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https://www.readbyqxmd.com/read/30081030/simultaneous-surgical-treatment-of-sternum-and-costal-cartilage-fractures
#1
Erji Gao, Yang Li, Tiancheng Zhao, Xiang Guo, Weiwei He, Weiming Wu, Yonghong Zhao, Yi Yang
There are studies confirmed that for severe flail chest or sternal fractures, even multiple rib fractures, surgery can effectively reduce hospital stay and relieve chest wall pain. But it is a challenge to fix too many costal cartilage fractures in such a small area if we just put internal fixator directly on the sternum. Through this case report we want to share our method of fixation of multiple costal cartilage and sternal fractures at the same time through a small incision, and it is also appropriate for multiple costal cartilage fractures without sternal fracture...
August 3, 2018: Annals of Thoracic Surgery
https://www.readbyqxmd.com/read/30048203/effect-of-intercostal-muscle-contraction-on-rib-motion-in-humans-studied-by-finite-element-analysis
#2
Guangzhi Zhang, Xian Chen, Junji Ohgi, Fei Jiang, Seiryo Sugiura, Toshiaki Hisada
The effect of intercostal muscle contraction on generating rib motion has been investigated for a long time and is still controversial in physiology. This may be because of the complicated structure of the rib cage, making direct prediction of the relationship between intercostal muscle force and rib movement impossible. Finite element analysis (FEA) is a useful tool, which is good at solving complex structural mechanic problems. In this study, we individually activated the intercostal muscle groups from the dorsal to ventral portions, and obtained five different rib motions classified based on rib moving directions...
July 26, 2018: Journal of Applied Physiology
https://www.readbyqxmd.com/read/30043483/control-of-optical-transparency-and-infrared-laser-heating-of-costal-cartilage-via-injection-of-iohexol
#3
Yulia M Alexandrovskaya, Evgeniy G Evtushenko, Mariya M Obrezkova, Valery V Tuchin, Emil N Sobol
Infrared (IR) laser impact has no analogues for rapid and safe cartilage reshaping. For better penetration of radiation optical clearing agents (OCAs) can be applied. In present work the effect of low-osmolality agent iohexol on costal cartilage is studied. Specifically, it is shown that ½ of total increase of optical transparency occurs in 20 min of immersion. Maximally, cartilage transparency on 1560 nm can be increased in 1.5 times. Injection of iohexol results in increased tissue hygroscopicity, lower drying rate and higher percentage of bound water...
July 25, 2018: Journal of Biophotonics
https://www.readbyqxmd.com/read/30005790/tip-grafting-for-the-asian-nose
#4
REVIEW
Yong Ju Jang, Sung Hee Kim
Tip surgery during rhinoplasty is particularly difficult in Asians. Tip grafting is the best approach. Conchal cartilage with perichondrium and costal cartilage are powerful grafting materials. The most important grafting techniques are tip-onlay grafting, shield grafting, and multilayer tip grafting. Tip-onlay grafts are useful for dorsal convexity. Shield grafts require sufficient support to prevent bending. Multilayer tip grafts (usually 2 layers) are versatile. Asians vary in cartilage configuration, skin thickness, and aesthetic desires: tip-grafting strategies must be tailored to meet the aesthetic goals of individuals...
August 2018: Facial Plastic Surgery Clinics of North America
https://www.readbyqxmd.com/read/30005786/dorsal-augmentation-using-autogenous-tissues
#5
REVIEW
Man-Koon Suh
Autogenous materials used for Asian dorsal augmentation are temporal fascia, dermofat, solid block type of costal cartilage, and diced cartilage. The temporal fascia is used for radix augmentation or correction of minor focal depression. Dermofat, solid block costal cartilage, and diced cartilage are recommended for major dorsal augmentation. The vertically oriented folded dermal graft curtails use of the fat component. Diced cartilage wrapped in temporal fascia exhibits a lower resorption rate, and may easily fit into the contour of the dorsum...
August 2018: Facial Plastic Surgery Clinics of North America
https://www.readbyqxmd.com/read/29994933/novel-sternal-reconstruction-with-custom-three-dimensional-printed-titanium-porestar-prosthesis
#6
Minh D Tran, Jason A Varzaly, Justin C Y Chan, Yugesh Caplash, Michael G Worthington
Resection of sternal tumors can leave large defects, which exposes major mediastinal structures, and can affect respiratory mechanics. If feasible, resection is potentially a complex reconstructive challenge to restore normal and functional anatomy using conventional techniques. We report the first Australian use of a three-dimensional-printed titanium and PoreStar prosthesis in a 39-year-old woman for reconstruction after major surgical resection of the sternum for metastatic breast cancer. The patient successfully underwent excision of the sternum and costal cartilages as well as implantation of the prosthesis...
