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Two stage ear/microtia reconstruction using costal cartilage

BACKGROUND: Reconstruction of Grade III microtia is a challenging entity in maxillofacial esthetic rehabilitation. Several advocacies and philosophies exist in this field. The aim of the manuscript is to present a single South Indian Experience with Ear reconstruction among South Indian Population....

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Autor principal: Balaji, S. M.
Formato: Online Artículo Texto
Lenguaje:English
Publicado: Medknow Publications & Media Pvt Ltd 2015
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC4772554/
https://www.ncbi.nlm.nih.gov/pubmed/26981464
http://dx.doi.org/10.4103/2231-0746.175764
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author Balaji, S. M.
author_facet Balaji, S. M.
author_sort Balaji, S. M.
collection PubMed
description BACKGROUND: Reconstruction of Grade III microtia is a challenging entity in maxillofacial esthetic rehabilitation. Several advocacies and philosophies exist in this field. The aim of the manuscript is to present a single South Indian Experience with Ear reconstruction among South Indian Population. MATERIALS AND METHODS: Retrospective analysis of unilateral Grade III microtia reconstruction was performed. Using a set of predefined inclusion and exclusion criteria, the population was selected. Outcome measures in terms of the ear size, auriculocephalic angle, and the conchal depth were measured in the reconstructed and normal side. Descriptive statistics is presented. RESULTS: Twenty-four patients formed the study group and had undergone the classical two-stage reconstruction in a similar fashion. The mean ear size in normal side was 65.8 ± 2.8 mm whereas on the reconstructed side, it was 61.3 ± 5.8 mm. The center's technique achieved above 75% similarity as that of the other normal ear. The mean auriculocephalic angle was 44.6 ± 5.2° whereas for the surgically reconstructed ear, it was 41.9 ± 2.6°. Overall, in these patients, we achieved a 79.94% similarity of auriculocephalic angle in the reconstructed ear as compared to the normal auricle. The conchal depth was 19.2 ± 2.1 mm and 16.6 ± 1.9 mm for normal and reconstructed ear, respectively. In terms of conchal depth, the present study group showed an achievement of 82.88% of accuracy even after a prolonged follow-up. DISCUSSION AND CONCLUSION: The center employs a classic two stage reconstruction with a customized prosthesis that helps to avoid the loss of projection geometry and minimizes adhesion, infection, and early loss of structural stability.
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spelling pubmed-47725542016-03-15 Two stage ear/microtia reconstruction using costal cartilage Balaji, S. M. Ann Maxillofac Surg Original Article - Retrospective Study BACKGROUND: Reconstruction of Grade III microtia is a challenging entity in maxillofacial esthetic rehabilitation. Several advocacies and philosophies exist in this field. The aim of the manuscript is to present a single South Indian Experience with Ear reconstruction among South Indian Population. MATERIALS AND METHODS: Retrospective analysis of unilateral Grade III microtia reconstruction was performed. Using a set of predefined inclusion and exclusion criteria, the population was selected. Outcome measures in terms of the ear size, auriculocephalic angle, and the conchal depth were measured in the reconstructed and normal side. Descriptive statistics is presented. RESULTS: Twenty-four patients formed the study group and had undergone the classical two-stage reconstruction in a similar fashion. The mean ear size in normal side was 65.8 ± 2.8 mm whereas on the reconstructed side, it was 61.3 ± 5.8 mm. The center's technique achieved above 75% similarity as that of the other normal ear. The mean auriculocephalic angle was 44.6 ± 5.2° whereas for the surgically reconstructed ear, it was 41.9 ± 2.6°. Overall, in these patients, we achieved a 79.94% similarity of auriculocephalic angle in the reconstructed ear as compared to the normal auricle. The conchal depth was 19.2 ± 2.1 mm and 16.6 ± 1.9 mm for normal and reconstructed ear, respectively. In terms of conchal depth, the present study group showed an achievement of 82.88% of accuracy even after a prolonged follow-up. DISCUSSION AND CONCLUSION: The center employs a classic two stage reconstruction with a customized prosthesis that helps to avoid the loss of projection geometry and minimizes adhesion, infection, and early loss of structural stability. Medknow Publications & Media Pvt Ltd 2015 /pmc/articles/PMC4772554/ /pubmed/26981464 http://dx.doi.org/10.4103/2231-0746.175764 Text en Copyright: © 2015 Annals of Maxillofacial Surgery http://creativecommons.org/licenses/by-nc-sa/3.0 This is an open access article distributed under the terms of the Creative Commons Attribution-NonCommercial-ShareAlike 3.0 License, which allows others to remix, tweak, and build upon the work non-commercially, as long as the author is credited and the new creations are licensed under the identical terms.
spellingShingle Original Article - Retrospective Study
Balaji, S. M.
Two stage ear/microtia reconstruction using costal cartilage
title Two stage ear/microtia reconstruction using costal cartilage
title_full Two stage ear/microtia reconstruction using costal cartilage
title_fullStr Two stage ear/microtia reconstruction using costal cartilage
title_full_unstemmed Two stage ear/microtia reconstruction using costal cartilage
title_short Two stage ear/microtia reconstruction using costal cartilage
title_sort two stage ear/microtia reconstruction using costal cartilage
topic Original Article - Retrospective Study
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC4772554/
https://www.ncbi.nlm.nih.gov/pubmed/26981464
http://dx.doi.org/10.4103/2231-0746.175764
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