We found intraorbital gold weight implantation, without the use of a wrap, to be simple and effective, with adequate function, an acceptably low postoperative morbidity rate, and an excellent cosmetic outcome.
Compared with a standard Jones Pyrex tube, a frosted tube functions equally well and reduces the possibility of extrusion, which is the main complication of traditional conjunctivodacryocystorhinostomy. We have exchanged smooth tubes for frosted tubes in patients who have had extrusion of the original tube, and we are currently investigating primary placement of the frosted Jones Pyrex tube.
We find that a customized, single-incision, 3-wall orbital decompression provides adequate decompression and proptosis reduction while minimizing postoperative strabismus and providing an aesthetically desirable result.
trum of the impact of the incision from disfiguring (1) to imperceptible (10). The reviewers felt that the incision obtained 94% imperceptibility.Comment. Conchal cartilage is widely accepted for use during revision and reconstructive rhinoplasty, orbital wall reconstruction, and eyelid repair. The anterior approach to conchal cartilage harvest has become the most popular technique. After observing successful changes in the ear for anterior conchal cartilage harvest, some authors 10,11 have even developed new techniques for anterior approach otoplasty. Modest complication rates have been reported for both the anterior and posterior approaches, and complications including hypertrophic scarring, delayed wound healing, and asymmetry. Our patients underwent anterior approach only by a standardized method. Feared complications of any cosmetic surgery include hypertrophic scarring, postoperative hematomas or seromas, and infections. Fortunately, in our series of patients, there were no complications in the ears in which conchal cartilage was harvested, regardless of comorbidities, including tobacco and alcohol use, cardiovascular conditions, or diabetes mellitus. Use of perioperative antibiotics for cosmetic procedures is widely accepted and should be used in patients that are undergoing conchal cartilage harvest.Most of the patients underwent conchal cartilage harvest for Mohs micrographic surgical repair of facial malignancies. The morbidities of rhinoplasty, locoregional flaps, and tissue advancements, as well as staged procedures for repair of the nasal defects, would tend to distract the patient's attention from the less morbid conchal harvest. This, combined with the average duration of follow-up from surgery to telephone questionnaire, may have allowed some recall bias. Regardless, the rate of patient satisfaction with conchal cartilage harvest was very high. The only concerns reported were those of mild pain in the immediate postoperative period. There were no complaints of irritating dental roll bolsters, hearing changes, or problems that affected sleep positions.Most of the responses by the blinded reviewers who felt that they could make a distinction between the operated and nonoperated ear were incorrect. This may reflect the relative lack of knowledge by nonmedical personnel regarding the complex 3-dimensional auricular anatomies. After the reviewers were educated about basic auricular anatomy and conchal cartilage harvest, they felt that the incision was 94% imperceptible.Septal cartilage has proved to be the type most commonly used for autologous cartilage harvest and will likely remain that way owing to the robust nature of that type of cartilage and the indication for septoplasty associated with rhinoplasty. When septal cartilage is not available, however, conchal cartilage is a safe and cosmetically acceptable alternative for autologous cartilage harvest. Patients are very satisfied with conchal cartilage harvest.
scite is a Brooklyn-based organization that helps researchers better discover and understand research articles through Smart Citations–citations that display the context of the citation and describe whether the article provides supporting or contrasting evidence. scite is used by students and researchers from around the world and is funded in part by the National Science Foundation and the National Institute on Drug Abuse of the National Institutes of Health.
customersupport@researchsolutions.com
10624 S. Eastern Ave., Ste. A-614
Henderson, NV 89052, USA
This site is protected by reCAPTCHA and the Google Privacy Policy and Terms of Service apply.
Copyright © 2024 scite LLC. All rights reserved.
Made with 💙 for researchers
Part of the Research Solutions Family.