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Ear reconstruction

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https://www.readbyqxmd.com/read/29236281/preoperative-evaluation-and-intraoperative-protection-of-the-facial-nerve-in-congenital-aural-atresia
#1
Jie Li, Shouqin Zhao, Lin Yang, Yi Li, Xiaobo Ma, Danni Wang, Ran Ren, Ying Li
We conducted a prospective study to assess the value of high-resolution computed tomography (HRCT) in identifying facial nerve variations in patients with congenital aural atresia and to determine how they affect otologic reconstruction surgery. Our study population was made up of 65 patients (69 ears) aged 6 to 22 years (mean: 13.7) without regard to sex. They were classified into three groups according to their scores on the Jahrsdoerfer grading scale: 46 ears scored 8 or more, 18 had a score of 6 or 7, and 5 scored 5 or less...
December 2017: Ear, Nose, & Throat Journal
https://www.readbyqxmd.com/read/29229134/animal-models-in-plastic-and-reconstructive-surgery-simulation-a-review
#2
REVIEW
Charles Yuen Yung Loh, Aline Yen Ling Wang, Vincent Tze Yang Tiong, Thanassi Athanassopoulos, Meiling Loh, Philip Lim, Huang-Kai Kao
BACKGROUND: The use of live and cadaveric animal models in surgical training is well established as a means of teaching and improving surgical skill in a controlled setting. We aim to review, evaluate, and summarize the models published in the literature that are applicable to Plastic Surgery training. MATERIALS AND METHODS: A PubMed search for keywords relating to animal models in Plastic Surgery and the associated procedures was conducted. Animal models that had cross over between specialties such as microsurgery with Neurosurgery and pinnaplasty with ear, nose, and throat surgery were included as they were deemed to be relevant to our training curriculum...
January 2018: Journal of Surgical Research
https://www.readbyqxmd.com/read/29222584/-preservation-of-the-outer-ear-in-a%C3%A2-complex-burn-injury
#3
Fabian Medved, Hans-Eberhard Schaller, Jens Martin Rothenberger, Manuel Held, Kevin Beutler, Cedric E Boesch
Saving the outer ear in burn injuries is a challenging task for the treating surgeon that should not be underestimated. Burns which are initially evaluated as superficial, particularly in this region, often have a tendency to undergo progressive tissue destruction whereby conservative treatment is often no longer sufficient to preserve the skin of the auricle with the underlying cartilage. Various possibilities for saving the ear and for ear reconstruction are described, but in the case of severely burned patients it is often necessary to carry out a quick and relatively simple treatment...
December 8, 2017: Der Unfallchirurg
https://www.readbyqxmd.com/read/29214334/using-four-layer-sculpted-rib-cartilage-framework-to-increase-transverse-height-of-the-reconstructive-ear-in-one-operative-stage-for-microtia-patients
#4
Rui Wan, Xingyuan Pang, Jun Ren
PURPOSE: This case study improves an operative method of ear reconstruction for microtia patients by using a four-layer rib cartilage framework to increase transverse height of the reconstructive ear to a natural level in one operative stage. MATERIALS AND METHODS: The procedures of ear reconstruction were conducted from February 2014 to May 2016. The ear framework used in the procedures was fabricated from autologous rib cartilage into a four-layer spliced sculpture...
December 6, 2017: Aesthetic Plastic Surgery
https://www.readbyqxmd.com/read/29210944/stapes-release-in-tympanosclerosis
#5
Es-Hak Bedri, Nebiat Teferi, Miriam Redleaf
: Tympanosclerosis in the middle ear space is common in Ethiopia and often involves the ossicles and particularly the stapes. Ear operations in Ethiopia are relatively expensive in this country of limited medical resources and a low average living wage. In this setting, 2-stage operations using prostheses become prohibitively expensive. Therefore, the recommended 2-stage approach for tympanic membrane perforation with tympanosclerosis and stapes fixation is impractical for Ethiopia.We present a series of 67 patients who had a single stage tympanoplasty, removal of tympanosclerosis from the stapes suprastructure, and ossicular chain reconstruction using ossicular interposition...
