皮肤磨削术治疗面部雀斑1400例临床分析

目的:探讨皮肤磨削术治疗面部雀斑的临床应用价值。方法:回顾性分析我院应用皮肤磨削术治疗面部中、重度雀斑1400例的临床效果。结果:治愈率为80%,轻度复发率为20%,总有效率为100%,其主要并发症为色素沉着。结论:皮肤磨削术是治疗面部雀斑的理想方法,只要严格掌握适应证,就能够取得良好的治疗效果。     

Anesthesia for Facial Surgery

We describe a reliable, simple, and safe method of monitored anesthesia care, with local anesthesia, which was used for 4500 patients undergoing facial rejuvenation procedure, without major complications and with minor side effects. All procedures were performed in a setup of a private clinic not affiliated with any hospital. The disadvantages of general anesthesia were avoided. Using careful monitoring and drug titration, even aged patients with medical problems, can benefit from this method. We are using classical, inexpensive, and safe compounds, which cope with all goals of anesthesia for aesthetic facial surgery.     

Management of resistant halo nevi

Background: Halo nevus (HN) is a rare dermatologic disorder characterized by typical whitish rim surrounding an existing melanocytic nevus resembling halo. It is a cosmetic problem that may be linked to vitiligo, and it is advised to remove these nevi in order to avoid development of vitiligo.

Objectives: The aim of the present study is to evaluate the cosmetic outcome after nevus removal and leukoderma dermabrasion with epithelial graft followed by narrow-band ultraviolet B (NB-UVB) phototherapy as management of resistant halo nevi and avoidance of development of vitiligo.

Patients and Methods: Ten patients with persisting halo nevi were selected as candidates in this study. Superficial dermabrasion was carried out using proper diamond fraises on depigmented rim and then punch biopsy probes with suitable size were used to harvest the nevus. Thiersch graft was prepared and applied on the dermabraded depigmented area. After 1 week of the procedure, patients were exposed to NB-UVB twice weekly and were followed up for 3 months.

Results: Repigmentation was noticed in 2 weeks and was nearly fully accomplished in all 10 patients within the 3-month period. No other vitiligo lesions developed during this period in all patients except for one case.

Conclusion: Excision of Sutton’s nevus with combined dermabrasion and Thiersch grafting followed by phototherapy is a good aesthetic maneuver in treating halo nevi and helps in avoiding further vitiligo depigmentation.     

磨削加自体超薄皮片移植术临床应用

目的总结磨削加自体超薄皮片移植术临床应用效果。方法2005年1月至2006年12月用磨削加自体超薄皮片移植术治疗瘢痕346例。结果创面愈合时间10~14 d。痊愈145例,显效176例,有效25例。结论磨削加自体超薄皮片移植术治疗瘢痕安全、有效。     

WDJ-CP-1型擦皮整容机的临床应用

目的:探讨WDJ-CP-1型擦皮整容机的临床应用价值。方法:使用WDJ-CP-1型擦皮整容机,临床施术240例,与CPJ-Ⅰ型擦皮整容机性能进行比较。结果:WDJ-CP-1型擦皮整容机体积小、噪音低、经久耐用、操作简单、易于消毒、磨削率高、安全可靠。结论:WDJ-CP-1型擦皮整容机是目前国内擦皮整容术的良好工具。     

机械磨削术治疗瑞尔黑变病的疗效观察

目的:探讨机械磨削术治疗Riehl’s黑变病的临床疗效。方法:2010年2月-2018年10月笔者科室收治瑞尔黑变病患者8例,所有患者采用机械磨削治疗,均随访1年以上。利用5分法对机械磨削治疗的临床疗效进行评价,患者对治疗满意度进行评价。结果:8例Riehl’s黑变病患者,经治疗皮损均较治疗前消退75%以上,未见复发,7例非常满意,1例满意。不良反应均能耐受,主要为红斑、结痂及短暂的色素沉着。结论:机械磨削术治疗Riehl’s黑变病安全、有效。     

Dermabrasion: state of the art 2002

Dermabrasion is a resurfacing procedure that has been part of dermatology for almost 100 years. With the advent of laser resurfacing in the 1990s, the art of dermabrasion has temporarily been partially eclipsed. This review article covers the history of dermabrasion, (pre-operative selection of patient equipment, the techniques and the post-operative care of dermabrasion patients. Many clinical examples are illustrated. The combination of dermabrasion with other resurfacing techniques, such as laser (CO(2 )and Erbium) and chemical peels (trichloracetic acid (TCA)) are illustrated.     

鼻赘期酒渣鼻14例临床治疗分析

目的：探讨鼻赘期酒渣鼻的临床特点及外科治疗方法。方法：对14例鼻赘期酒渣鼻患者,采用磨削术、磨削加切割及外科切除鼻赘后鼻整形加切割治疗。结果：14例鼻赘期酒渣鼻患者经上述外科治疗后,均取得了满意的疗效。结论：应根据鼻赘增生的程度选择不同的手术方式。