| Donor site reconstitution for ear reconstruction. | |
MedLine Citation:
|
PMID: 19699699 Owner: NLM Status: MEDLINE |
Abstract/OtherAbstract:
|
BACKGROUND: Current techniques of autologous ear reconstruction involve the soft tissue coverage of a carved costal cartilage framework. However, assessment of the morbidity associated with this donor site has been little documented. This study describes a method to reconstruct the defect and analyses the outcomes with or without donor site reconstitution. METHODS: The donor site was reconstituted by wrapping morcelised cartilage in a vicryl mesh. Twenty-one patients with reconstitution and nine without were recruited to the study. Scar quality and length, dimensions of donor defect and visible deformity were recorded according to a modified Vancouver scar scale. Patients were also assessed by the SF36 questionnaire, a well-validated health survey. In a subset of our study group, we assessed the fate of the donor site reconstitution by direct visualisation in situ and histological analysis. RESULTS: Fifteen donor sites of patients without donor site reconstitution were compared to 23 reconstructed donor sites. In those without, all had a palpable defect with nearly half exhibiting visible chest deformity. In contrast, those that had rib reconstitution did not demonstrate significant chest wall deformity. Intraoperative examination demonstrated formation of a neo-rib, histologically proven to comprise hyaline cartilage admixed with fibrous tissue. Analysis of SF36 results showed a higher satisfaction in the reconstituted group, but in both groups, the donor site was of little overall morbidity. CONCLUSIONS: Although there is little difference between the groups in terms of subjectively perceived benefit, rib reconstitution is objectively associated with better costal margin contour and less chest wall deformity. |
Authors:
|
Adel Fattah; Neil J Sebire; Neil W Bulstrode |
Related Documents
:
|
24182549 - The study of the thrombin generation mechanism and the effect of low molecular weight h... 23364239 - Which type of secondary tricuspid regurgitation accompanying mitral valve disease shoul... 19995379 - Accelerated partial breast irradiation via the mammosite catheter: preliminary reports ... 9776149 - Early experience of endoscopic extirpation of benign breast tumors via an extra-mammary... 7146149 - The response of keloid scars to cryosurgery. 24469919 - Physiological and morphological responses to the first bout of refeeding in southern ca... 16698579 - Relationship between ct grouping and complications of liver cirrhosis. 11360319 - Hair reduction using a new intense pulsed light irradiator and a normal mode ruby laser. 8893149 - Treatment of posttransplant lymphocele with povidone-iodine sclerosis: long-term follow... |
Publication Detail:
|
Type: Journal Article Date: 2009-08-21 |
Journal Detail:
|
Title: Journal of plastic, reconstructive & aesthetic surgery : JPRAS Volume: 63 ISSN: 1878-0539 ISO Abbreviation: J Plast Reconstr Aesthet Surg Publication Date: 2010 Sep |
Date Detail:
|
Created Date: 2010-09-06 Completed Date: 2010-10-07 Revised Date: - |
Medline Journal Info:
|
Nlm Unique ID: 101264239 Medline TA: J Plast Reconstr Aesthet Surg Country: Netherlands |
Other Details:
|
Languages: eng Pagination: 1459-65 Citation Subset: IM |
Copyright Information:
|
Copyright 2009 British Association of Plastic, Reconstructive and Aesthetic Surgeons. Published by Elsevier Ltd. All rights reserved. |
Affiliation:
|
Department of Plastic Surgery, Great Ormond St. Hospital for Children NHS Trust, Great Ormond St, London WC1N 3JH, UK. adelfattah@doctors.org.uk |
Export Citation:
|
APA/MLA Format Download EndNote Download BibTex |
| MeSH Terms | |
Descriptor/Qualifier:
|
Adolescent Cartilage / transplantation* Child Cicatrix / prevention & control Ear, External / surgery* Female Humans Male Otologic Surgical Procedures / methods* Prospective Studies Quality of Life Questionnaires Reconstructive Surgical Procedures / methods* Ribs / transplantation* Surgical Mesh Transplantation, Autologous Treatment Outcome |
From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine
Previous Document: Large posterior chest wall defect reconstructed with a de-epithelised trans-thoracic TRAM flap.
Next Document: Keloid treatment: is there a role for acellular human dermis (Alloderm)?