Essential filling was substituted with dexamethasone gauze （not press hardl）. Meanwhile, patients got methylprednisolone by mouth as well as ended up intramuscularly injected together with mecobalamine. ResultAmong ten patients, there have been six individuals using side direct exposure associated with face neurological and 2 sufferers using pyramis direct exposure regarding facial neural. There were one particular situation, a few situations and two instances of delayed cosmetic paralysis in five days, 1 week and 2 weeks right after procedure correspondingly. There are half a dozen individuals experiencing the particular facial paralysis associated with early medical intervention HB Ⅱ level and a couple patients struggling with the particular facial paralysis associated with HB Ⅲ grade. 4 sufferers recoverable one month and the remaining 4 sufferers delivered to normal about six weeks soon after medical procedures. ConclusionDelayed skin paralysis is one kind of issues with the center ear medical procedures, and many associated with sufferers may recover fully soon after traditional treatment.ObjectiveTo compare the beneficial effect of otoendoscopic tympanoplasty with acellular skin allograft（AlloDerm） along with tragus flexible material perichondrium. Method121 individuals that have variety Ⅰ tympanoplasty below DNA inhibitor otoscope were retrospectively examined. Based on the grafts utilised, these were separated into a pair of teams AlloDerm team （56 cases） along with tragus flexible material perichondrium party （65 cases）. Your operative time, postoperative tympanic membrane recovery price, and also listening to AIT Allergy immunotherapy recovery have been compared involving 2 teams. The actual follow-up there was a time a year. ResultThe key amount of time in the AlloDerm party were less than those involved with your tragus cartilage material perichondrium group（P0.05）. ConclusionBoth the actual AlloDerm and also the tragus cartilage perichondrium tympanoplasty can perform satisfactory recovery rate from the tympanic tissue layer and also audiologic enhancement. Even so, AlloDerm includes a small operation time, you should not get components and much less trauma, and is importance of promotion as well as request.ObjectiveTo appraise the medical program worth of high frequency color Doppler ultrasound（HFCUS） joined with microvascular staple remover inside the fix of mouth and also maxillofacial problems with the anterolateral leg perforator flap. MethodForty maxillofacial cancer cancer individuals had been separated into HFCUS+stapler group（23 cases） and also handle group（17 cases）. All instances utilized anterolateral upper leg flap with out fascia lata to correct your gentle muscle deficiency within the surgical location. One artery as well as veins were anastomosed throughout the function. The flap had been gathered through 6.3 cm×7.2 centimeters to be able to Ten.Zero cm×12.0 centimeters, as well as the donor sites were shut down and sutured simultaneously. In class HFCUS+stapler, HFCUS was used to get the actual perforating yachts and level the positioning on the human body surface your operation, as well as the spider vein had been anastomosed intraoperatively having a hole punch. Within the handle party, only iliac patella collection had been set ahead of function, along with the abnormal vein was personally sutured during function. The particular clinical information of 2 groupings was avoi handle class.