Purpose: To revisit an important but outmoded periorbital reconstructive technique. We present cases to illustrate the usefulness of the Fricke flap and describe a method of rapid intraoperative tissue expansion (RITE...Purpose: To revisit an important but outmoded periorbital reconstructive technique. We present cases to illustrate the usefulness of the Fricke flap and describe a method of rapid intraoperative tissue expansion (RITE), which can enhance the applicability and effectiveness of the Fricke flap. A comparison between those cases performedwith andwithout adjunctive RITE was not made due to the low numbers available. Methods: A retrospective review of clinical cases. Results: A total of 20 cases in which the Fricke flap was used for periorbital reconstruction were reviewed. The mean patient age was 64.7 years; the male-to-female ratio was 1:1. The patient follow-up ranged from 1 to 8 years with a mean of 4.2 years. The most common cause (65% ) of periorbital defect was excision of eyelid malignancy. Necrosis of the terminal segment of the flap requiring further surgical intervention occurred in 10% (2/20). In both of these cases, the surgeons were trainees, with the complications being due to poor surgical technique. In the first case, the flap base was too narrow and in the second case, the distal end of the flap was thinned excessively. The functional result was excellent in 10/20 (50% ), good in 5/20 (25% ), fair in 3/20 (15% ), and poor in 2/20 (10% ). The cosmetic result was excellent in 3/20 (15% ), good in 12/20 (60% ), fair in 3/20 (15% ), and poor in 2/20 (10% ). Conclusion: The Fricke flap is an important and, in selected cases, an indispensable technique in periorbital reconstruction.展开更多
为了评估全球高血压患者中表观难治性、假性难治性和真性难治性高血压的特异性患病率，Noubiap等通过PubMed，EMBASE，Web of Science和Global Index Medicus等资料库搜索从建库到2017年9月30日所发表的文章，并检索出文章中的参考文献...为了评估全球高血压患者中表观难治性、假性难治性和真性难治性高血压的特异性患病率，Noubiap等通过PubMed，EMBASE，Web of Science和Global Index Medicus等资料库搜索从建库到2017年9月30日所发表的文章，并检索出文章中的参考文献列表，进行系统回顾和荟萃分析，并应用随机效应模型估算文章中难治性高血压的患病率，应用CochranQ统计量的x^2检验评估异质性。展开更多
文摘Purpose: To revisit an important but outmoded periorbital reconstructive technique. We present cases to illustrate the usefulness of the Fricke flap and describe a method of rapid intraoperative tissue expansion (RITE), which can enhance the applicability and effectiveness of the Fricke flap. A comparison between those cases performedwith andwithout adjunctive RITE was not made due to the low numbers available. Methods: A retrospective review of clinical cases. Results: A total of 20 cases in which the Fricke flap was used for periorbital reconstruction were reviewed. The mean patient age was 64.7 years; the male-to-female ratio was 1:1. The patient follow-up ranged from 1 to 8 years with a mean of 4.2 years. The most common cause (65% ) of periorbital defect was excision of eyelid malignancy. Necrosis of the terminal segment of the flap requiring further surgical intervention occurred in 10% (2/20). In both of these cases, the surgeons were trainees, with the complications being due to poor surgical technique. In the first case, the flap base was too narrow and in the second case, the distal end of the flap was thinned excessively. The functional result was excellent in 10/20 (50% ), good in 5/20 (25% ), fair in 3/20 (15% ), and poor in 2/20 (10% ). The cosmetic result was excellent in 3/20 (15% ), good in 12/20 (60% ), fair in 3/20 (15% ), and poor in 2/20 (10% ). Conclusion: The Fricke flap is an important and, in selected cases, an indispensable technique in periorbital reconstruction.
文摘为了评估全球高血压患者中表观难治性、假性难治性和真性难治性高血压的特异性患病率，Noubiap等通过PubMed，EMBASE，Web of Science和Global Index Medicus等资料库搜索从建库到2017年9月30日所发表的文章，并检索出文章中的参考文献列表，进行系统回顾和荟萃分析，并应用随机效应模型估算文章中难治性高血压的患病率，应用CochranQ统计量的x^2检验评估异质性。
