The management of chronic wounds presents significant challenges, characterized by a low rate of healing and substantial impairment of patients’ quality of life, while also exerting a considerable strain on healthcare resources. Wound healing is a multifactorial and dynamic process, necessitating close monitoring of wound changes and timely, appropriate interventions. Smart bandage/dressing, an innovative approach born from interdisciplinary research, offers a new generation of wound care. It enables dynamic quantitative monitoring of wound conditions; facilitates transdermal drug release and physical mode therapeutics; and adjusts interventions in real time based on monitoring outcomes. In comparison to traditional wound dressings, smart bandages exhibit attributes such as real-time responsiveness, precision, and convenience. They not only simplify wound management but also enhance patient comfort and compliance, showcasing potential as a safe and effective treatment modality. Smart bandages hold promise for elevating the efficiency of managing chronic wounds, reducing morbidity rates, alleviating the burden of disease, and ultimately improving patients’ quality of life. This paper summarized the recent research progress of smart bandages and provided insights into novel wound care strategies.

With the improvement in the accuracy and portability of three-dimensional facial imaging de-vices,and the rapid development of medical image recognition technology in artificial intelligence,the analysis and automatic recognition of three-dimensional facial characteristics of diseases have been widely applied in multiple fields such as endocrine metabolic disorders,chronic respiratory diseases,neuromuscular diseases,ge-netic syndromes,and plastic surgery.We aim to systematically review and summarize the current research status and development trends of three-dimensional facial photogrammetry and image analysis techniques in disease di-agnosis,assessment of prognosis and treatment efficacy,in order to provide references and insights for scientific research and clinical applications of this field.

Objective:To analyze the effects of the classic skin reset method and the modified skin reset method in correcting epicanthus.Methods:A retrospective study was conducted on 61 patients who underwent epicanthoplasty at Daqing Oilfield General Hospital from September 2019 to September 2021. Among them, 54 were female and 7 were male, with ages of 18-47 (25.7±4.6) years. The patients were divided into two groups based on different surgical methods: the classic skin repositioning method (control group, 30 cases) and the modified skin repositioning method (experimental group, 31 cases). Postoperative follow-up was conducted for 6 to 24 months. Photos were taken before the operation and during the follow-up period after the operation, and the inter-pupillary distance (IPD) and intercanthal distance (IED) were measured. For patients who underwent double eyelid surgery simultaneously, the proportion of postoperative outward rotation type effect was compared between the two groups. The incidence of adverse reactions such as visible scars, hypertrophic scars, overcorrection, and under-correction after the operation was recorded.Results:The preoperative and postoperative IED/IPD ratios were 0.63±0.02 and 0.56±0.03 in control group, and 0.64±0.02 and 0.56±0.02 in experimental group, respectively. There was no significant difference in IED/IPD ratio between the two groups before and after surgery (all P>0.05). By intra-group comparison, postoperative IED/IPD ratios were lower in both groups than that before surgery. In the experimental group, 83.9% (26/31) of patients underwent double blepharoplasty, which was higher than that in the control group (16.7%, 5/30) ( P<0.001). In the control group, the incidence of adverse reactions was 33.3% (10/30), including 4 cases of mild under-correction and 6 cases of lower eyelid scar. There was no correction deficiency and no visible scar in the experimental group. No overcorrection, hypertrophic scar and other complications were found in both groups. Conclusion:The modified skin replacement method is effective and can prevent the deficiency of epicanthus correction.

