Publications by authors named "Yan-Yong Zhao"

Semiparametric smoothing methods are usually used to model longitudinal data, and the interest is to improve efficiency for regression coefficients. This paper is concerned with the estimation in semiparametric varying-coefficient models (SVCMs) for longitudinal data. By the orthogonal projection method, local linear technique, quasi-score estimation, and quasi-maximum likelihood estimation, we propose a two-stage orthogonality-based method to estimate parameter vector, coefficient function vector, and covariance function.

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Article Synopsis
  • - The study explored how different levels of vacuum drainage (-20, -40, and -60 kPa) affect blood circulation in expanded skin flaps during ear reconstruction among 21 patients.
  • - Results showed that the -40 kPa group experienced the least swelling of the reconstructed ear, suggesting this pressure optimally balanced venous drainage and blood supply.
  • - The findings indicate that a negative pressure of -40 kPa enhances both blood supply and venous drainage for ear reconstruction and can serve as a clinical guideline.
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Objective: To summarize the principles of ear reconstruction after rupture of postauricular expanded flap.

Methods: The rupture of the postauricular expanded flap was graded as I-IV degree. For flap rupture of I and II degree, the ear reconstruction was performed immediately with autogenous cartilage framework.

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Objective: To investigate the therapeutic effect of bi-pedicled frontal expanded flap for cervical cicatricial contracture.

Methods: Tissue expanders were implanted under frontal muscle. After expansion, the frontal flaps were designed based on bilateral superficial temporal vessels and were transferred to the neck wound.

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Objective: To explore the methylation of CpG islands in promoter of eye absent gene 1 (EYA1) in microtia.

Methods: The methylation of CpG islands in EYA1 gene in 64 microtias and 36 healthy controls were measured using the technique of matrix-assisted laser desorption/ionization-time of flight.

Results: The methylation of CpG_Unit3 and CpG_Unit5 of EYA1 gene in microtia were 0.

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Objective: To explore the surgical treatment and pathologic mechanism of polyotia.

Methods: The operative methods for polyotia were flexible. The main procedures were aimed at the remodeling of tragus with the redundant tissue.

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Objective: To explore the application of tissue expander in ear reconstruction and to deal with the complications.

Methods: 50 ml kidney-shape tissue expanders were implanted subcutaneously in the mastoid area. The drainage tube was removed 3 days after operation.

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Article Synopsis
  • The study focuses on creating a three-dimensional framework using autogenous cartilage for ear reconstruction in patients with microtia.
  • The fabrication process involves harvesting rib cartilage, carving it into specific parts of the ear structure, and assembling these pieces to match the ear's natural contour.
  • Over 14 years, the method was successfully applied to over 5,200 patients, resulting in naturally-looking, well-contoured reconstructed ears.
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Objective: To investigate the effects of the flexible surgical approaches on therapeutic and cosmetic outcomes of facial nevi.

Methods: From August 2002 to January 2008, 16 cases with facial nevi had been treated in our wards with the selected approaches. Surgical approaches including serial excision or one-time radical excision, free skin graft, and expanded flap were adopted in accordance with the individual size and location of the facial nevi.

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Objective: To investigate the indication and results of three methods for total ear reconstruction.

Methods: 960 cases of total ear defect were treated with skin expansion and autogenous rib cartilage framework (n = 786), or skin expansion and Medpor framework (n = 150), or ear prosthesis (n = 24). The indication and results of the three methods were analysed.

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Article Synopsis
  • - The study focuses on the design and application of expanded transposition skin flaps for treating cheek skin defects caused by conditions like hemangiomas, scars, and naevi.
  • - Three types of flaps were analyzed: regular expanded transposition flaps (ERT), expanded transposition-advancement-transposition flaps (TAT), and expanded rotation-advancement-transposition flaps (RAT), with a total of 135 cases treated.
  • - Results showed that while there were some complications with blood supply in 6 cases, overall outcomes were satisfactory, demonstrating that this technique is effective for cheek skin repair, emphasizing the importance of preoperative design.
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Objective: To investigate the alternation of biological characteristics of residual ear chondrocytes when proliferating in vitro, and study the effects of CDMP-1 on proliferation and differentiation of residual ear chondrocytes.

Methods: Residual ear chondrocytes were cultured in vitro. Then we observed the effect of CDMP-1 on differentiation by immunohistochemistry of collagen type II and dyeing with toluidine blue, investigated proliferation effects of CDMP-1 by method of MIT, and analysis cell cycle changes by flow cytometry.

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Objective: To explore surgical procedure for the treatment of acquired ear defect.

Methods: The ear reconstruction was carried out by using soft tissue skin expander and autogenous rib cartilage framework, Medpor framework, auricular prosthesis, and so on.

Results: The long-term follow-ups showed that the flap of reconstructed ear was ruddy, soft, with normal sensory function.

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Objective: To explore surgical procedure of congenital microtia.

Methods: Ear reconstruction was made using soft tissue skin expander and autogenous rib cartilage framework.

Results: Long time follow-up showed that the flap of reconstructed ear was ruddy, soft, with normal sensory function; cartilage framework had no degeneration, absorption and deformation.

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Objective: To evaluate the development of the chest wall after costal cartilage harvesting in children.

Methods: Thirty-nine patients, who underwent microtia reconstruction with costal cartilage grafts, were examined in the donor-site with physical examination and radiography. Forty normal children were selected as control.

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Objective: To evaluate a new reliable surgical technique for correction the congenital cupped ear.

Methods: With 96 patients, a stainless steel wire was introduced to suspend auricular cartilage on the pericranium after the cupped ear was corrected. The follow-ups were carried out after the operation.

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Objective: To investigate the inhibiting action of transforming growth factor-beta type R II receptor(TGF-beta R II) antibody to fibroblasts.

Methods: Four groups of cultured skin fibroblasts were treated with different dosages of TGF-beta R II antibody. Examinations were performed with HYP, MTT, microscope, and flow cytometry techniques.

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Objective: To introduce a new technique for the treatment of helical keloid.

Methods: The procedure consisted of two steps. In the first step, a kidney-shaped expander of 50 ml was placed subcutaneously in the retroauricular area.

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