July 7, 2018: Innovations: Technology and Techniques in Cardiothoracic and Vascular Surgery
https://www.readbyqxmd.com/read/29989560/indications-and-long-term-outcomes-of-open-augmentation-rhinoplasty-with-autogenous-l-shaped-costal-cartilage-strut-grafts-a-single-plastic-surgeon-s-experience
#7
Laura Leach, Eamon Shamil, Charles M Malata
Introduction We present a single surgeon's experience of open augmentation rhinoplasty with autogenous L-shaped costal cartilage grafts, with long-term patient-reported outcome data. We highlight the salient operative steps and outline the peri-operative care required to optimise outcomes. Materials and Methods A retrospective review of eleven such augmentation rhinoplasties performed between 2008 and 2016 was undertaken. Indications included saddle nose deformity [granulomatosis with polyangiitis (n=7) and relapsing polychondritis (n=1)], post-traumatic nasal collapse (n=1) and advanced cosmetic westernisation of the nose (n=2)...
June 30, 2018: Otolaryngologia Polska
https://www.readbyqxmd.com/read/29931211/autologous-costal-cartilage-harvesting-technique-and-donor-site-pain-in-patients-undergoing-rhinoplasty-reply
#8
Berke Özücer
No abstract text is available yet for this article.
July 1, 2018: JAMA Facial Plastic Surgery
https://www.readbyqxmd.com/read/29931142/autologous-costal-cartilage-harvesting-technique-and-donor-site-pain-in-patients-undergoing-rhinoplasty
#9
Xiaona Lu, Fei Fan
No abstract text is available yet for this article.
July 1, 2018: JAMA Facial Plastic Surgery
https://www.readbyqxmd.com/read/29928082/use-of-a-plastic-eraser-for-ear-reconstruction-training
#10
Basar Erdogan, Daichi Morioka, Taishi Hamada, Taro Kusano, Khin Malar Win
Background: Microtia reconstruction is a challenging procedure, especially in developing nations. The most complex part is learning how to fabricate a framework from costal cartilage. We herein propose a training regimen for ear reconstruction with the use of a plastic eraser. Materials and Methods: The texture of a plastic eraser made from polyvinyl chloride is similar to that of human costal cartilage. The first step of the training is carving out the sixth through eighth rib cartilages from a block of plastic eraser...
January 2018: Indian Journal of Plastic Surgery: Official Publication of the Association of Plastic Surgeons of India
https://www.readbyqxmd.com/read/29927821/a-decade-s-experience-a-sound-framework-as-the-foundation-to-nasal-reconstruction
#11
Xiaona Lu, Huan Wang, Jianjun You, Bo Zhang, Yihao Xu, Ruobing Zheng, Le Tian, Fei Fan
The goal of nasal reconstruction surgery is to restore normal nasal shape and function, and its success begins with creating a stable framework. In this article the authors discuss the most advantageous materials for building such a framework and how to design this element to achieve better and more durable outcomes. This is a retrospective study including patients who underwent nasal reconstruction in our rhinoplasty and nasal reconstruction center at a tertiary referral hospital between 2006 and 2016. Data included patient characteristics, defect location, the reason for defect, use of supporting structure, flap, lining, and complications were recorded...
June 20, 2018: Journal of Craniofacial Surgery
https://www.readbyqxmd.com/read/29870510/new-strategies-for-remnant-ear-treatment-in-lobule-type-microtia-reconstruction
#12
Zhicheng Xu, Ruhong Zhang, Qun Zhang, Feng Xu, Datao Li, Yiyuan Li
BACKGROUND: Numerous modifications have been successfully applied in microtia reconstruction over the past several decades, and lobular transposition has become a routine technique in a two-stage operation. However, it is still a demanding challenge to manipulate the remnant ear with various quantities or positions in lobule-type microtia. The authors demonstrate the relevant details of treating remnant tissue in different conditions. METHODS: A total of 390 lobule-type microtia patients underwent autogenous costal cartilage auricular reconstruction between 2010 and 2015...
May 19, 2018: Plastic and Reconstructive Surgery
https://www.readbyqxmd.com/read/29806350/-application-of-thin-ribbed-cartilage-with-the-perichondrium-in-correction-of-secondary-cleft-lip-nasal-deformity-as-lateral-crural-onlay-graft
#13
Ju Yuan, Wangshu Wang, Tianye Yang, Tian Li, Yujia Geng, Hai Gao, Ying Shao
Objective: To explore the application and effectiveness of thin-ribbed cartilage with the perichondrium in the correction of secondary cleft lip nasal deformity as the lateral crural onlay graft. Methods: A retrospective study was performed based on the data of 28 patients with secondary nasal deformity of cleft lip between October 2015 and April 2017. There were 16 males and 12 females with an average age of 24 years (range, 18-31 years). There were 11 cases with secondary nasal deformities on the left side, 13 cases on the right side, and 4 cases on both sides...
May 1, 2018: Chinese Journal of Reparative and Reconstructive Surgery
https://www.readbyqxmd.com/read/29798575/-application-progress-of-digital-technology-in-auricle-reconstruction
#14
REVIEW
Zhaoyang Chen, Chuncai Luo, Xiao Shang, Yan Han
Objective: To review the application progress of digital technology in auricle reconstruction. Methods: The recently published literature concerning the application of digital technology in auricle reconstruction was extensively consulted, the main technology and its specific application areas were reviewed. Results: Application of digital technology represented by three-dimensional (3D) data acquisition, 3D reconstruction, and 3D printing is an important developing trend of auricle reconstruction...