OBJECTIVE: To evaluate the effectiveness of the innervated medial plantar flap for reconstructing soft tissue defects, particularly in the weight-bearing zone, after resection of foot tumors. METHODS: A retrospective analysis was conducted on 12 patients with malignant skin and soft tissue tumors of the foot treated between October 2023 and December 2024. The cohort included 8 males and 4 females, aged 42-67 years (mean, 57.5 years). Tumor types comprised malignant melanoma (5 cases), squamous cell carcinoma (4 cases), arsenical keratosis (2 cases), and tumor-induced osteomalacia (1 case). Soft tissue defects located in the heel weight-bearing region in 10 cases and non-weight-bearing ankle region in 2 cases, with defect sizes ranging from 4.0 cm×3.0 cm to 6.0 cm×4.0 cm. Preoperative photon-counting CT angiography (PC-CTA) was performed to assess the medial plantar artery and its perforators. All patients underwent radical tumor resection with confirmed negative margins. The resulting defects were reconstructed using a innervated medial plantar flap incorporating sensory branches of the medial plantar nerve. The flap donor site was covered with a split-thickness skin graft harvested from the ipsilateral inguinal region. RESULTS: The operation was successfully completed in all 12 patients. All flaps survived completely without vascular compromise, partial necrosis, or total loss. Incisions healed primarily without dehiscence or infection. Minor skin graft necrosis occurred at the donor site in 3 patients, which healed within 2-3 weeks with routine dressing changes. No donor site complication (e.g., tendon or nerve injury) occurred. Patients were followed up 2-16 months (mean, 10.3 months). At last follow-up, there was no tumor recurrence. Flaps exhibited good color and texture match with surrounding tissue, restored sensation, and all feet achieved normal weight-bearing activity. CONCLUSION The innervated medial plantar flap, precisely designed based on PC-CTA localization, provides reliable blood supply and effective sensory restoration. It is an ideal method for reconstructing soft tissue defects after foot tumor resection, especially in the heel weight-bearing region.
Humans ; Male ; Middle Aged ; Female ; Plastic Surgery Procedures/methods* ; Adult ; Aged ; Retrospective Studies ; Soft Tissue Neoplasms/surgery* ; Surgical Flaps/blood supply* ; Foot/surgery* ; Skin Neoplasms/surgery* ; Soft Tissue Injuries/surgery* ; Carcinoma, Squamous Cell/surgery* ; Treatment Outcome ; Skin Transplantation/methods* ; Melanoma/surgery*

The growth and development of children is an important stage for health, and its monitoringand intervention are related to the long-term development of individuals. The construction of a standardized and multi-dimensional database of pediatric growth and development-related diseases is an important basis for realizing precise diagnosis and treatment and health management. Based on the needs of clinical practice, this study proposes to establish a specialized database of pediatric growth and development-related diseases that integrates facial phenotypes and clinical diagnosis and treatment information. This study elaborates on the construction process, including data sources, data collection content, and the operation and management of the database; and proposes key points for quality control, including the establishment of quality control nodes, database construction standards, and a full-process quality control framework. The above ensure the integrity, logic and effectiveness of the data, so that the database can provide an objective basis for the screening and diagnosis of pediatric growth and development-related diseases. On the basis of scientific data management and strict quality control, the database will help reveal the patterns of children's growth and development, and promote the level of children's health management.

To formulate an expert consensus on the principles of preoperative hair removal and provide scientific guidance for standardized removal of hair before surgical procedures so as to reduce the incidence of surgical site infections.METHODS Led by the Hospital Management Institute of National Health Commission of the People's Republic of China,this consensus was reached with the joint efforts from the expects of relevant fields such as surgeries,interventional therapies,nursing,and infection prevention and control.The consensus facilitates the classification and evaluation of literatures by following the evidence grade formulated by Oxford Evidence-based Medicine Center and focuses on the association of preoperative hair removal with surgical site infection,it reaches the evidence grade of expert consensus and recommendation intensity by integrating with discussions on meetings and clinical experience of the expects from relevant fields.RESULTS A total of 6 items of consensus were reached by summarizing the latest evidence on the aspects including the indications for preoperative hair removal,tools,range,timing and places.CONCLUSION The consensus,to some extent,make supplements to and complete the exiting regulations and standards.It provides guidance for the medical institutions to carry out the preoperative hair removal.

