BACKGROUND The management of tongue carcinoma is excision and radical neck dissection followed with reconstruction.This is a case report of a patient with tongue squamous cell carcinoma(SCC)who underwent the procedure...BACKGROUND The management of tongue carcinoma is excision and radical neck dissection followed with reconstruction.This is a case report of a patient with tongue squamous cell carcinoma(SCC)who underwent the procedure with sternocleidomastoid(SCM)flap reconstruction.CASE SUMMARY A 52-year-old woman without smoking history complained tongue ulcer since 3 years ago.Based on the histopathological examination,the patient was diagnosed with T2N2M0 right tongue SCC and underwent wide excision of tumor;right mandibular;neck dissection and were reconstructed with SCM flap.CONCLUSION SCC of the tongue requires wide excision and dissection of the neck and mandible if infiltration into the surrounding lymph nodes has been found.The SCM flap reconstruction could be used post-surgery.展开更多
目的 评价不同时期介入主动头部控制训练在斜颈患儿中的干预效果,为促进斜颈患儿的转归及粗大运动发育提供科学依据。方法 选取2022年1月-2023年12月于中国医科大学附属盛京医院第二康复门诊就诊的70例斜颈患儿为研究对象,根据头控训练...目的 评价不同时期介入主动头部控制训练在斜颈患儿中的干预效果,为促进斜颈患儿的转归及粗大运动发育提供科学依据。方法 选取2022年1月-2023年12月于中国医科大学附属盛京医院第二康复门诊就诊的70例斜颈患儿为研究对象,根据头控训练介入时间不同,分为观察组与对照组各35例,两组均对短缩的胸锁乳突肌进行被动牵伸训练。对照组患儿可以俯卧位主动抬头45°,并且抬头时间≥30s时介入主动的头控训练;观察组在首次治疗开始时就介入主动的头控训练。比较训练前、后两组患儿颈部被动活动度(头向患侧旋转和向健侧侧屈)、双侧胸锁乳突肌厚度比值和粗大运动功能水平。结果 训练后观察组在婴儿运动表现测试总分(96.26±10.01 vs. 89.97±8.96,t=2.769)、诱发条目得分(86.80±9.29 vs. 80.91±7.95,t=2.847)显著高于对照组,差异有统计学意义(P<0.05);进一步比较训练前后差值,观察组婴儿运动测试总分差值(49.20±10.83 vs. 43.54±7.87,t=2.500)、诱发条目得分差值(43.66±10.30 vs. 38.37±7.33,t=2.474)显著大于对照组,差异有统计学意义(P<0.05)。结论 早期介入主动头部控制训练,可以促进斜颈患儿粗大运动发育水平和双侧胸锁乳突肌的对称性收缩。展开更多
目的:比较胸锁乳突肌肌间入路(SMIA)与低领弧形切口颈白线入路(LACA)单侧甲状腺癌根治术治疗甲状腺癌患者的效果。方法:回顾性分析2020—2023年西平县第二人民医院收治的60例单侧甲状腺癌患者的临床资料,根据手术入路不同将其分为对照...目的:比较胸锁乳突肌肌间入路(SMIA)与低领弧形切口颈白线入路(LACA)单侧甲状腺癌根治术治疗甲状腺癌患者的效果。方法:回顾性分析2020—2023年西平县第二人民医院收治的60例单侧甲状腺癌患者的临床资料,根据手术入路不同将其分为对照组和观察组各30例。两组均行单侧甲状腺癌根治术,对照组选择LACA,观察组选择SMIA,比较两组围手术期指标(中央区淋巴结清扫数量、术中出血量、手术时间、术后引流量、住院时间)水平、术后疼痛[视觉模拟评分法(VAS)]评分、术后切口美观度[温哥华瘢痕评估量表(VSS)]评分、术后3个月并发症发生率和手术前后生命质量[生活质量综合评定问卷-74(GQOLI-74)]评分。结果:两组中央区淋巴结清扫数量、术中出血量、手术时间、术后引流量、住院时间比较,差异均无统计学意义(P>0.05);观察组术后12、24、48 h VAS评分均低于对照组,差异有统计学意义(P<0.05);观察组色泽、血管分布、厚度、柔软度等VSS评分均低于对照组,差异有统计学意义(P<0.05);两组并发症发生率比较,差异无统计学意义(P>0.05);术后3个月,观察组心理功能、躯体功能、社会功能、物质生活状态等GQOLI-74评分均高于对照组,差异有统计学意义(P<0.05)。结论:SMIA单侧甲状腺癌根治术治疗甲状腺癌患者可提高生命质量评分,降低术后疼痛和切口美观度评分,效果优于LACA单侧甲状腺癌根治术治疗。展开更多
