The Incidences of Chondritis and Perichondritis Associated With the Surgical Manipulation of Auricular Cartilage

Kaplan, Andrew; Cook, Jonathan L.

doi:10.1111/j.1524-4725.2004.30005.x

Cited by 20 publications

(19 citation statements)

References 29 publications

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“…2,17 No donor-site complication even in large composite grafts has been reported by Avelar et al and also by Kobayashi et al 2,17 Kaplan and Cook described an incidence of inflammatory chondritis and perichondritis of 5.9% in patients after surgical auricular cartilage manipulations. 26 Our patients did not complain about any short-or long-term deformities, which is confirmed by different other authors. 2,17 …”

Section: Resultssupporting

confidence: 93%

Managing the Ear as a Donor Site For Composite Graft in Nasal Reconstruction

Haug

Rieger²,

Witt³

et al. 2009

Annals of Plastic Surgery

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Reconstruction of multilayer defects of the lower nose, using composite grafts from the ear is a widespread technique. Little information exists about important aspects of managing the ear as a donor site for composite grafts. In a retrospective study, patient data were worked up concerning special preoperative planning features (donor site, recipient site), defect closure techniques, donor site morbidity, and esthetic and functional long-term results. One hundred ten composite grafts from the auricle were harvested for different defects at the lower nose. Skin and soft-tissue defect reconstruction at the auricle was carried out by tissue advancement in 43 cases or local flaps in 66 cases. Donor site morbidity was low (5 cases of delayed wound healing, 1 abscess). No flap necrosis occurred. Long-term follow-up (2-5 years) revealed no esthetic or functional impairments. Composite graft harvesting from the auricle is safe with minimal donor site morbidity, proper implementation assumed.

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Section: Resultssupporting

confidence: 93%

Managing the Ear as a Donor Site For Composite Graft in Nasal Reconstruction

Haug

Rieger²,

Witt³

et al. 2009

Annals of Plastic Surgery

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“…Wound suture, frequent wound dressing and stitches removal were omitted which may benefit elderlies and children. Kaplan and Cook reported the incidence of postoperative inflammatory perichondritis to be 5.6% in patients undergoing manipulation of the auricular perichondrium and cartilage; Tseng and Shiao also reported of eight patients of postoperative auricular perichondritis after endaural approach tympanoplasty. However, neither chondritis nor perichondritis was observed in our patients.…”

Section: Discussionmentioning

confidence: 99%

“…Despite the high graft take rate of more than 90%, this technique is commonly performed through postauricular or endaural approaches. However, both approaches may cause postoperative complications, such as wound pain, numbness, auricular haematoma, cosmetic concerns and perichondritis . Therefore, transcanal tympanoplasty was developed to reduce these complications.…”

Section: Introductionmentioning

confidence: 99%

Clinical outcomes of exclusive transcanal endoscopic tympanoplasty with tragal perichondrium in 129 patients

Chen

Hsieh

2018

Clinical Otolaryngology

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Similar to caloric and rotational chair tests, vHIT reflects the function of the entire semicircular canal VOR pathway but cannot identify whether a peripheral vestibular sensory organ or vestibular nerve is damaged. The diagnostic value of vHIT is high (sensitivity of 87.9% and specificity of 94.8%) for VN, and other types of acute vertigo and its positive predictive and negative predictive values have been reported as 85.3% and 95.8%, respectively. 9 vHIT, as a high-frequency measure tool, is a useful complement to caloric and rotational tests. | CONCLUSIONSThe present study showed that vHIT results were different in VN and SHLV groups, which may underlie different aetiologies of VN and SHLV; thus, further study will be necessary to confirm these results and determine the different aetiologies.The exclusive transcanal endoscopic tympanoplasty with tragal perichondrium is feasible, high success rate and good hearing results.This method also had the advantages of the minimised, better cosmetic results and free of suture. CONF LICT OF I NTERESTSNone to be declared. O R C I D Li-Chun Hsieh

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“…Careful attention to detail in harvesting and using the full‐thickness skin graft ensures rapid take and healing. Recent outcome studies have shown good results and minimal risk of recipient‐site complications with full‐thickness skin grafts elsewhere on the face or, in the case of inflammatory perichondritis, after surgical manipulation of auricular cartilage . Our cases, including 2 near‐total anterior surface reconstructions, healed without complications, apart from 2 patients (both illustrated in the figures) with a superficial infection on the edge of the grafts, which did not have any effect on the aesthetic result of the reconstruction.…”

Section: Discussionmentioning

confidence: 56%