Palpebral emphysema following a dental procedure

Palpebral emphysema is a rare occurrence after a dental procedure. However, it can be associated with severe complications, such as soft tissue infection, pneumomediastinum, pneumothorax, optic nerve ischemia or even blindness. Early diagnosis and prompt management are mandatory for emergency physicians.     

从弑父向寻父的转变：晚生代创作转型研究

新世纪以来，随着一批以写农村题材为主的文学作品的问世，毕飞宇、李洱、林白等为中坚的晚生代作家的创作出现了转型迹象，开始有意无意从欲望都市中撤退，在乡村和历史中进行书写，显示了对写作深度和写作意义的自觉思考和追问，呈现了某种历史主义的悲悯情怀。与这种空间的转换相对应的，还有叙事立场从原先的边缘向中心的靠拢，叙事方式上从现时态的写作向过去式的写作，话语方式从原先的反讽式写作向悖论式写作转向，这些文本中呈现出了一种人到中年的精神气质，与现实和解，向历史握手。这种写作固然源于作家写作的探索，更源于现实的召唤，还来自于人到中年的生命体验。     

Transcatheter Tricuspid Valve Replacement for Treating Severe Tricuspid Regurgitation: Initial Experience With the NaviGate Bioprosthesis

Despite the growing evidence with emerging transcatheter tricuspid valve repair therapies, the experience with transcatheter tricuspid valve replacement remains sparse. We describe a case of severe tricuspid regurgitation in a 79-year-old patient deemed unsuitable for isolated tricuspid valve surgery, successfully treated with a 40-mm self-expandable NaviGate (NaviGate Cardiac Structures, Inc, Lake Forest, CA) valved stent via a transatrial approach, with excellent result and hemodynamic performance at 4 months.     

Techniques of Yang’s arthroscopic discopexy for temporomandibular joint rotational anterior disc displacement

Disc displacement is a common disorder affecting the temporomandibular joint. According to previous publications, the displaced disc can be categorized into pure anterior displacement and rotational displacement (anteromedial and anterolateral). However, the technique of arthroscopy treatment has only been reported for patients with pure anterior disc displacement. In this study, an arthroscopic discopexy for rotational anterior disc displacement was developed and its effectiveness evaluated over 24 months of follow-up. A total of 532 patients (749 joints) with rotational anterior disc displacement, admitted to Shanghai Ninth People’s Hospital between January 2011 and December 2015, were included. The success rate was based on clinical parameters (visual analogue scale (VAS) for pain, maximum inter-incisal opening (MIO), and complications) and radiographic data. The clinical and radiographic data were collected preoperatively and at 1, 6, 12, and 24 months postoperative. The VAS score decreased to 0.73 ± 1.43 following surgery (P < 0.001). A significant improvement in MIO (34.73 ± 6.28 mm) was also detected (P < 0.001). Magnetic resonance imaging showed discs repositioned in both sagittal and coronal images for 714 of the 749 joints, giving a success rate of 95.3%. This study reports an effective and predictable technique of arthroscopic discopexy for rotational anterior disc displacement.     

2019年苏州市输入性恶性疟2例

对苏州市2019年报告的2例输入性恶性疟病例的基本信息、流行病学史以及诊治过程资料进行收集、整理和分析。结果显示,苏州市输入性疟疾不仅在劳务输出人群中高发,在探亲访友人群中也存在感染风险,尤其是儿童感染风险应引起重视。