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Conchal cartilage

Pona Park, Hong-Ryul Jin
BACKGROUND: Warping remains a primary issue in the use of autologous costal cartilage for nasal augmentation. To mitigate such issues, diced cartilage in fascia (DCIF) has been proposed as an alternative for use in rhinoplasty. The objective of this study was to assess the efficacy of DCIF in nasal dorsal augmentation for Asian patients, with particular focus on the strengths and weaknesses of this material. MATERIALS AND METHODS: Fifteen patients who underwent major dorsal augmentation with DCIF during the last 2 years were retrospectively reviewed...
October 17, 2016: Aesthetic Plastic Surgery
Salih Onur Basat, Fatih Ceran, Ufuk Askeroglu, Tolga Aksan, Cagdas Orman, Memet Yazar, Ilker Uscetin, Mithat Akan, Mehmet Bozkurt
BACKGROUND: Prominent ear deformity (PD) is an unacceptable condition of pinna that affects 5% of the population and is associated with emotional stress, behavioral disturbances, and social restrictions in relationships. Conchal hypertrphy, inadequate formation of antihelical fold, earlobe placement ahead than it should be, or various combinations of these changes are main characteristics of PD. Many surgical techniques have been described for the PD.The authors' aim was to present laterally based postauricular dermal flap combination with cartilage-sparing methods and effectiveness of this technique in suture extrusion prevention and reducing the rate of recurrence with long-term results...
September 2016: Journal of Craniofacial Surgery
Nazir A Khan, Ayaz Rehman, Rajshri Yadav
The surgeons performing rhinoplasty found Graft selection the greatest challenge. To avoid an immune response the preferred choice thus far for nasal reconstruction would be autograft compared to allograft due to its lower rate of rejection. We have evaluated 30 patients who underwent open rhinoplasty and We used conchal and septal cartilaginous grafts in various forms by the open approach to correct various nasal deformities compared our experience regarding the operative technique, graft availability, indications, and limitations...
September 2016: Indian Journal of Otolaryngology and Head and Neck Surgery
Ahmed Elshahat, Riham Lashin
OBJECTIVE: Despite the multitude of corrective procedures described in the literature, adequate surgical correction of the congenital constricted ear remains a challenge. The maintenance of the shape and size of the reconstructed upper neohelix poses a particular problem. METHODS: In the present study, a total of 12 cases of reconstruction were undertaken. All of them were moderate (type IIA Tanzer classification) deformities. A combined procedure was adopted using a V-Y advancement of the helical root, cartilage scoring, and cartilage grafting from the contralateral concha to reconstruct the upper helix...
2016: Eplasty
Datao Li, Feng Xu, Ruhong Zhang, Qun Zhang, Zhicheng Xu, Yiyuan Li, Cheng Wang, Tianya Li
BACKGROUND: Although a standard classification system and corresponding reconstruction methods are well described for microtia, establishing a classification system and corresponding surgical strategies for traumatic ear defects is difficult because the size, shape, and local skin conditions of each defect differ considerably. In this article, the authors describe a useful new classification system and corresponding surgical approaches. METHODS: Ear defects were classified into four types according to defect size and surrounding skin conditions...
August 2016: Plastic and Reconstructive Surgery
Olivia T Cheng, Akina Tamaki, Rod P Rezaee, Chad A Zender
BACKGROUND: Prefabricated composite free flaps have been described as a technique for reconstruction of laryngotracheal defects. METHODS: We present a 74-year-old woman with recurrent papillary thyroid carcinoma (PTC) who was initially treated with thyroidectomy, tracheal resection, and subsequent vocal cord medialization. The patient's recurrent disease was treated with partial laryngectomy and reconstruction using a prefabricated composite free flap. A 2-stage procedure was performed using conchal cartilage to create a prefabricated radial forearm free flap...
