Pleural effusion after microtia reconstructive surgery -A case report-

Kim, Yun Hee; Namkung, Jin; Lim, Byung Gun; Min, Sam Hong; Shin, Hye Won; Lim, Choon Hak

doi:10.4097/kjae.2011.61.2.166

Cited by 4 publications

(2 citation statements)

References 11 publications

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“…In these conditions, abnormally shaped ribs move backward under the force of respiratory muscles and negative thoracic pressure, leading to a local depression on the chest, especially in patients in the growth and development period ( Park, 1997 ). Donor site morbidities were reported to be pneumothorax, atelectasis, pleural effusion, etc., at an early stage ( Thomson et al, 1995 ; Kim et al, 2011 ; Moon et al, 2012 ), and in the delayed stage, the morbidities were described as persistent pain, thoracic scoliosis, clicking, seroma, abnormal scarring, contour deformity, etc. ( Osorno, 1999 ; Osorno, 2007 ; Uppal et al, 2008 ; Moon et al, 2012 ).…”

Section: Limitations Of Current Techniquesmentioning

confidence: 99%

The application and progress of stem cells in auricular cartilage regeneration: a systematic review

Liu,

Wu,

Seunggi

et al. 2023

Front. Cell Dev. Biol.

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Background: The treatment of microtia or acquired ear deformities by surgery is a significant challenge for plastic and ENT surgeons; one of the most difficult points is constructing the scaffold for auricular reconstruction. As a type of cell with multiple differentiation potentials, stem cells play an essential role in the construction of cartilage scaffolds, and therefore have received widespread attention in ear reconstructive research.Methods: A literature search was conducted for peer-reviewed articles between 2005 and 2023 with the following keywords: stem cells; auricular cartilage; ear cartilage; conchal cartilage; auricular reconstruction, regeneration, and reparation of chondrocytes; tissue engineering in the following databases: PubMed, MEDLINE, Cochrane, and Ovid.Results: Thirty-three research articles were finally selected and their main characteristics were summarized. Adipose-derived stem cells (ADSCs), bone marrow mesenchymal stem cells (BMMSCs), perichondrial stem/progenitor cells (PPCs), and cartilage stem/progenitor cells (CSPCs) were mainly used in chondrocyte regeneration. Injecting the stem cells into the cartilage niche directly, co-culturing the stem cells with the auricular cartilage cells, and inducing the cells in the chondrogenic medium in vitro were the main methods that have been demonstrated in the studies. The chondrogenic ability of these cells was observed in vitro, and they also maintained good elasticity and morphology after implantation in vivo for a period of time.Conclusion: ADSC, BMMSC, PPC, and CSPC were the main stem cells that have been researched in craniofacial cartilage reconstruction, the regenerative cartilage performed highly similar to normal cartilage, and the test of AGA and type II collagen content also proved the cartilage property of the neo-cartilage. However, stem cell reconstruction of the auricle is still in the initial stage of animal experiments, transplantation with such scaffolds in large animals is still lacking, and there is still a long way to go.

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Section: Limitations Of Current Techniquesmentioning

confidence: 99%

The application and progress of stem cells in auricular cartilage regeneration: a systematic review

Liu,

Wu,

Seunggi

et al. 2023

Front. Cell Dev. Biol.

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“…Microtia is a congenital anomaly of the auricle that ranges in severity from mild structural abnormalities to complete absence of the ear. [ 9 , 10 ] Patients with microtia undergo embedding and elevation surgeries for reconstruction. Initially, autologous cartilage is harvested and implanted at the desired location of the ear (embedding surgery).…”

Section: Introductionmentioning

confidence: 99%

Increase in body temperature in pediatric patients after costal cartilage harvest in microtia reconstruction: A retrospective observational study

et al. 2022

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Background: Previous evidence has clearly shown that maintaining normothermia in children undergoing surgery is difficult and is associated with adverse outcomes. Therefore, this study aimed to retrospectively analyze the changes in body temperature over time in 2 different types of microtia reconstruction surgeries, namely, embedding, and elevation surgeries. Methods: We performed a retrospective chart review of patients who underwent microtia reconstruction (embedding and elevation) between July 2012 and February 2015 (n = 38). The changes in body temperature between the 2 types of surgeries were compared. Results: During microtia reconstruction, the body temperature in the embedding surgery group was significantly higher than that in the elevation surgery group from 1 hour after the start of surgery to 1 day after the surgery ( P < .001). Time, group, and time-group interaction were associated with an increase in body temperature ( P < .001) but not the warming method. Conclusion: We found an increase in body temperature in patients with microtia who underwent embedding surgery (autologous costal cartilage harvest surgery), and this was related to the type of surgery and not to the warming method. Therefore, further research is warranted to determine the cause of the increase in body temperature during this surgery.

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Atelectasis After Bilateral Costal Cartilage Ear Reconstruction

Chen,

Zhuang,

2024

Journal of Craniofacial Surgery

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This study, through the case analysis of 2 patients with congenital bilateral microtia, explores the causes and preventive strategies of atelectasis after bilateral rib cartilage extraction surgery. Although ear reconstruction technology is quite mature, it may lead to complications, such as atelectasis, due to thoracic surgery and general anesthesia. Pediatric patients are more prone to such complications due to narrower airways, less pulmonary surfactant, and difficulties in pain management. Therefore, for children undergoing bilateral rib cartilage extraction surgery, health care providers need to closely monitor their respiratory status, effectively manage postoperative pain, and encourage them to engage in deep breathing and coughing exercises as much as possible to prevent and improve atelectasis.

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Pleural effusion after microtia reconstructive surgery -A case report-

Cited by 4 publications

References 11 publications

The application and progress of stem cells in auricular cartilage regeneration: a systematic review

The application and progress of stem cells in auricular cartilage regeneration: a systematic review

Increase in body temperature in pediatric patients after costal cartilage harvest in microtia reconstruction: A retrospective observational study

Atelectasis After Bilateral Costal Cartilage Ear Reconstruction

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