November 28, 2017: Otology & Neurotology
https://www.readbyqxmd.com/read/29209853/3d-endoscopic-ear-surgery-a-clinical-pilot-study
#6
Daniele Bernardeschi, Ghizlene Lahlou, Daniele De Seta, Francesca Yoshie Russo, Isabelle Mosnier, Olivier Sterkers
OBJECTIVE: To evaluate the feasibility and efficacy of a new high-resolution 3D endoscope in endoscopic ear and lateral skull base surgery. METHODS: Eight patients, five women and three men, were included in this clinical pilot prospective study. Their age was 38 ± 17.3 years (mean ± SD, range 17-54 years). The right side was involved in five cases, and the left side in three cases. There were three cases of chronic otitis, one case of cholesteatoma of the external auditory canal, one case of otosclerosis, one case of cochlear implant surgery, and two cases of stage 2 vestibular schwannoma operated on with a retrosigmoid approach to preserve hearing...
December 5, 2017: European Archives of Oto-rhino-laryngology
https://www.readbyqxmd.com/read/29194713/intraspecific-variation-in-the-domestic-cat-bony-labyrinth-revealed-by-different-measurement-techniques
#7
Rico Schellhorn
The knowledge of intraspecific variation is important to make assumptions on an interspecific level. To study intraspecific variation in the bony labyrinth morphology of the domestic cat, eleven specimens of Felis silvestris catus and two additional subspecies (F. s. lybica, F. s. ornata) were investigated. The sample comprises skulls of adult males and females, as well as juvenile cats. Each bony labyrinth endocast was virtually reconstructed based on µCT scans. To estimate the radius of curvature of each inner ear semicircular canal, three different approaches were tested...
December 1, 2017: Journal of Morphology
https://www.readbyqxmd.com/read/29191823/lyric-hearing-aid-a-rare-cause-of-benign-necrotising-otitis-externa-external-ear-canal-cholesteatoma
#8
Christopher Thompson, Rohit Gohil, Alex Bennett
An 80-year-old Caucasian man presented with an incidental and asymptomatic lesion in his right ear thought to be secondary to his use of hearing aids for presbycusis. He used Lyric hearing aids, designed for 24 hours-a-day use for 4 months at a time and had no other previous otological problems. He underwent a bony meatoplasty and vascular flap reconstruction via a retroauricular approach to remove the lesion for histological analysis and regrafting of the area. The lesion was confirmed on histopathology as an ear canal cholesteatoma...
November 29, 2017: BMJ Case Reports
https://www.readbyqxmd.com/read/29169692/anthropometric-growth-study-of-the-ear-in-a-chinese-population
#9
Shichun Zhao, Dianguo Li, Zhenzhong Liu, Yibiao Wang, Lei Liu, Duyin Jiang, Bo Pan
BACKGROUND: A large number of anthropometric studies of the auricle have been reported in different nations, but little data were available in the Chinese population. The aim of this study was to analyze growth changes in the ear by measuring the width and length of ears in a Chinese population. METHODS: A total of 480 participants were enrolled and classified into 1-, 3-, 5-, 7-, 9-, 12-, 14-, and 18-year groups (half were boys and half were girls in each group)...
October 20, 2017: Journal of Plastic, Reconstructive & Aesthetic Surgery: JPRAS
https://www.readbyqxmd.com/read/29161295/cardiac-and-renal-dysfunction-is-associated-with-progressive-hearing-loss-in-patients-with-fabry-disease
#10
Maria Köping, Wafaa Shehata-Dieler, Mario Cebulla, Kristen Rak, Daniel Oder, Jonas Müntze, Peter Nordbeck, Christoph Wanner, Rudolf Hagen, Sebastian Schraven
BACKGROUND: Fabry disease (FD) is an X-linked recessive hereditary lysosomal storage disorder which results in the accumulation of globotriaosylceramid (Gb3) in tissues of kidney and heart as well as central and peripheral nervous system. Besides prominent renal and cardiac organ involvement, cochlear symptoms like high-frequency hearing loss and tinnitus are frequently found with yet no comprehensive data available in the literature. OBJECTIVE: To examine hearing loss in patients with FD depending on cardiac and renal function...
