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Titolo:
Autogenous rib cartilage reconstruction of congenital ear defects: Report of 110 cases with Brent's technique
Autore:
Osorno, G;
Indirizzi:
Univ Nacl Colombia, Div Plast Surg, Sch Med, Bogota, Colombia Univ Nacl Colombia Bogota Colombia last Surg, Sch Med, Bogota, Colombia
Titolo Testata:
PLASTIC AND RECONSTRUCTIVE SURGERY
fascicolo: 7, volume: 104, anno: 1999,
pagine: 1951 - 1962
SICI:
0032-1052(199912)104:7<1951:ARCROC>2.0.ZU;2-N
Fonte:
ISI
Lingua:
ENG
Soggetto:
CONCHA-TYPE MICROTIA; TISSUE EXPANDER; FRAMEWORK; AURICLE; GRAFTS; TEMPOROPARIETAL; DEFORMITIES; EXPERIENCE; FASCIA; FLAPS;
Tipo documento:
Article
Natura:
Periodico
Settore Disciplinare:
Clinical Medicine
Life Sciences
Citazioni:
37
Recensione:
Indirizzi per estratti:
Indirizzo: Osorno, G Cra 18A 53-51, Bogota, Colombia Cra 18A 53-51 Bogota ColombiaCra 18A 53-51, Bogota, Colombia
Citazione:
G. Osorno, "Autogenous rib cartilage reconstruction of congenital ear defects: Report of 110 cases with Brent's technique", PLAS R SURG, 104(7), 1999, pp. 1951-1962

Abstract

The purpose of this study was to confirm the feasibility of Brent's technique, which was adopted for the treatment of the patients in this series. The author reports his experience with the successful treatment of 110 consecutive patients born with unilateral 95 (86.4 percent) and bilateral 15 (13.6 percent) microtia. The main stages of the reconstruction process are described, from the initial consultation to completion of treatment: reconstruction with sculpted rib cartilage graft, lobule transposition, tra,aus construction, and construction of the retroauricular sulcus. Minor modificationsof Brent's technique for the last surgical stage are described. The authorstresses use of autogenous rib cartilage as basic reconstruction material and emphasizes meticulous carving and assembling of frameworks, for which abalanced blend of structural firmness and aesthetic smoothness is essential. The author also describes complications and their management; cases of abandonment of treatment before completion; and difficulties encountered forlong-term follow-up. Specially encouraging was the low proportion of short- and longterm complications: one case of hematoma (0.91 percent), one caseof infection, two cases of partial skin loss (1.82 percent), and three cases of hypertrophic scars (2.73 percent). Older patients were more prone to abandon treatment before completion of all surgical stages (p = 0.000243) in this series, and this tendency occurred more frequently during the author's early experience in treating microtia patients. Despite the difficulty of the task, this series corroborates the versatility and feasibility of thetechnique in different geographical areas and population groups.

ASDD Area Sistemi Dipartimentali e Documentali, Università di Bologna, Catalogo delle riviste ed altri periodici
Documento generato il 29/11/20 alle ore 16:14:12