Aesthetic Auricular Reconstruction in Adult Patients with Rib Cartilage Calcification Using a Modified Two-Step Technique

Xing, Wenshan; Wang, Yue; Qian, Jin; Wang, Bingqing; Xu, Zhenming; Liu, Tun; Zhang, Yong-Biao; Zhang, Qingguo

doi:10.1007/s00266-018-1206-y

Cited by 15 publications

(27 citation statements)

References 18 publications

Supporting

Mentioning

Contrasting

Order By: Relevance

“…18,24 Our findings reported a lower satisfaction rate in older aged patients. 13,15,18,20,[25][26][27][28][29][30] Yet, arguably a higher rate in younger patients is a factor of development and minors reflection of self, thus addressing the difficulty of measuring satisfaction and outcomes in children. Although quality-of-life improvement exists across all ages, adult resilience tends to decrease with age, which might factor into why the impact is not equal in older patients.…”

Section: Discussionmentioning

confidence: 99%

“…13 Eight studies recommended age 6 years and three studies recommended age 5 years. 14,17,[25][26][27][28]30,[33][34][35] The decrease in age follows reports of how critical the first 5-8 years are for a child regarding early emotional experiences becoming rooted in the brain's architecture and social competence development, which carries into adulthood. 36 Pre-and postsurgery questionnaires are integral to understand patients' needs and aligning their expectations with realistic goals.…”

Section: Discussionmentioning

confidence: 99%

See 1 more Smart Citation

Patient-Reported Satisfaction After Autologous Auricular Reconstruction in Patients with Microtia: A Systematic Review

Khan

Willette

Melkonian

et al. 2022

Facial Plastic Surgery & Aesthetic Medicine

View full text Add to dashboard Cite

Importance: In a patient-centered field such as plastic surgery, patient-reported satisfaction can measure the success and value of surgery, since it is not uncommon for patient and surgeon assessments to differ. Currently, there is no standard for evaluating patient-reported satisfaction postauricular reconstruction. Objective: To systematically review the literature regarding patient-reported satisfaction postauricular reconstruction in microtia patients. Evidence Review: The databases MEDLINE, EMBASE, Cochrane, and Scopus were searched and preferred reporting items for systematic reviews and meta-analyses guidelines were followed. Studies documenting patient-reported satisfaction postauricular reconstruction in microtia patients were included. All techniques for ear reconstruction have been included in this review. Findings: Nineteen studies utilizing autologous reconstruction technique, comprising 3694 patients, met inclusion criteria. No standardized patient satisfaction assessment was used throughout the studies, indicating criteria variability to measure outcomes. Auricular substructure analysis highlighted lower patient satisfaction with the tragus and antitragus compared with the upper units. In addition, satisfaction depended on patient perception, not on a low surgical complication rate. Conclusions: There is a clear need to incorporate a standardized validated surgery-specific questionnaire related to patient satisfaction in the auricular reconstruction protocol.

show abstract

Section: Discussionmentioning

confidence: 99%

Section: Discussionmentioning

confidence: 99%

Patient-Reported Satisfaction After Autologous Auricular Reconstruction in Patients with Microtia: A Systematic Review

Khan

Willette

Melkonian

et al. 2022

Facial Plastic Surgery & Aesthetic Medicine

View full text Add to dashboard Cite

show abstract

“…A framework with a solid foundation can resist the persistent contraction of the skin ap effectively and maintain a harmonious appearance. Thus, the successful fabrication of the base frame is of great importance to the overall aesthetics of the auricle [11,12]. However, no report has elaborated on the fabrication of base frame with various sizes and different characteristics systematically.…”

