| Summary: | 博士 === 國立交通大學 === 生物科技學系 === 104 === It is the plastic surgeons that change the outlook of the body whatever congenital or acquired defect by surgery. Two aspects are concerned: one is the soft tissue, another is the bone. The skin, muscle, tendon and fat belong to soft tissues of the body. For fixation of fracture bone, correction and microsurgery transfer belong to the scope of plastic surgery.
Conventionally, prognosis evaluation mostly depends on clinical observations and lacks quantitative analysis tool for assessment of eyelid muscle controlling. We examined the potential of using assessments of temporal correlation and complexity in surface electromyography (SEMG) as a quantitative description for the change of muscle controlling after operation.
Accordingly, we designed a comprehensive clinical study to evaluate a new method for correcting poor levator function with severe blepharoptosis. On the other hand, external destractor for bone lengthening had been developed for long time and there are also drawbacks of the design. We have designed a totally internal implanted device with outer control for the preparing of automotive lengthening in the body.
The temporal correlation of the SEMG signal of the levator aponeurosis and the orbicularis oculi muscle remains unchanged and confirms that non-dissection of the orbicularis oculi muscle prevents post-operative lagophthalmos. There is a net effect of increased post-operative SEMG complexity for both eyes implying the improvement of muscle control. For the totally internal implantable machine, we still need further modify of the sensor design.
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