To formulate an expert consensus on the principles of preoperative hair removal and provide scientific guidance for standardized removal of hair before surgical procedures so as to reduce the incidence of surgical site infections.METHODS Led by the Hospital Management Institute of National Health Commission of the People's Republic of China,this consensus was reached with the joint efforts from the expects of relevant fields such as surgeries,interventional therapies,nursing,and infection prevention and control.The consensus facilitates the classification and evaluation of literatures by following the evidence grade formulated by Oxford Evidence-based Medicine Center and focuses on the association of preoperative hair removal with surgical site infection,it reaches the evidence grade of expert consensus and recommendation intensity by integrating with discussions on meetings and clinical experience of the expects from relevant fields.RESULTS A total of 6 items of consensus were reached by summarizing the latest evidence on the aspects including the indications for preoperative hair removal,tools,range,timing and places.CONCLUSION The consensus,to some extent,make supplements to and complete the exiting regulations and standards.It provides guidance for the medical institutions to carry out the preoperative hair removal.

Objective:To analyze the effects of the classic skin reset method and the modified skin reset method in correcting epicanthus.Methods:A retrospective study was conducted on 61 patients who underwent epicanthoplasty at Daqing Oilfield General Hospital from September 2019 to September 2021. Among them, 54 were female and 7 were male, with ages of 18-47 (25.7±4.6) years. The patients were divided into two groups based on different surgical methods: the classic skin repositioning method (control group, 30 cases) and the modified skin repositioning method (experimental group, 31 cases). Postoperative follow-up was conducted for 6 to 24 months. Photos were taken before the operation and during the follow-up period after the operation, and the inter-pupillary distance (IPD) and intercanthal distance (IED) were measured. For patients who underwent double eyelid surgery simultaneously, the proportion of postoperative outward rotation type effect was compared between the two groups. The incidence of adverse reactions such as visible scars, hypertrophic scars, overcorrection, and under-correction after the operation was recorded.Results:The preoperative and postoperative IED/IPD ratios were 0.63±0.02 and 0.56±0.03 in control group, and 0.64±0.02 and 0.56±0.02 in experimental group, respectively. There was no significant difference in IED/IPD ratio between the two groups before and after surgery (all P>0.05). By intra-group comparison, postoperative IED/IPD ratios were lower in both groups than that before surgery. In the experimental group, 83.9% (26/31) of patients underwent double blepharoplasty, which was higher than that in the control group (16.7%, 5/30) ( P<0.001). In the control group, the incidence of adverse reactions was 33.3% (10/30), including 4 cases of mild under-correction and 6 cases of lower eyelid scar. There was no correction deficiency and no visible scar in the experimental group. No overcorrection, hypertrophic scar and other complications were found in both groups. Conclusion:The modified skin replacement method is effective and can prevent the deficiency of epicanthus correction.

Alzheimer's disease (AD) is a neurodegenerative disorder characterized by hallmark pathological features, including β-amyloid deposition, neurofibrillary tangles formed by hyperphosphorylated tau protein, and chronic neuroinflammation. Recent studies have revealed that the glymphatic-meningeal-cervical lymphatic system plays a pivotal role in intracranial metabolic waste clearance, and its dysfunction may impair the clearance efficiency of β-amyloid and tau proteins. Based on this mechanism, domestic scholars have innovatively proposed lympho-microsurgical reconstruction of the brain-cervical lymphatic drainage pathway, aiming to ameliorate AD pathological progression and cognitive function by enhancing intracranial waste clearance. Through a comprehensive literature review, this article focuses on the theoretical rationale for lympho-microsurgical intervention in AD. While critically evaluating existing surgical approaches and efficacy assessment systems, it further examines the fundamental scientific challenges and clinical translation barriers in directly applying this technique to AD treatment, with the goal of providing theoretical insights and methodological guidance for future research.

To construct a quality control indicators system for Chinese plastic and aesthetic major and lay foundation for medical quality control.