与其他面型的得分比较，差异有统计学意义（P＜0．001）。结论 最具吸引力的男女侧貌有差异。直颌型组是最容易接受的面型组。侧貌美学效果有个体差异。     

咬合治疗后原因不明口颌面疼痛患者的功能性磁共振成像分析

目的 探讨咬合治疗后原因不明口颌面疼痛和颞下颌关节（TMJ）滑膜炎疼痛患者中枢神经的反应及疼痛调控的特点。方法 采用脑内血氧水平依赖性信号功能性磁共振成像技术（fMRI），检查咬合治疗后原因不明口颌面疼痛患者7例、TMJ滑膜炎疼痛患者7例、健康对照者10名，共3组研究对象在紧咬牙时的脑激活区，进行整组分析并进行组间比较。结果 各组脑激活区不同，均有运动皮层和感觉、认知等脑区域的激活，其中原因不明口颌面疼痛组的丘脑和前扣带回明显激活。TMJ滑膜炎疼痛组的脑激活区为中央后回、前额叶、扣带回等，但丘脑未激活。结论 原因不明口颌面疼痛组患者感觉神经通路的敏感性和注意程度可能增加。