2017: PloS One
https://www.readbyqxmd.com/read/29160090/two-consecutive-cases-of-persistent-stapedial-artery-managed-with-a-carbon-dioxide-laser
#11
Shawn M Stevens, Zoe A Walters, Kareem Tawfik, Ravi N Samy
OBJECTIVE: (1) Discuss the presentation and management of persistent stapedial artery (PSA) discovered incidentally during cholesteatoma surgery. (2) Review use of carbon dioxide (CO2) laser for treatment of PSA in the setting of chronic ear disease. PATIENTS: Two consecutive patients with PSA and primary acquired cholesteatoma. INTERVENTION(S): Tympanomastoidectomy using a canal wall reconstruction technique. MAIN OUTCOME MEASURE(S): Surgical healing, collateral damage to surrounding anatomy, and postoperative hearing...
November 1, 2017: Annals of Otology, Rhinology, and Laryngology
https://www.readbyqxmd.com/read/29153194/cosmetic-and-reconstructive-surgery-of-congenital-ear-deformities
#12
EDITORIAL
Scott Stephan
No abstract text is available yet for this article.
February 2018: Facial Plastic Surgery Clinics of North America
https://www.readbyqxmd.com/read/29153190/auricular-reconstruction-using-porous-polyethylene-implant-technique
#13
REVIEW
Scott Stephan, John Reinisch
Alloplast-based ear reconstruction has become more popular over the years because it offers many advantages compared with the traditional staged autologous costal cartilage approach. Advantages include earlier reconstruction in the setting of microtia, fewer procedures, less donor site morbidity, shorter surgeon learning curve, and improved consistency in the final aesthetic result. Although other implantable materials have been used in auricular reconstruction with variable success, porous high-density polyethylene frameworks combined with recent advances in the creation of the soft tissue coverage have significantly improved outcomes with minimal complications and long-term viability...
February 2018: Facial Plastic Surgery Clinics of North America
https://www.readbyqxmd.com/read/29153189/pediatric-microtia-reconstruction-with-autologous-rib-personal-experience-and-technique-with-1000-pediatric-patients-with-microtia
#14
REVIEW
Arturo Bonilla
Reconstruction of the microtic ear is one of the most challenging, yet gratifying surgical experiences. Careful planning, attention to detail, and conservative tissue management are necessary for excellent results. Technologies continue to evolve; with the advancement of cartilage tissue engineering, the future of ear reconstruction is very promising.
February 2018: Facial Plastic Surgery Clinics of North America
https://www.readbyqxmd.com/read/29140904/reconstruction-of-microtias-with-constricted-ear-features-a-22-year-experience
#15
Chul Park, Jung Youl Park
BACKGROUND: The surgical correction of 'microtias with constricted ear features' has remained a challenge due to the variable shape and large volume of the remnant cartilage and skin involved. In order to clarify how this remnant cartilage and skin should be treated, we have reviewed and analyzed cases operated at our Center. METHODS: A total of 167 cases of Microtia with Constricted Ear Features, operated from 1992 to 2014, were included in the study. They were reviewed through medical records and photographs, analysis of surgical methods, and postoperative outcomes...
November 11, 2017: Plastic and Reconstructive Surgery
https://www.readbyqxmd.com/read/29140386/retrospective-study-of-survival-of-extraoral-endosseous-craniofacial-implants-in-head-and-neck-surgery-patients
#16
Brent J Woods, Arun Chandu
PURPOSE: To determine the survival rate of implants placed in different craniofacial locations and factors affecting survival. MATERIALS AND METHODS: This study retrospectively reviewed a consecutive series of patients treated at the Royal Melbourne Hospital who received craniofacial implants for an array of benign and malignant conditions. Implant survival per site and cumulative survival were determined. Surgical and implant variables were assessed using the Kaplan-Meier and Cox Proportional Hazards Models...
