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Costal cartilage

Amir A Sazgar, Yeganeh Teymoori, Amir K Sazgar
Background: In revision rhinoplasty, insufficient septal cartilage is a common finding. In these cases, harvesting of costal cartilage or conchal cartilage is needed which is time consuming and has morbidity. Use of the septal bone/cartilage composite graft or bony-cartilaginous unit as a graft in rhinoplasty is a new technique. Objectives: The aim of this research was to evaluate subjective and objective effects of using this graft in revision rhinoplasty. Methods: In this clinical trial study, we examined 40 patients lacking sufficient septal cartilage for grafting who referred to a tertiary center and a private setting from January 2016 to March 2017 for revision septorhinoplasty...
December 4, 2018: Aesthetic Surgery Journal
Onur Gulel, Arzu Tuzuner, Necmi Arslan, Huseyin Serdar Yerlikaya, Nihat Yumusak
OBJECTIVES/HYPOTHESIS: In septorhinoplasty, septal, auricular, and costal cartilage are often used as autologous graft. Autologous grafts are preferred in nasal reconstruction. The aim of this study was to histopathologically examine the tissue compatibility and the effect on the stability and cartilage vitality of poly-p-dioxanone (PDS) plates. STUDY DESIGN: Ten adult New Zealand rabbits were used. METHODS: Ten New Zealand rabbits were used...
December 4, 2018: Laryngoscope
Mohamad Y Fares, Zakia Dimassi, Hasan Baydoun, Umayya Musharrafieh
Slipping rib syndrome is an often unrecognized and underdiagnosed condition caused by the increased mobility of the anterior ends of the costal cartilages of the false ribs. Patients usually present with severe intermittent abdominal pain that is exacerbated by various physical movements. Diagnosis of slipping rib syndrome is mainly clinical and can be confirmed by a physical examination technique termed the "Hooking Maneuver." Treatment includes conservative therapy, intercostal nerve block and surgical operation...
October 23, 2018: American Journal of the Medical Sciences
A Asmar, I Semenov, R Kelly, M Stacey
Costal cartilage is much understudied compared to the load bearing cartilages. Abnormally grown costal cartilages are associated with the inherited chest wall deformities pectus excavatum and pectus carinatum resulting in sunken or pigeon chest respectively. A lack of understanding of the ultrastructural and molecular biology properties of costal cartilage is a major confounder in predicting causes and outcomes of these disorders. Due to the avascular nature of cartilage, chondrocytes metabolize glycolytically, producing an acidic environment...
November 25, 2018: Experimental and Molecular Pathology
Hiromitsu Domen, Yasuhiro Hida, Masaaki Sato, Haruka Takahashi, Tatsuru Ishikawa, Yosuke Shionoya, Midori Hashimoto, Kaoru Nishiyama, Yuma Aoki, Kazuho Inoko, Syotaro Furukawa, Kazuomi Ichinokawa, Hidehisa Yamada
BACKGROUND: Thymic large cell neuroendocrine carcinoma (LCNEC) is extremely rare. The detailed clinical features of thymic LNCECs remain unknown. CASE PRESENTATION: A 90-year-old man with a history of diabetes mellitus, chronic renal failure, and an abdominal aortic aneurysm underwent computed tomography for follow-up, which showed an anterior mediastinal tumor, measuring 31 mm × 28 mm in diameter. Magnetic resonance imaging showed an iso-intensity mass on T1-weighted images and high intensity on T2-weighted images...
November 16, 2018: Surgical Case Reports
Linda N Lee, Olivia Quatela, Neil Bhattacharyya
OBJECTIVES/HYPOTHESIS: To determine the percentage of primary versus revision rhinoplasty cases that require an extranasal source of grafting, as well as age and gender-specific trends. STUDY DESIGN: Cross-sectional analysis of multistate ambulatory surgery and hospital databases. METHODS: Ambulatory rhinoplasty procedures were extracted from the State Ambulatory Surgery Databases for New York, Kentucky, North Carolina, Michigan, and Florida for 2014 to 2015...
November 8, 2018: Laryngoscope
Tsutomu Mizuno
Augmentation rhinoplasty is commonly performed to raise the nasal dorsum in Asian individuals. However, materials used for dorsal augmentation are associated with various surgical challenges and complications. In this article, the authors present a novel dorsal augmentation technique combining hybrid autologous costal grafts with septal extension grafts. The records of 28 patients (19 women and 9 men; mean age: 27 years; range: 18-43 years) who underwent augmentation rhinoplasty (primary or revision) with our novel technique from December 2007 to December 2016 were retrospectively reviewed...
