摘要：The author reviews his pioneering work in aesthetic restoration of the severely disfigured burn face first introduced in 1995 and refined over the past two decades. The reader will be exposed to the step by step approach to achieving cosmetic enhancement and functional rehabilitation of advanced facial burns. The"keystone"of the autogenous reconstruction is the pre-patterned, sculpted microvascular free flap designed to fit like the"piece of a puzzle"into the aesthetic units of the face to replace disfiguring burn scars. Aggressive intraoperative"sculpting"is employed both"in situ"at the donor site and during the flap transfer to simulate the normal facial contours and planes. Comparisons of the author's approach are made to the whole spectrum of reconstructive modalities ranging from conventional grafting to expanded pre-fabricated flaps and even to CTA face transplants;advantages/disadvantages of each are discussed. The pre-patterned, sculpted microvascular (MV) free flap offers the benefit of a single-stage transfer of composite skin/soft tissue hiding the seams at the junction of facial planes. When harvested from distant donor sites, the donor deformities can easily be concealed. The MV free tissue transfer offers the substrate that can be sculpted into nuanced facial components as well as the"palette"upon which the face can be painted with creative camouflage makeup. The soft contour and texture of the autogenous patterned transfers translates into a"natural"facial appearance while preserving fluid motions of facial expression.

摘要：Stem cells are capable of long-term self-renewal and differentiation into specialised cell types, making them an ideal candidate for a cell source for regenerative medicine. The control of stem cell fate has become a major area of interest in the field of regenerative medicine and therapeutic intervention. Conventional methods of chemically inducing stem cells into specific lineages is being challenged by the advances in biomaterial technology, with evidence highlighting that material properties are capable of driving stem cell fate. Materials are being designed to mimic the clues stem cells receive in their in vivo stem cell niche including topographical and chemical instructions. Nanotopographical clues that mimic the extracellular matrix(ECM) in vivo have shown to regulate stem cell differentiation. The delivery of ECM components on biomaterials in the form of short peptides sequences has also proved successful in directing stem cell lineage. Growth factors responsible for controlling stem cell fate in vivo have also been delivered via biomaterials to provide clues to determine stem cell differentiation. An alternative approach to guide stem cells fate is to provide genetic clues including delivering DNA plasmids and small interfering RNAs via scaffolds. This review, aims to provide an overview of the topographical, chemical and molecular clues that biomaterials can provide to guide stem cell fate. The promising features and challenges of such approaches will be highlighted, to provide directions for future advancements in this exciting area of stem cell translation for regenerative medicine.

摘要：小腿下1／3软组织缺损的修复是整形外科的难题之一。2000年9月～2002年9月我们为8例患者应用逆行腓肠神经筋膜蒂岛状皮瓣修复小腿下1／3软组织缺损，取得了较为满意的结果。

摘要：报道了一种通过开环聚合与点击化学侧基修饰制备的后功能化光敏性聚醚材料.以烯丙基缩水甘油醚(AGE)为前驱体,通过新戊酸铯催化可控阴离子开环聚合(ROP)获得聚烯丙基缩水甘油醚(PAGE),并通过巯基-烯(Thiol-ene)点击化学和酯化两步反应将光敏基团肉桂酰氯引入到PAGE侧链上,合成了具有光敏特性的聚醚.PAGE的主链长度与肉桂酰氯侧基接枝率可分别通过调控单体/引发剂比例与反应时间灵活调控.将所得侧链修饰后的PAGE预聚物进行光固化成型,获得的光敏性聚酯薄膜具有较低的玻璃化转变温度(T_(g)),同时可在365和254 nm波长紫外光照下发生可逆[2+2]环加成反应,展现出快速可逆的变形特征.本工作通过开环聚合与点击化学反应设计优化了聚醚主侧链结构,为拓宽光功能性聚醚的使用温度窗口、提升其光致变形灵敏度提供了思路,有望使所得材料进一步在药物可控释放、柔性智能机器人等领域得到更加广泛的应用.

摘要：偶氮苯结构的有序化引入可赋予聚合物快速可逆光响应行为,但要进一步提高偶氮苯类光致变色聚合物材料的变色均匀程度与可控性,还需进一步设计偶氮苯基聚合物链结构及功能结构的排列方式。本文通过烯丙基缩水甘油醚(allyl glycidyl ether,AGE)开环聚合制备具有不饱和侧基结构的聚烯丙基缩水甘油醚(poly(allyl glycidyl ether),PAGE)。利用Thiol-ene点击化学和酯化反应将对二羧基偶氮苯接枝到聚醚侧链上,合成具有光敏特性的支化聚醚结构。探究点击化学反应条件对接枝率的影响,并根据反应条件与接枝率之间的关系优化结构设计,获得具有快速光致构象转变的偶氮苯(azobenzene,Azo)接枝聚醚(Azo-g-polyester)。具有偶氮苯侧链的PAGE材料(PAGE-OH-Azo)具有良好的光响应性。在连续紫外光和蓝光照射下,液相PAGE-OHAzo体系展示出快速可逆的颜色变化,且这一过程循环稳定性较好。本工作通过设计并优化主链与侧基结构获得变色性能稳定且优异的聚醚材料,为拓宽含偶氮苯结构的聚醚在光活性聚合物领域的应用提供了实践基础。

摘要：The efficiency of substance exchange may be decreased when the thickness and volume of such a tissue-engineered cartilage that is composed of cultured cells and porous scaffold increase. Moreover, during the transport of this construct with complicated shapes, excessive and focal mechanical loading may cause deformation. The establishment of incubation and transport methods is necessary for the three-dimensional tissue-engineered cartilage. Therefore, we investigated the preparation of an agarose mold with a concavity similar to the shape of 3-dimensional tissue-engineered cartilage to prevent excessive and focal concentration of stress, while avoiding interference with substance exchange as much as possible. Firstly, we investigated the preparation at 1% - 4% agarose concentrations. Since the mechanical strength was insufficient at 1%, 2% was regarded as appropriate. Using 2% agarose, we prepared a mold with a 5 × 5 × 5 mm concavity to accommodate tissue-engineered cartilage (5 × 5 × 5 mm mixture of 1.5 × 107 cells and collagen gel), and stored the regenerative cartilage in it for 2 and 24 hours. On comparison with storage in a plastic mold with the same shape in which substance exchanged from side and bottom was impossible, although no significant differences were noted in the number or viability of cells after 2 hours, these were markedly reduced in the plastic mold after 24 hours. It was confirmed that favorable cell numbers and viability were maintained by immediately retaining the regenerative cartilage in the culture medium in the agarose mold and keeping the temperature at 37°C. Since this agarose mold also buffers against mechanical forces loaded on the three-dimensional regenerative tissue, it may be useful as a container for storage and transport of large-sized three-dimensional regenerative tissue.