التفاصيل البيبلوغرافية
| العنوان: |
Pediatric Postburn Ear Reconstruction of Significant Cartilage Defects. |
| المؤلفون: |
DePamphilis, Matthew A, Buta, Martin R, Bojovic, Branko, Driscoll, Daniel N |
| المصدر: |
Journal of Burn Care & Research; Jul/Aug2023, Vol. 44 Issue 4, p837-844, 8p |
| مصطلحات موضوعية: |
EXTERNAL ear, CARTILAGE, EAR, SCARS, CHILDREN'S hospitals, FREE flaps |
| مستخلص: |
The external ear is a vulnerable appendage susceptible to trauma. Repairing and recreating its intricate architecture presents a formidable challenge after burn injury, especially when scar tissue, impaired vasculature, and damage to cartilage all influence reconstructive options. The authors share their institutional experience and provide a guide for reconstruction of significant postburn auricular cartilage defects. A retrospective review was conducted on 54 patients (61 ears) aged 0–21 years old admitted to a specialized pediatric burn hospital between January 2004 and January 2021 for postburn ear cartilage reconstruction. Conchal cartilage grafting was performed in 9 patients (9 ears) with an average age of 14.0 ± 5.1 years, requiring an average of 2.0 ± 1.0 procedures that resulted in one case of infection. A total of 21 patients (24 ears) with an average age of 15.1 ± 4.5 years underwent a conchal transposition flap, requiring an average of 1.8 ± 0.4 procedures that resulted in no major complications. A total of 20 patients (23 ears) with an average age of 12.0 ± 5.3 years underwent porous polyethylene implantation, requiring an average of 3.5 ± 1.5 operations that resulted in 3 complications. Costal cartilage grafting was performed in 4 patients (5 ears) with an average age of 13.2 ± 5.3 years, requiring an average of 3.2 ± 2.2 operations that resulted in one case of infection. Postburn ear cartilage defects necessitate an individualized approach tailored to a patient's reconstructive goals. In addition to defect size and location, factors such as reconstructive course duration, complication potential, and anticipated aesthetic results should be discussed with the patient. [ABSTRACT FROM AUTHOR] |
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| قاعدة البيانات: |
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