[Digital evaluation of breast symmetry with 3D scanning technique].

Objective: To establish a standard method for digital evaluation of breast symmetry with 3D scanning technique.

Methods: From January 2009 to July 2010, 167 patients received 3D scanning before breast augmentation. The coordinate system was established and the 3D reconstructed breast models were analyzed by software.

Functional annotation of the microRNA-mediated network in gigantomastia by integrating microRNA and mRNA expression profiling.

Background: Gigantomastia is the overdevelopment of the female mammary gland, and it causes great physiological and psychological burdens to patients. A better understanding of the molecular mechanisms involved in gigantomastia is needed to develop less invasive and more effective medical treatments. MicroRNA (miRNA) is a class of small noncoding RNAs that play an important regulatory role at the post-transcriptional level.

[Application of MDCT angiography for breast reconstruction with deep inferior epigastric artery perforator flaps].

Objective: To investigate the significance of preoperative MDCT angiography for breast reconstruction with abdominal flap.

Methods: Preoperative MDCT angiography scans were performed on 34 patients who underwent breast reconstruction with abdominal flaps during December 2006 to June 2009. The operation was designed based on the MDCT results.

Breast augmentation by autologous fat injection grafting: management and clinical analysis of complications.

Autologous fat is an excellent soft-tissue filler, given its abundance and ease of harvest. Nevertheless, the technique is accompanied by postoperative complications such as fat necrosis, calcification, and sclerotic nodules. These problems directly influence surgical efficacy.

[Repeated operation for removement of polyacrylamide hydrogel from breast].

Objective: To investigate the technique of repeated operation for removement of polyacrylamide hydrogel from breast.

Methods: 17 cases after uncomplete removement of PHG were reoperated through inferior periareolar incision. The PHG and affected denatured muscle and gland tissue were removed.

[Nipple-areolar reconstruction with the modified arrow flap].

Objective: To introduce the clinical experience of nipple-areolar reconstruction with the modified arrow flap.

Methods: The arrow flaps were modified for nipple-areolar reconstruction in 12 cases. Among them, 2 cases were treated with combined thin split-thickness skin graft; 4 cases with autologous rib implant and tattoo; 6 cases with tattoo.

[Retrospective analysis of complications of breast augmentation with injected polyacrylamide hydrophilic gel in 90 cases].

Objective: To discuss the complications of breast augmentation with injected polyacrylamide hydrophilic gel (PAHG) in order to avoid further injury by taking treatment at the right moment.

Methods: 90 patients with some side-effects after breast augmentation with injected polyacrylamide hydrophilic gel had been undergone the treatment in our hospital from 1999 to 2006. Their clinical data were analyzed.

[Breast reconstruction with a combined skin flap of DIEP and TRAM].

Objective: To evaluate breast reconstruction with a combined skin flap of the deep inferior epigastric perforator (DIEP) and the transverse rectus abdominis musculocutaneous (TRAM).

Methods: The DIEP and TRAM united flap was elevated with the vessel pedicle of the deep inferior epigastric perforator on the affected side and the rectus abdominis muscle pedicle on the intact side. The reconstructive breast was shaped after the deep inferior epigastric vessels were anastomosed to the internal mammary vessels or the thoracodorsal vessels ipsilaterally.

[Anatomy study of superior and inferior gluteal artery perforator flap].

Objective: To find anatomic basis for clinically modifying technique of harvesting superior and inferior gluteal artery perforator flap, in order to avoid muscle lossing in conventional superior and inferior myocutaneous flaps, keep the advantage such as large rich supplied volume soft tissue.

Methods: 5 cases 10 sides adult cadaver were used to study the numbers, position, Course of superior and inferior gluteal artery perforators. The position of perforators was located by ultrasound Doppler in 6 cases and 12 sides in patient's superior and inferior gluteal area.

[A study of incision pattern and pedicles in reduction mammaplasty].

Objective: To investigate the efficacy, indication, advantage and disadvantage of methods for reduction mammaplasty.

Methods: Thirty one cases with breast hypertrophy received reduction mammaplasty using various incisions and pedicles. Based on the follow-up of the cases, the appearance, nipple-areola complex sensory function and scars were evaluated.

[Clinical analysis of 80 cases of breast reconstruction].

Objective: To summarize the reasons for the complications after breast reconstruction.

Methods: The reasons for the complications after breast reconstruction were analyzed in flap necrosis, abdominal wall laxity or hernia and seroma.

Results: The partial necrosis rate of LDF, TRAM and DIEP was 7.

[Anatomic study of perforator neurovascular bundles of the deep inferior epigastric perforator flap].

Objective: To investigate the anatomic characteristics of the perforator neurovascular bundles in the anterior abdominal wall for the anatomical basis of the sensate deep inferior epigastric perforator (DIEP) flap.

Methods: Abdominal wall dissection was performed on 9 embalmed female cadavers (18 sides).

Results: Most of the deep inferior epigastric perforators emerged at the anterior sheath of the rectus.

[Vertical mammaplasty using the skin wrinkling suture techniques].

Objective: To reduce the incision scar produced by reduction mammaplasty.

Methods: The periareola incision and the vertical incision below the areola were made when performing breast reduction. The incision in the submammary fold was avoided.

[Repair of circular cicatricial contracture of the thigh using deep inferior epigastric perforator flap].

Objective: To provide an ideal method for repairing the circular cicatricial contracture of thigh.

Methods: Deep inferior epigastric perforator (DIEP) island flaps was elevated based only on the deep inferior epigastric artery and vein and transferred to cover the thigh wound after scar had been resected.

Results: Four DIEP island flaps was applied clinically and all flaps survived.