September 1, 2017: Chinese Journal of Reparative and Reconstructive Surgery
https://www.readbyqxmd.com/read/29798191/-expand-pedicle-forehead-flap-in-the-repair-of-whole-nasal-defect
#15
J H Ding, F R Su
Objective: To observed the application of expanded pedicle forehead flap in nasal defect. Method: Totally 11 whole nasal defect cases in our department from June 2010 to March 2016 were treated with the expanded pedicle forehead flap. Regular follow-up was performed after operation to observe the survival condition of flaps, shape, color, texture and scar in donor site after nasal repair. Result: The expanded pedicle forehead flap and transplantation of autologous costal cartilage nasal stents were all survived, the reconstruction nasal shape was satisfied...
November 20, 2017: Journal of Clinical Otorhinolaryngology, Head, and Neck Surgery
https://www.readbyqxmd.com/read/29762323/reinforcement-of-lower-lateral-cartilage-using-sliced-costal-periphery-to-reconfigure-nasal-tip-in-asian-rhinoplasty
#16
Lin Wang, Yonggan Niu, Hui Zhang, Baokai Li
BACKGROUND: Reinforcement of lower lateral crura (LLC) is an imperative prophylaxis against the secondary deformity of alar and nasal tip in Asian rhinoplasty. The common limitation of the existing techniques is loss of nasal tip's mobility to a large degree in exchange for structural stability. In search for a natural and animated postoperative nasal tip, the elasticity and rigidity of coastal periphery was taken into account. METHOD: Two pieces of sliced costal periphery (SCP) were used to reinforce the LLC...
July 2018: Journal of Craniofacial Surgery
https://www.readbyqxmd.com/read/29755093/-concomitant-atrial-septal-defect-closure-and-repair-of-pectus-excavatum-in-a-50-year-old-patient-report-of-a-case
#17
Atsushi Tamura, Hajime Kinoshita, Kei Kazuno, Hiroshige Sato, Seiichiro Murata, Hiroshi Iida
We report a case of atrial septal defect (ASD) with severe pectus excavatum. A 50-year-old female had a stroke due to paradoxical embolism from deep vein thrombosis thorough ASD. Her preoperative computed tomography(CT) revealed a severe pectus excavatum (Haller CT index 28.6). The patient underwent ASD closure and repair of the pectus excavatum concomitantly. Median full sternotomy was performed for ASD closure. And we adopted sterno-costal elevation for pectus excavatum repair. Cartilages of the 3rd to the 7th rib were segmentally resected and the remainders were re-sutured to the sternum...
May 2018: Kyobu Geka. the Japanese Journal of Thoracic Surgery
https://www.readbyqxmd.com/read/29754713/endoscopic-partial-arytenoidectomy-for-bilateral-vocal-fold-paralysis-medially-based-mucosal-flap-technique
#18
Taner Yılmaz
PURPOSE: Endoscopic partial arytenoidectomy (EPA) is one of the static operations for treatment of bilateral vocal fold paralysis (BVFP). Improvement in airway may cause voice loss and aspiration. The author reports his experience on EPA using medially based mucosal flap to enlarge posterior glottis without removing any part of membranous vocal fold. MATERIALS AND METHODS: Sixty-four consecutive patients with BVFP underwent EPA. Pre- and postoperative evaluations included Voice Handicap Index-30, aerodynamic and acoustic analysis, flow volume loops, perceptual evaluation of pre- and postoperative voice using grade, roughness, breathiness, asthenia, strain (GRBAS) scale, speech intensity, breathing ability evaluation, and functional outcome swallowing scale...
May 10, 2018: Journal of Voice: Official Journal of the Voice Foundation
https://www.readbyqxmd.com/read/29728173/novel-endoscopic-suturing-technique-to-mitigate-risk-of-graft-extrusion-in-endoscopic-posterior-cricoid-split-and-costal-cartilage-grafting-a-case-report
#19
Janki Shah, Peter Ciolek, Brandon Hopkins
No abstract text is available yet for this article.
June 2018: International Journal of Pediatric Otorhinolaryngology
https://www.readbyqxmd.com/read/29705398/a-systematic-review-and-meta-analysis-of-comparison-between-autologous-costal-cartilage-and-alloplastic-materials-in-rhinoplasty
#20
REVIEW
Xuebing Liang, Keming Wang, Sunitha Malay, Kevin C Chung, Jiguang Ma
BACKGROUND: Both autologous costal cartilage (ACC) and alloplastic materials are widely used in rhinoplasty. However, there is controversy regarding which material can offer the ideal outcome and fewer complications. OBJECTIVE: The authors review current literature to evaluate complication and satisfaction rates with different materials used in rhinoplasty. METHODS: A comprehensive literature search of articles was conducted in Embase and PubMed published through April 14, 2017...
April 11, 2018: Journal of Plastic, Reconstructive & Aesthetic Surgery: JPRAS
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