November 2, 2018: Facial Plastic Surgery: FPS
F B Nava, M Barrial, M Bret, A J Muñoz, J Serradilla, J L Encinas, L Martínez, M López-Santamaría, C A De la Torre
AIM OF THE STUDY: The slipping rib syndrome (SRS) is an unknown pathology for the pediatric surgeon due to its low incidence in children. The weakness of the costal ligaments allowing an area of rib hypermobility has been postulated recently as the main etiology. It produces an intermittent pain in the lower thorax or upper abdomen that can affect to the daily activities and can be the origin of unspecific chronic pain. METHODS: A retrospective review of patients diagnosed with SRS between october 2012 and march 2017 was performed...
October 17, 2018: Cirugía Pediátrica: Organo Oficial de la Sociedad Española de Cirugía Pediátrica
Grace E Sollender, Thomas W White, Fredric M Pieracci
A 52-year-old woman sustained a fracture of the left 7th costal cartilage after a ski injury. She presented complaining of painful clicking over the area. Initial imaging studies were negative for fracture; however, 3-D reconstruction of a chest CT, formatted to costal cartilage, revealed the fracture. She was offered and underwent surgical fixation of the fracture with a plate and four screws using a bi-axial, convergent construct. Postoperatively, her symptoms resolved. In this case report, we review the rationale for fixation of costal cartilage, including a summary of previous literature pertaining to this relatively rare thoracic injury...
October 22, 2018: Annals of Thoracic Surgery
Z Xu, M Y Tang, P H Wang, D Chen
Objective: To investigate the feasibility and clinical effect of reconstruction the ear using cartilage from amputated ear. Methods: 30 patients (22 males, 8 females, age 22-50, 18 cases right ear, 12 cases left ear) with partial auricles defects received replantation of amputated ears using the cartilages from the amputated ears from January, 2013 to June, 2017.Firstly, an advancements postauricular skin flap was made.Secondly, the skin of the amputated ear was removed and its cartilage was retained, then the cartilage was sutured in situ to form cartilage bracket...
October 7, 2018: Zhonghua Er Bi Yan Hou Tou Jing Wai Ke za Zhi, Chinese Journal of Otorhinolaryngology Head and Neck Surgery
A V Kurkov, V S Paukov, A L Fayzullin, A B Shekhter
Pectus excavatum (PE) and pectus carinatum (PC) in children are the most common congenital deformities that cause complications in the thoracic organs; however, the role of chondrocytes and cartilage canals in the pathogenesis of these conditions remains unexplored. OBJECTIVE: To investigate qualitative and quantitative changes of cartilage lacunae and canals in the costal cartilages in children with PE and PC compared to those with normal chests. SUBJECT AND METHODS: Costal cartilages were investigated in 10 children with normal chests (a control group), in 12 children with PE, and in 12 children with PC...
2018: Arkhiv Patologii
Wojciech Rokicki, Marek Rokicki, Mateusz Rydel
Tietze's syndrome is a benign, self-limiting arthropathy, without purulent character. The disease most often involves articulations: sternocostal, sternoclavicular, or costochondral joints. The characteristic symptoms are tenderness, pain and edema involving one of the aforementioned joints on one side. Diagnosis of Tietze's syndrome is based on physical examination (increase of palpation tenderness in the affected joint), laboratory tests (increase of inflammatory parameters) and imaging studies (USG, MRI)...
September 2018: Kardiochirurgia i Torakochirurgia Polska, Polish Journal of Cardio-Thoracic Surgery
Yukiko Rikimaru-Nishi, Hideaki Rikimaru, Shinichiro Hashiguchi, Tomonoshin Kanazawa, Keisuke Ohta, Kei-Ichiro Nakamura, Kensuke Kiyokawa
BACKGROUND: Limited information is available on the biological status of transplanted cartilage from which the perichondrium has been removed. This article describes the histological and three-dimensional structural picture of cartilage, using green fluorescent protein (GFP) transgenic rats and normal wild rats. METHODS: Three sections of costal cartilage were harvested from 10-week-old wild rats. One section was used as a specimen while two were subcutaneously collected from the dorsal region of 10-week-old GFP rats at 4 and 8 weeks post-transplant...