July 4, 2016: Head & Neck
Gregor M Bran, Frank Riedel
: Congenital deformities of the nasal cartilage are extremely rare. Often, they remain undiscovered until an open approach is completed during rhinoplasty. We present a case of unilateral congenital agenesis of the middle and lateral crura of the alar cartilage. A new concept for dome reconstruction using conchal cartilage is introduced. Additionally, current concepts of embryology are summarized, which will help understanding the pathophysiology of such rare deformities. LEVEL OF EVIDENCE V: This journal requires that authors assign a level of evidence to each article...
October 2016: Aesthetic Plastic Surgery
Emily Spataro, Gregory H Branham, Dorina Kallogjeri, Jay F Piccirillo, Shaun C Desai
Importance: Estimates of the 30-day hospital revisit rate following septorhinoplasty and the risk factors associated with revisits are unknown in the current literature. Surgical 30-day readmission rates are important to establish, as they are increasingly used as a quality care metric and can incur future financial penalties from third-party payers and government agencies. Objective: To determine the rate of 30-day hospital revisits following septorhinoplasty and the risk factors associated with revisits...
June 16, 2016: JAMA Facial Plastic Surgery
J Ellart, P Guerreschi, L Pasquesoone, V Duquennoy-Martinot
Prominent ears can have a significant psychological impact especially in children. It is often the subject of negative remarks among classmates. Prominent ears are the result of one or more congenital anomalies that may be associated together in various degrees. Absence of antihelical fold, opening the cephalo-conchal angle and conchal hypertrophy are the most common. The surgery aims to correct these anomalies, by reshaping the cartilage in order to obtain well-shaped ears that is normally positioned and oriented with natural size and appearance...
June 8, 2016: Annales de Chirurgie Plastique et Esthétique
A L Onishchenko, A V Kolbasko, E R Kramer
The paper presents an original method for temporary biokeratoprothetics in total destruction of the cornea, which consists of the following. In the operating room a 12-mm disc is cut out of patient's conchal cartilage by a trephine and then thinned down to 1 mm with a blade. The prepared autograft is placed in front of the iris completely overlapping corneal defect and sutured to the sclera with 10--12 U-shaped interrupted stitches using a 7/0 suture. Between the stitches 0.2--0.3 ml of viscoelastic are injected into the anterior chamber...
March 2016: Vestnik Oftalmologii
Metin Temel, Ertan Gunal, Serif Samil Kahraman
Congenital isolated alar defects are extremely rare, occurring in approximately 1 in 20,000 to 40,000 live births. The patients are presented here of 2 pediatric patients operated on for congenital isolated alar defect. The reconstruction of congenital isolated alar defects was made in a 3-layered fashion. The skin defects were covered using the Mutaf triangular closure technique in which 2 cutaneous local flaps are designed in an unequal Z-plasty manner. Conchal cartilage graft was used between the skin and mucosal closure to replace the missing part of the lower lateral cartilage in these patients...
June 2016: Journal of Craniofacial Surgery
A Trinidade, J Norton, J L Dornhoffer
The vertical juxtaposition junction (VJJ) flap is a useful adjunct to the technique of mastoid obliteration and is readily created during the process of cartilage graft harvesting from the conchal bowl. It allows for greater inward rotation of a Palva flap into the mastoid cavity; provides a platform for overlying soft tissues, thus helping to prevent their prolapse into the cavity over time; through tension, helps to stent the external auditory meatus. Long term results suggest that is helps to better contour the obliterated cavity and thus may aid in better epithelial migration within the reconstructed ear...
May 14, 2016: Clinical Otolaryngology
Sue Min Kim, Byung Yeun Kwon, Young Joon Jun, Young Jin Kim
We successfully corrected Stahl ear with a combination of scoring incisions and a conchal cartilage graft. The cymba concha was used as an onlay graft, to serve as an anatomical splint. This technique maintains the original size of the ear without an irregular contour or visible scars, and it makes it possible to reshape stiff cartilage.
