Since April 1982 the authors have carried out transplanting of the medial femoral arterial flap in 2 cases with complete survival.The procedures of elevation of the flap are performed by incising the skin and fascia lata, dissecting the flap closely over the superficial surface of the sartorius until its medial border is reached, exposing the sheath of the femoral vessels in the intermuscular space, identifying the direct cutaneous artery, and finally raising the flap according to the requirement of recipient area. The texture of the skin in this area is excellent in having a thinner subcutaneous fatty layer and profuse nerve supply and can thus serve as a good neurovascularized flap.

Plastic surgery in our country is a surgery branch of Western Medicine.Department in the name of Plastic Surgery in China began in 1934. However, it had been truly developing only after the founding of People’s Republic of China.The initial clinical success of severed limb replantation in 1963 and microvascular free transfer of flap in 1973 accelerated the development of the nation’s plastic surgery as well as the spreading of new theory and new methods after that.The basic research on plastic surgery and composite reconstructive surgery are the right direction for its development.

Since the year of 1986, 11 cases of alae nasi defects have been successfully reconstructed by turning the alar remnants over as nasal lining and grafting the dorsoauricular composite tissue. The results were satisfactory, especially for the larger defect of alae nasi.

Objective To analysis the scanning electron microscopic (SFM) results of the anastomosis site performed by nitinol clip in rabbits Methods The nitinol clip technique for microvascular anastomosis was tested experimentally and compared with the conventional 9 0 end to end suturing technique Ten carotid arteries on one side of 10 rabbits were ananstomosised using nonpenetrating microclips made of nitinol, and the other 10 carotid arteries on one side of 10 rabbits were ananstomosised. using nonpenetrating microclips made of nitinol,and the other 10 carotid arteries on the other side were sutured in a conventional way with 9 0 monofilament nylon Biopsy was performed in two groups of rabbits at different time intervals postoperatively, and the specimens were examined under scanning electron microscopy Results Twenty microvascular anastomoses were patent SEM examination of the anastomotic site revealed major differences between sutured and stapled groups Conclusion Stapled microvacular anastomosis technique is fast and reliable

For developing Digital Image Expert System in rhinoplasty, the accurate and reliable Digital Image Measuring System must be first set up, and the data from the Digital Image Measuring System must be reliable with the data measured by hand. The measuring system mainly consists of a computer with an image processing board, a TV camera and a head fixing device. Ten adults were selected randomly and some indexes of head and face were measured with the measuring system and by hand respectively. The reliability of the measuring system was confirmed by the statistical analysis of data measured. Finally, the results were also discussed.

OBJECTIVETo improve sternal elevation for pectus excavatum to be more simple, less injured and less recurrent.

METHODSWe modified procedures for the sternal elevation for pectus excavatum by dispersal of the shortened fibrous bundle connection with central tendon of the diaphragm, correction of the reverse angle of sternocostales joins, transverse cuneiform anterior osteotomy of sternum and reconnection of oblique resected costal cartilage.

RESULTSSince March 1997, 8 children (4 - 10-year-old) with the pectus excavatum have been treated by this modified sternal elevation, 4 of them who suffer from quick heart pulse improved their heart rate immediately during the operation, all patients have less bleeding and good cosmetic appearance without any complications. There were satisfactory results without recurrence after 6 months to 1 year follow-up.

CONCLUSIONThe modified sternal elevation for pectus excavatum is safe, effective and reliable method.

Child ; Child, Preschool ; Female ; Follow-Up Studies ; Funnel Chest ; surgery ; Humans ; Male ; Sternum ; surgery