Section: Discussionmentioning

confidence: 99%

The Importance of Base Frame Fabrication in Microtia Reconstruction

Zhang²,

Zhang

et al. 2020

Preprint

View full text Add to dashboard Cite

Background The base frame provides stable support for the helix, antihelix, and tragus-antitragus complex in microtia reconstruction, and this support is vital to attain a highly defined outline for a reconstructed auricle. The success of base frame sculpting depends on appropriate treatment of the cartilage, mainly the sixth and seventh costal cartilages, which may have different characteristics. The aim of this study is to demonstrate the relevant details for base frame fabrication in various scenarios.Methods This study included 352 patients with microtia who underwent autologous auricular reconstruction between 2016 and 2019. Concerning the different sizes and characteristics of the costal cartilage used for base frame reconstruction, we describe related methods for fabrication and introduce corresponding strategies for proper management.Results Relevant techniques in base frame fabrication have been shown to produce favorable results. The elaborately sculpted base frame establishes a stable foundation and natural protrusion of the helix, antihelix and tragus-antitragus complex. The base frame contributes to the integrity of a harmonious appearance of the reconstructed ear.Conclusions The elaborate design and appropriate utilization of costal cartilage for base frame sculpting is one of the most significant and fundamental processes in microtia reconstruction. It contributes to achieving a clearly defined outline of the auricle with harmonious integrity, which is as important as the other projected subunits.

show abstract

“…Auricular reconstruction of the microtia remains a great challenge 1 . One theme in auricular reconstruction is continued refinements in pursuit of an optimal result inspired by patient expectations 2,3 . The Nagata technique, which is reproducible and safe, has been widely used for ear reconstruction 4 .…”

Section: Introductionmentioning

confidence: 99%

“…1 One theme in auricular reconstruction is continued refinements in pursuit of an optimal result inspired by patient expectations. 2,3 The Nagata technique, which is reproducible and safe, has been widely used for ear reconstruction. 4 Although skin flap design methods are different for each microtia subtype when using this technique, the three-dimensional (3D) cartilage framework is essentially the same.…”

Section: Introductionmentioning

confidence: 99%

Ear Reconstruction: Empirical Data of 406 Cases of Carving the Convex Structures of the Framework

Zhang

et al. 2022

The Laryngoscope

View full text Add to dashboard Cite

Objective In auricular reconstruction, the convex structures of the framework determine the esthetics, and young doctors often need sufficient training to determine the best carving techniques. This study aimed to recommend optimal carving methods and provide measured data of convex structures of the carved costal cartilage framework to prevent complications, improve esthetics, and reduce the learning curve. Methods From 2018 to 2021, 406 patients with microtia who underwent costal cartilage carving were enrolled. The helix is formed by the eighth costal cartilage. The complex of the antihelix was fabricated from part of the eighth costal cartilage or the ninth costal cartilage. The tragus was constructed using residual cartilage pieces from the base frame. These components were measured, and those from the new ear graded “excellent” were used for data analysis. The statistical analysis was principally processed using Excel software. Results A total of 112 ears were graded “excellent”. The following are the mean and standard deviation of each group of data: antihelix thickness, 0.31 ± 0.06 cm; antihelix width, 0.40 ± 0.06 cm; superior crus thickness, 0.18 ± 0.04 cm; superior crus width, 0.38 ± 0.09 cm; inferior crus width, 0.22 ± 0.04 cm; inferior crus thickness, 0.28 ± 0.05 cm; helix thickness, 0.31 ± 0.04 cm; the four‐point height of the helix, 0.52 ± 0.08 cm/0.51 ± 0.07 cm/0.46 ± 0.06 cm/0.41 ± 0.06 cm; and tragus height, 0.98 ± 0.15 cm. Conclusion These data may help beginners in reducing the learning curve of ear reconstruction. Framework fabrication based on these data allows attaining a harmonious ear framework and satisfactory three‐dimensional auricle outline, yielding acceptable results and few complications. Level of Evidence 4 Laryngoscope, 133:569–575, 2023

show abstract

Aesthetic Auricular Reconstruction in Adult Patients with Rib Cartilage Calcification Using a Modified Two-Step Technique

Abstract: This journal requires that authors assign a level of evidence to each article. For a full description of these Evidence-Based Medicine ratings, please refer to the Table of Contents or the online Instructions to Authors www.springer.com/00266.

Cited by 15 publications

References 18 publications

Patient-Reported Satisfaction After Autologous Auricular Reconstruction in Patients with Microtia: A Systematic Review

Patient-Reported Satisfaction After Autologous Auricular Reconstruction in Patients with Microtia: A Systematic Review

The Importance of Base Frame Fabrication in Microtia Reconstruction

Ear Reconstruction: Empirical Data of 406 Cases of Carving the Convex Structures of the Framework

Contact Info

Product

Resources

About