October 4, 2018: Journal of Plastic Surgery and Hand Surgery
Jose M Lasso, Esther Deleyto La Cruz
Wegener granulomatosis (WG) is a necrotizing vasculitis that involves the upper respiratory tract, the lungs, and the kidneys. It also causes deformities of the nose in practically all patients, altering the cartilaginous and bony structure as well as the inner lining of the nose.The surgical repair of these nasal distortions is a challenge mainly due to the impairment of wound healing and graft take that is caused both by the disease itself and by the prolonged immunosuppressant treatment.Many different reconstruction plans have been developed, using costal or calvarial bone grafts, cartilage grafts and local skin and mucosa flaps...
November 2018: Journal of Craniofacial Surgery
Antonella LoMauro, Paolo Banfi, Chiara Mastella, Katia Alberti, Giovanni Baranello, Andrea Aliverti
The involvement of the respiratory muscular pump makes SMA children prone to frequent hospitalization and morbidity, particularly in type 1. Progressive weakness affects ribcage muscles resulting in bell-shaped chest that was never quantified. The aims of the present work were: (1) to quantify the presence of bell-shaped chest in SMA infants and children and to correlate it with the action of ribcage muscles, assessed by the contribution of pulmonary ribcage to tidal volume (ΔVRC, p ); (2) to verify if and how the structure of the ribcage and ΔVRC, p change after 1-year in SMA type 2...
2018: Frontiers in Neurology
Kwong Ming Tse, Long Bin Tan, Shu Jin Lee, Mohamed Zulfikar Rasheed, Bien Keem Tan, Heow Pueh Lee
The Nuss procedure is the most minimally invasive and commonly used surgical correction for pectus excavatum (PE) by using a prebent pectus bar to elevate the deformed chest wall. However, there are some complications associated with this procedure such as postoperative pain as well as surgical uncertainties because of human judgment. It is therefore important to understand the biomechanical effect of the pectus bar on PE thoraces undergoing an operation to alleviate the postoperative pain as well as to improve surgical outcome...
October 2018: Journal of Plastic, Reconstructive & Aesthetic Surgery: JPRAS
Zhiyuan Jiang, Xiaobo You, Zhen Cai, Quan Liu, Liping Du, Wei Cui, Zaihong Chen, Yang Sheng
Objective: To investigate the technical points and effectiveness of autogenous costal cartilage transplantation in repair of Binder's syndrome. Methods: Between June 2012 and June 2017, 8 cases of Binder's syndrome were admitted. There were 3 males and 5 females, aged 16-31 years (mean, 22 years). All patients were conformed to the typical manifestations of Binder's syndrome. The autogenous costal cartilage was harvested and carved into the nasal dorsum graft, nasal column graft, and nasal basement graft...
August 1, 2018: Chinese Journal of Reparative and Reconstructive Surgery
Robert Edward Kelly
The procedure introduced by Donald Nuss in 1997 for the treatment of pectus excavatum at the American Pediatric Surgical Association meeting has now been adopted by pediatric, thoracic, and plastic surgeons around the world. Rather than resection of the costal cartilages and sternal fracture, which had been standard practice for decades, he advocated using a metal bar to push the sternum into position. Reasoning that the chest wall of children is very flexible, he felt that resection was unnecessary. Since that time, medical centers from around the world have reported their experience with the procedure...
August 2018: European Journal of Pediatric Surgery
Rufan Zhang, Zihao Feng, Yong Zhang, Hui Tan, Jian Wang, Fazhi Qi
OBJECTIVES: Deep sternal wound infection (DSWI) is a refractory complication after heart surgery, and debridement is the first-line treatment. The accurate identification of the extent of the infection is the key to successful debridement. The present study assessed the diagnostic accuracy of fluorine-18 deoxyglucose (18 F-FDG) positron emission tomography/computed tomography (PET/CT) for identifying the infected area of DSWI. METHODS: Between February 2015 and May 2017, 73 consecutive patients with suspected DSWI received 18 F-FDG PET/CT examinations before their operation...
December 2018: Journal of Plastic, Reconstructive & Aesthetic Surgery: JPRAS
Yue Wang, Wenshan Xing, Tun Liu, Xu Zhou, Jin Qian, Bingqing Wang, Shouqin Zhao, Qingguo Zhang
BACKGROUND: Congenital bilateral microtia with external ear canal (EAC)/middle ear malformation lead to severe appearance defects, hearing impairment and language barrier. Here we report an optimal integrated surgical technique for BoneBridge implantation and auricular reconstruction, which reduce time span of operation, total cost and patients' suffering as well. METHOD: Seven patients with bilateral external and middle ear malformation received 2-stage auricular reconstruction (age from 7 to 11 years old)...
October 2018: International Journal of Pediatric Otorhinolaryngology
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