Aim:Improving the cervical contour is one of the main goals of patients seeking face and neck rejuvenation.However,little attention has been dedicated to refine the anterior border of the sternocleidomastoid muscles a...Aim:Improving the cervical contour is one of the main goals of patients seeking face and neck rejuvenation.However,little attention has been dedicated to refine the anterior border of the sternocleidomastoid muscles and to improve the inferior neck.In this study,the authors sought to describe new surgical tactics to address these issues.Methods:The records of 1,019 patients were evaluated retrospectively.Surgical strategies to treat the neck were reviewed and two new approaches,described.Plication of the sternohyoid muscles and lateral plication of the platysma along the anterior border of the sternocleidomastoid muscles are detailed and supplemented with a video.Results:Of the 1,019 patients,937 patients(91.9%)underwent subplatysmal neck lift.Three-hundred-and-forty-eight patients(34.1%)underwent sternohyoid muscles plication,and 784 patients(76.9%)had rejuvenation of the sternocleidomastoid muscles.The most common complication was weakness of the lower lip depressors[79 patients(7.7%)].Conclusion:Approaching the sternohyoid muscles and rejuvenating the sternocleidomastoid muscles are new reliable and effective tactics to optimize results in neck lifts.展开更多
文摘BACKGROUND The management of tongue carcinoma is excision and radical neck dissection followed with reconstruction.This is a case report of a patient with tongue squamous cell carcinoma(SCC)who underwent the procedure with sternocleidomastoid(SCM)flap reconstruction.CASE SUMMARY A 52-year-old woman without smoking history complained tongue ulcer since 3 years ago.Based on the histopathological examination,the patient was diagnosed with T2N2M0 right tongue SCC and underwent wide excision of tumor;right mandibular;neck dissection and were reconstructed with SCM flap.CONCLUSION SCC of the tongue requires wide excision and dissection of the neck and mandible if infiltration into the surrounding lymph nodes has been found.The SCM flap reconstruction could be used post-surgery.
文摘目的 评价不同时期介入主动头部控制训练在斜颈患儿中的干预效果,为促进斜颈患儿的转归及粗大运动发育提供科学依据。方法 选取2022年1月-2023年12月于中国医科大学附属盛京医院第二康复门诊就诊的70例斜颈患儿为研究对象,根据头控训练介入时间不同,分为观察组与对照组各35例,两组均对短缩的胸锁乳突肌进行被动牵伸训练。对照组患儿可以俯卧位主动抬头45°,并且抬头时间≥30s时介入主动的头控训练;观察组在首次治疗开始时就介入主动的头控训练。比较训练前、后两组患儿颈部被动活动度(头向患侧旋转和向健侧侧屈)、双侧胸锁乳突肌厚度比值和粗大运动功能水平。结果 训练后观察组在婴儿运动表现测试总分(96.26±10.01 vs. 89.97±8.96,t=2.769)、诱发条目得分(86.80±9.29 vs. 80.91±7.95,t=2.847)显著高于对照组,差异有统计学意义(P<0.05);进一步比较训练前后差值,观察组婴儿运动测试总分差值(49.20±10.83 vs. 43.54±7.87,t=2.500)、诱发条目得分差值(43.66±10.30 vs. 38.37±7.33,t=2.474)显著大于对照组,差异有统计学意义(P<0.05)。结论 早期介入主动头部控制训练,可以促进斜颈患儿粗大运动发育水平和双侧胸锁乳突肌的对称性收缩。
