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Background: Hyaluronic acid has been widely used for nonsurgical rhinoplasty. Little literature focuses on Chinese women of the Han nationality, who have a characteristic flattened facial contour. Projection of the nose, including the nasal dorsum, nasal tip, and columella, plays an important role in achieving an attractive face., Aim: The aim of this study was to investigate the application of multiplane hyaluronic acid in rhinoplasty using blunt and sharp needle technique., Method: From June 2011 to February 2014, 280 cases of nonsurgical rhinoplasty by hyaluronic acid were applied; 1-9 months follow-up showed satisfactory appearance., Result: Postoperative results showed no complications, such as infection or flap necrosis., Conclusion: For esthetic and safety considerations, we suggest multiple plane injections using blunt combined with sharp needle-filling techniques., (Copyright © 2015 British Association of Plastic, Reconstructive and Aesthetic Surgeons. Published by Elsevier Ltd. All rights reserved.)

Background: Ear reconstruction by autologous costal cartilage grafting is the most widely applied technique with fewer complications. However, undesirable ear reconstruction brings more problems to plastic surgeons. Some authors resort to free flap or osseointegration technique with prosthetic ear. In this article, we introduce a secondary total ear reconstruction with expanded skin flap method., Methods: From July 2010 to April 2012, 7 cases of undesirable ear reconstruction were repaired by tissue expansion method. Procedures including removal of previous cartilage framework, soft tissue expander insertion, and second stage of cartilage framework insertion were performed to each case regarding their local conditions., Results: The follow-up time ranged from 6 months to 2.5 years. All of the cases recovered well with good 3-dimensional forms, symmetrical auriculocephalic angle, and stable fixation., Conclusions: All these evidence showed that this novel expansion method is safe, stable, and less traumatic for secondary total ear reconstruction. With sufficient expanded skin flap and refabricated cartilage framework, lifelike appearance of reconstructed ear could be acquired without causing additional injury.

Objective: The objective of this study is to investigate the usage and effectiveness of postauricular advancement flap and conchal cartilage for surgical treatment of partial helix defect., Methods: Ten cases (eight males, two females) of unilateral partial ear defects were treated by using postauricular advancement flap combined with ipsilateral conchal cartilage graft. Of the 10 cases, nine cases were due to injury, one case was the result of frostbite. The patients ranged in age from 15 to 34 years (mean age=25.4 years)., Results: All cases were followed up for 3-12 months with satisfactory results, indicated by helix and scapha of similar color. No hypertrophic scarring was reported., Conclusions: The use of postauricular advancement flap, combined with ipsilateral conchal cartilage graft, is an effective way to repair partial helix defects, and a second procedure may be necessary to achieve a symmetrical cranioauricular angle., (Copyright © 2014 British Association of Plastic, Reconstructive and Aesthetic Surgeons. Published by Elsevier Ltd. All rights reserved.)

Objectives: To share our experience in hypospadias repair and discuss the clinical implications of our method, which consists of a combined buccal mucosa graft and local flap for urethroplasty., Patients and Methods: 1,394 cases (median age 11.3 years, age range 5 months to 53 years) of hypospadias which were repaired using our method between July 2000 and December 2010 in our department were included in this study. The patients who had a short penis or did not have chordee were excluded from the data. 588 cases (42.2%) had previously undergone surgery in other hospitals but failed; 806 (57.8%) cases had undergone the first treatment in our department., Results: Of the 806 cases which had undergone the first treatment in our department, we successfully reconstructed the urethra for 747 patients (92.3%), and 59 patients had complications (7.7%); of the 588 cases which had previously undergone surgery but failed, we successfully reconstructed the urethra for 522 patients (88.8%), and 66 patients had complications (11.2%). The most common complication was urethra fistula (70; 5%); other complications include necrosis of the skin flap and infection resulting in wound disruption (19; 1.4%), urethral diverticula (11; 0.8%) and urethral stricture (25; 1.8%)., Conclusions: Our method appears to be a safe, simple and satisfactory surgical procedure and can provide relatively enough tissue to reconstruct the urethra with a higher success rate.

Blood flow in expanding tissue can be improved by papaverine through a special delivery system in early report. Because the delivery system was complex and inconvenient, another way of using papaverine was tested to observe the blood flow and the survival length of expanded flap in this study. Twenty-four pigs were divided into three groups randomly named A, B, and C. Four soft tissue expanders (150 millilitres) were implanted into each pig in group A and C. Another four modificatory rectangular expanders were implanted into each pig in group B. A laser Doppler blood velocimeter was used to measure the blood flow. During the expanding process, 1 gram (containing 2% hydrochloride papaverine) of hydrochloride papaverine cream was applied topically on the surface of each expanding skin in group A twice daily. Two millilitres of hydrochloride papaverine (containing 30 milligrams of hydrochloride papaverine) solution was injected into each outer shell of the modificatory expander in group B weekly. Group C acted as control group. A 15 × 3 centimetre random flap was evaluated from the expanded skin after expanding and the survival length measured. The value of blood flow increased more significantly in group A than groups B and C. There were statistical differences. The survival length of the expanded flap in group A was the longest among the three groups, and there were statistical differences too. This study shows that the survival length of expanded flap can be increased by application of papaverine cream topically during the expanding process.