A novel two-stage strategy combing tissue expansion and Nagata`s technique for total auricular reconstruction

Wang, Bingqing; Guo, Rui; Li, Qiang; Ou, Yangxue; Hu, Jintian; Wang, Yue; Zhang, Qingguo; Liu, Tun

doi:10.1016/j.bjps.2020.12.087

Cited by 3 publications

(5 citation statements)

References 23 publications

Supporting

Mentioning

Contrasting

Order By: Relevance

“…A total of 2637 literatures were retrieved. After screening, 29 articles 5–33 were included in this meta-analysis. The articles screening process was shown in Figure 1 (the features of the included literature were shown in Supplementary Digital Content, Table 1, http://links.lww.com/SCS/D421).…”

Section: Resultsmentioning

confidence: 99%

Comparison of Auricle Reconstruction Using Tissue Expanders With Skin Grafting and Auricle Reconstruction Using Tissue Expanders Without Skin Grafting: A Single-Arm Meta-Analysis

Sun

Zhao

Wang

et al. 2021

Journal of Craniofacial Surgery

View full text Add to dashboard Cite

Objective: The authors conducted this meta-analysis to compare the efficacy of auricle reconstruction using tissue expanders with skin grafting and auricle reconstruction using tissue expanders without skin grafting by comparing the 6 major evaluation indicators. Methods: The databases such as PubMed, Embase, the Cochrane Library, China National Knowledge Infrastructure, Wanfang, and VIP information databases were searched. Results: By comparison, the authors found that, the satisfaction rate, the incidence of postoperative hematoma, the incidence of postoperative incision infection, and the incidence of cartilage framework exposure of patients with auricle reconstruction using tissue expanders with skin grafting were all lower than those with auricle reconstruction using tissue expanders without skin grafting. However, the incidence of postoperative skin necrosis, the incidence of leakage or exposure of expanders in patients with auricle reconstruction using tissue expanders with skin grafting were all higher than those with auricle reconstruction using tissue expanders without skin grafting. Conclusions: Auricle reconstruction using tissue expanders with skin grafting has advantages in reducing the incidence of postoperative hematoma, the incidence of postoperative incision infection, and the incidence of cartilage framework exposure. Auricle reconstruction using tissue expanders without skin grafting has advantages in improving the satisfaction rate, reducing the incidence of postoperative skin necrosis, and the incidence of leakage or exposure of expanders. From the comparison of specific data, there is no significant difference in the treatment effect between the 2 surgical methods.

show abstract

Section: Resultsmentioning

confidence: 99%

Comparison of Auricle Reconstruction Using Tissue Expanders With Skin Grafting and Auricle Reconstruction Using Tissue Expanders Without Skin Grafting: A Single-Arm Meta-Analysis

Sun

Zhao

Wang

et al. 2021

Journal of Craniofacial Surgery

View full text Add to dashboard Cite

show abstract

“…Auricle reconstruction using non-expanded flaps does not require the use of skin expanders, and the patients can avoid the pain of skin expansion. 20 This may be the reason for a higher satisfaction rate. Compared with the expanded flaps, the non-expanded flaps used in auricle reconstruction are smaller, so they are more susceptible to the pressure of the cartilage framework and cause necrosis.…”

Section: Discussionmentioning

confidence: 99%

“…Both the auricle reconstruction with expanded flaps and the auricle reconstruction with non-expanded flaps have advantages and disadvantages. [6][7][8][9][10][11][12][13][14][15][16][17][18][19][20][21][22][23] The auricle reconstruction with expanded flaps is generally not affected by the degree of ear malformation and is suitable for most patients with microtia. Moreover, the expanded flaps have more blood circulation and are easier to survive.…”