文摘目的:比较胸锁乳突肌肌间入路(SMIA)与低领弧形切口颈白线入路(LACA)单侧甲状腺癌根治术治疗甲状腺癌患者的效果。方法:回顾性分析2020—2023年西平县第二人民医院收治的60例单侧甲状腺癌患者的临床资料,根据手术入路不同将其分为对照组和观察组各30例。两组均行单侧甲状腺癌根治术,对照组选择LACA,观察组选择SMIA,比较两组围手术期指标(中央区淋巴结清扫数量、术中出血量、手术时间、术后引流量、住院时间)水平、术后疼痛[视觉模拟评分法(VAS)]评分、术后切口美观度[温哥华瘢痕评估量表(VSS)]评分、术后3个月并发症发生率和手术前后生命质量[生活质量综合评定问卷-74(GQOLI-74)]评分。结果:两组中央区淋巴结清扫数量、术中出血量、手术时间、术后引流量、住院时间比较,差异均无统计学意义(P>0.05);观察组术后12、24、48 h VAS评分均低于对照组,差异有统计学意义(P<0.05);观察组色泽、血管分布、厚度、柔软度等VSS评分均低于对照组,差异有统计学意义(P<0.05);两组并发症发生率比较,差异无统计学意义(P>0.05);术后3个月,观察组心理功能、躯体功能、社会功能、物质生活状态等GQOLI-74评分均高于对照组,差异有统计学意义(P<0.05)。结论:SMIA单侧甲状腺癌根治术治疗甲状腺癌患者可提高生命质量评分,降低术后疼痛和切口美观度评分,效果优于LACA单侧甲状腺癌根治术治疗。
文摘Aim:Improving the cervical contour is one of the main goals of patients seeking face and neck rejuvenation.However,little attention has been dedicated to refine the anterior border of the sternocleidomastoid muscles and to improve the inferior neck.In this study,the authors sought to describe new surgical tactics to address these issues.Methods:The records of 1,019 patients were evaluated retrospectively.Surgical strategies to treat the neck were reviewed and two new approaches,described.Plication of the sternohyoid muscles and lateral plication of the platysma along the anterior border of the sternocleidomastoid muscles are detailed and supplemented with a video.Results:Of the 1,019 patients,937 patients(91.9%)underwent subplatysmal neck lift.Three-hundred-and-forty-eight patients(34.1%)underwent sternohyoid muscles plication,and 784 patients(76.9%)had rejuvenation of the sternocleidomastoid muscles.The most common complication was weakness of the lower lip depressors[79 patients(7.7%)].Conclusion:Approaching the sternohyoid muscles and rejuvenating the sternocleidomastoid muscles are new reliable and effective tactics to optimize results in neck lifts.
文摘目的观察颈椎牵引在不同加载质量和牵引角度时颈部肌肉表面肌电(electromyography,EMG)信号的变化特点,并与Any Body软件颈椎建模仿真所得的相关肌肉力活性变化特点进行对比,验证仿真结果的合理性。方法选取10例青年志愿者,行仰卧位颈椎牵引,JE-TB0810表面肌电仪测试颈部双侧胸锁乳突肌、斜方肌上部EMG信号,利用平均肌电值(average EMG,AEMG)和平均功率频率(mean power frequency,MPF)分析颈部EMG信号的变化规律。结果斜方肌上部和胸锁乳突肌AEMG均随着加载质量和牵引角度的增大而增大,差异均具有统计学意义(P<0.05),斜方肌上部AEMG较胸锁乳突肌高,差异有统计学意义(P<0.05);2对肌肉在不同牵引角度和加载质量下MPF比较,差异无统计学意义(P>0.05);实验结果与颈椎牵引建模仿真所得斜方肌上部和胸锁乳突肌肌肉力活性特点相符。结论仿真结果具有一定的合理性,临床上可根据颈部肌肉的兴奋程度和疲劳时间合理施加牵引重量,既达到治疗效果,也提高患者的舒适性,为颈椎牵引设备的进一步研制和改进提供重要参考。