November 2017: International Journal of Oral & Maxillofacial Implants
https://www.readbyqxmd.com/read/29139602/cell-yield-chondrogenic-potential-and-regenerated-cartilage-type-of-chondrocytes-derived-from-ear-nasoseptal-and-costal-cartilage
#17
Aijuan He, Huitang Xia, Kaiyan Xiao, Tingting Wang, Yu Liu, Jixin Xue, Dan Li, Shengjian Tang, Fangjun Liu, Xiaoyun Wang, Wenjie Zhang, Wei Liu, Yilin Cao, Guangdong Zhou
Functional reconstruction of large cartilage defects in subcutaneous sites remains clinically challenging because of limited donor cartilage. Tissue engineering is a promising and widely accepted strategy for cartilage regeneration. To date however, this strategy has not achieved a significant breakthrough in clinical translation owing to a lack of detailed pre-clinical data on cell yield and functionality of clinically applicable chondrocytes. To address this issue, the current study investigated the initial cell yield, proliferative potential, chondrogenic capacity, and regenerated cartilage-type of human chondrocytes derived from auricular (AU), nasoseptal (NS), and costal (CO) cartilage using a scaffold-free cartilage regeneration model (cartilage sheet)...
November 15, 2017: Journal of Tissue Engineering and Regenerative Medicine
https://www.readbyqxmd.com/read/29135725/firm-elevation-of-reconstructed-auricle-using-polydactyly-digit-in-microtia
#18
Suk Yoon Jang, Woo Seob Kim, Han Koo Kim, Tae Hui Bae
Total ear reconstruction for microtia is usually accomplished in 2 stages which is known as Nagata technique. After framework fabrication and implantation, the elevation procedure is required as a second step surgery. The authors are introducing a novel material for augmenting projection of rib cartilage framework in microtia treatment.
November 9, 2017: Journal of Craniofacial Surgery
https://www.readbyqxmd.com/read/29134065/a-bird-like-skull-in-a-triassic-diapsid-reptile-increases-heterogeneity-of-the-morphological-and-phylogenetic-radiation-of-diapsida
#19
Adam C Pritchard, Sterling J Nesbitt
The Triassic Period saw the first appearance of numerous amniote lineages (e.g. Lepidosauria, Archosauria, Mammalia) that defined Mesozoic ecosystems following the end Permian Mass Extinction, as well as the first major morphological diversification of crown-group reptiles. Unfortunately, much of our understanding of this event comes from the record of large-bodied reptiles (total body length > 1 m). Here we present a new species of drepanosaurid (small-bodied, chameleon-like diapsids) from the Upper Triassic Chinle Formation of New Mexico...
October 2017: Royal Society Open Science
https://www.readbyqxmd.com/read/29121374/boomerang-shaped-vs-shield-shaped-chondroperichondrial-cartilage-grafts-for-type-1-tympanoplasty-in-children-a-study-of-121-patients
#20
Can Özbay, Fatih Kemal Soy, Erkan Kulduk, Riza Dundar, Ahmet Yükkaldiran, Osman Kadir Güler, Ertan Koç
Many techniques and graft materials have been used for the reconstruction of the tympanic membrane. We conducted a retrospective study to compare anatomic and functional outcomes of type 1 tympanoplasty that we performed with boomerang-shaped chondroperichondrial cartilage grafts (BSGs) and shield-shaped chondroperichondrial cartilage grafts (SSGs) in pediatric patients. Our study population was made up 121 patients-61 boys and 60 girls, aged 7 to 16 years (mean: 12.4)-who had undergone a type 1 tympanoplasty...
October 2017: Ear, Nose, & Throat Journal
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