May 9, 2016: British Journal of Oral & Maxillofacial Surgery
Ho Jun Lee, Yong Ju Jang
PURPOSE OF REVIEW: The review summarizes the basic concepts and recent updates on the management of saddle and short noses, with a particular focus on the selection of septal reconstruction techniques and dorsal augmentation material. RECENT FINDINGS: Different techniques have been reported for septal cartilage reconstruction, including various combinations of extended spreader and caudal septal extension grafts, as well as L-strut grafts. For dorsal augmentation, materials that help avoid costal cartilage warping including, diced costal cartilage with or without fascia, costal cartilage obtained by oblique cutting, diced conchal cartilage with perichondrial attachments, and lipofilling of the nasal dorsum have been reported...
August 2016: Current Opinion in Otolaryngology & Head and Neck Surgery
Zeyu Chen
OBJECTIVE: To evaluate the efficiency of autologous conchal cartlage in ossicular chain reconstruction in patients with chronic suppurative otitis media. METHOD: Seventy-three cases of chronic suppurative otitis media (COM) with or without cholesteatoma who had undergone mastoidectomy with tympanoplasty and ossicular chain reconstruction(OCR) using autologous conchal cartilage as prosthesis were studied retrospectively. Sixty-six cases of COM who had undergone mastoidectomy with tympanoplasty and without OCR were studied as control...
October 2015: Journal of Clinical Otorhinolaryngology, Head, and Neck Surgery
S M Balaji
BACKGROUND: Reconstruction of Grade III microtia is a challenging entity in maxillofacial esthetic rehabilitation. Several advocacies and philosophies exist in this field. The aim of the manuscript is to present a single South Indian Experience with Ear reconstruction among South Indian Population. MATERIALS AND METHODS: Retrospective analysis of unilateral Grade III microtia reconstruction was performed. Using a set of predefined inclusion and exclusion criteria, the population was selected...
July 2015: Annals of Maxillofacial Surgery
Özay Özkaya Mutlu, Onur Egemen, Ahmet Dilber, Ilker Üsçetin
PURPOSE: The aim of this study was to perform a retrospective analysis of patients who underwent periorbital area reconstructions, determine their sociodemographic characteristics, analyze the effects of defect etiologies and locations classified according to periorbital subunits on our reconstruction options, and to present our treatment outcomes and clinical experience. METHODS: A retrospective chart review of 23 patients operated in our department between January 2010 and March 2013 and underwent periorbital area reconstructions, was performed...
March 2016: Journal of Craniofacial Surgery
Ayato Hayashi, Hidekazu Yoshizawa, Yuhei Natori, Daiki Senda, Rica Tanaka, Hiroshi Mizuno
INTRODUCTION: Lid loading using gold weights has been commonly used to treat paralytic lagophthalmos (PL); however, the procedure has a relatively high complication rate and the availability of these plates varies among social circumstances. We used a levator lengthening (LL) technique, which originally elongated the levator aponeurosis by inserting a fascia graft between the edge of the levator aponeurosis and the tarsal plate. However, because this procedure tends to result in a wide residual lagophthalmos, we changed the graft material from fascia to conchal cartilage...
May 2016: Journal of Plastic, Reconstructive & Aesthetic Surgery: JPRAS
Oren Friedman, Orly Coblens
Nasal obstruction due to weakening of the nasal sidewall is a very common patient complaint. The conchal cartilage butterfly graft is a proven technique for the correction of nasal valve collapse. It allows for excellent functional results, and with experience and attention to technical detail, it may also provide excellent cosmetic results. While this procedure is most useful for restoring form and function in cases of secondary rhinoplasty following the reduction of nasal support structures, we have found it to be a very powerful and satisfying technique in primary rhinoplasty as well...
February 2016: Facial Plastic Surgery: FPS
Chul Park, Jung Youl Park
BACKGROUND: The classification and corrective methods for the constricted ears continue to be controversial. To clarify them, the authors have reviewed and analyzed cases operated on at their Center from January of 1992 to January of 2014. METHODS: A total of 164 ear cases (involving 139 patients), showing features of lidded helix, compression of scapha and fossa triangularis, and/or cup-like protrusions, were included in their study (microtias with constricted ear features were excluded) and reviewed through medical records, photographs, analysis of surgical methods, and postoperative outcomes...
May 2016: Plastic and Reconstructive Surgery
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