Section: Np358mentioning

confidence: 99%

Comparison of auricle reconstruction with expanded flaps and auricle reconstruction with non-expanded flaps in patients with microtia: A meta-analysis

et al. 2021

View full text Add to dashboard Cite

Objective We conducted this meta-analysis to compare the efficacy of these two surgical methods by comparing the incidence of major evaluation indicators. Methods The databases such as PubMed, Embase, the Cochrane Library, China National Knowledge Infrastructure, Wanfang, and VIP information databases were searched. Results The satisfaction rate of patients with auricle reconstruction using expanded flaps was 86.5%, and the satisfaction rate of patients with auricle reconstruction using non-expanded flaps was 87.9%. The incidence of postoperative hematoma was 2.5% in patients with auricle reconstruction using expanded flaps and 18.9% in patients with auricle reconstruction using non-expanded flaps. The incidence of postoperative skin necrosis was 1.2% in patients with auricle reconstruction using expanded flaps and 4.1% in patients with auricle reconstruction using non-expanded flaps. The incidence of postoperative incision infection was 2.4% in patients with auricle reconstruction using expanded flaps and 0.9% in patients with auricle reconstruction using non-expanded flaps. The incidence of cartilage framework exposure was 2.2% in patients with auricle reconstruction using expanded flaps and 1.9% in patients with auricle reconstruction using non-expanded flaps. The incidence of postoperative scar hyperplasia was 3.8% in patients with auricle reconstruction using expanded flaps and 3% in patients with auricle reconstruction using non-expanded flaps. The publication bias of included literature was evaluated by Egger test. There was no publication bias in this Meta-analysis ( P > .05). Conclusion The auricle reconstruction using non-expanded flaps is dominant in four of the six evaluation indexes. Therefore, we believe that the auricle reconstruction using non-expanded flaps has better therapeutic effect in patients with microtia. Due to the limitations of this meta-analysis, the conclusions of this meta-analysis still need to be further verified.

show abstract

“…Although tissues expanders were originally developed for use in microtia reconstruction, they fell out of favor for several decades. Recently, several groups have reported their results using tissue expanders prior to autologous costochondral reconstruction with variable results [30 ▪ ,31]. The majority of patients were satisfied with the outcome, in terms of ear outline, appropriate color, projection, and symmetry [30 ▪ ].…”

Section: Microtia Surgical Reconstructionmentioning

confidence: 99%

“…Recently, several groups have reported their results using tissue expanders prior to autologous costochondral reconstruction with variable results [30 ▪ ,31]. The majority of patients were satisfied with the outcome, in terms of ear outline, appropriate color, projection, and symmetry [30 ▪ ]. The most common complications were hematoma, local infection, and exposure of cartilage [31].…”

Section: Microtia Surgical Reconstructionmentioning

confidence: 99%

Management of patients with unilateral microtia and aural atresia: recent advances and updates

Ikeda¹,

Bhrany²,

Sie

et al. 2021

Current Opinion in Otolaryngology &Amp; Head &Amp; Neck Surgery

View full text Add to dashboard Cite

Purpose of review The management of patients with unilateral microtia and aural atresia is complex. Recent literature suggests significant strides in hearing habilitation and ear reconstruction. Recent findings Several options of hearing management are available and are associated with improved outcomes. Timelines for hearing habilitation and ear reconstruction vary by institution. We offer our timeline as a reference. Three dimensional (3D) printed models are increasingly used for training and reconstruction. Bioprinting is on the horizon, though safety and effectiveness studies are pending. Lastly, application of qualitative methods has provided a foundation on which to improve communication between physicians and patients and their families. Better understanding of the patient and family experiences will provide opportunities to target interventions to improve care. Summary Current developments include expanding options for hearing management, changing approaches to timing of atresiaplasty, utilization of 3D printed models, and focus on patient and family experience to improve reconstructive outcomes.

show abstract

A novel two-stage strategy combing tissue expansion and Nagata`s technique for total auricular reconstruction

Cited by 3 publications

References 23 publications

Comparison of Auricle Reconstruction Using Tissue Expanders With Skin Grafting and Auricle Reconstruction Using Tissue Expanders Without Skin Grafting: A Single-Arm Meta-Analysis

Comparison of Auricle Reconstruction Using Tissue Expanders With Skin Grafting and Auricle Reconstruction Using Tissue Expanders Without Skin Grafting: A Single-Arm Meta-Analysis

Comparison of auricle reconstruction with expanded flaps and auricle reconstruction with non-expanded flaps in patients with microtia: A meta-analysis

Management of patients with unilateral microtia and aural atresia: recent advances and updates

Contact Info

Product

Resources

About