医学
小耳
肋软骨
植入
外科
回顾性队列研究
软骨
牙科
解剖
作者
Marta Kulich,Vijay A. Patel,Panteha Hayati Rezvan,Beth Osterbauer,Amit Kochhar,Gabriel Gomez
出处
期刊:Facial plastic surgery & aesthetic medicine
[Mary Ann Liebert]
日期:2023-08-01
卷期号:25 (4): 290-295
被引量:1
标识
DOI:10.1089/fpsam.2022.0406
摘要
Introduction: Auricular reconstruction techniques most frequently utilize either autologous costal cartilage or alloplastic porous polyethylene (PPE) implant. Objectives: To compare the aesthetic outcomes, number of surgeries, and complications in children who underwent microtia reconstruction with either rib or PPE implant by blinded photograph review. Methods: This retrospective cohort study included consecutive pediatric patients who underwent auricular reconstruction with either autologous cartilage or PPE between November 2017 and February 2022. Blinded observers rated each postoperative ear through a web-based survey. Data on patient characteristics, operative time, length of admission, and complications were collected, bivariate analyses were performed using chi-square or Fisher's exact tests for categorical variables and Wilcoxon rank-sum test for continuous variables. Results: Forty-four ears were included, 28 of which (63.6%) were reconstructed with cartilage. Median patient age was 8 years (range 4-18 years) and 29 (65.9%) were male. The cartilage group had more surgeries (median 2.5 vs. 1.0, p < 0.001), and total operating time across all surgeries did not differ significantly. Conclusion: The two groups in our study had similar rates of complications and aesthetic scores, and aesthetic scores were worse for ears with wound complications requiring unplanned revisions.
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