늑연골 Costal Cartilage

Based on a review of the literature and our own experience, we propose criteria for the site of implantation that, in our eyes, is suitable for a silicon implant or a cartilage transplant. Special interest is focused on rhinoplasty and chin…

The case history is presented of a patient with neurofibromatosis with a chest wall defect present from birth. Abnormal rib development had resulted in a flail segment with painful paradoxical movement and unsightly costal cartilage protrus…

Donor-site complications, specifically chest wall deformities and thoracic scoliosis, occurring after harvest of costal cartilage grafts are presented and discussed. The cases of 18 patients (12 male and 6 female), who underwent costal cart…

Six patients with pectus excavatum and two patients with pectus carinatum had their conditions corrected by a partial costal cartilage resection with a sternal osteotomy through a 2.5-cm to 4-cm skin incision located just above the xyphoid …

Pessimism about the results of surgical reconstruction of the pinna in cases of microtia is unjustified. Currently there are two techniques available which give excellent results if conditions are favourable: these are the techniques of Bre…

Reconstruction of the pinna must be adapted for each individual case. Surgical techniques which use autologous costal cartilage are the most reliable. During the 1970s Burt Brent described a technique in 4 stages which gives very good resul…

There are two procedures available for treatment of the agenetic pinna: reconstructive plastic surgery using costal cartilage, and bone-anchored prostheses. Both techniques are described, and the indications clarified. It is important to em…

Middle-ear reconstruction using a closed surgical technique has the same surgical stages as in combined-approach tympanoplasty. The only special feature is the reconstruction of the posterior canal wall and scutum, an essential step. This r…

Management of microtia can be one of the most rewarding yet humbling challenges faced by the reconstructive surgeon. The preferred method of total auricular reconstruction is with autologous cartilage and skin, based on modifications of the…

Auricular cartilage has been used clinically as an alternative material to costal cartilage for implantation during laryngotracheal reconstructive surgery. Little information is available concerning the healing characteristics or the durabi…

Microtia (hypoplasia of the auricle) is known to result from incomplete development of the auricle during embryonic development so that the size and shape of the deformity vary from case to case. Total auricular reconstruction for microtia …

The rib cartilage has been the most popular autogenous tissue for microtia reconstruction. In this study, 88 chest donor sites were evaluated in 80 patients examined in the outpatient clinic at least 1 year after tissue removal. Microtia re…

For more than 30 years, children born without an ear or with deformities have had their defects corrected by ear reconstruction with autogenous rib cartilage graft. Despite the common use of this procedure, total ear reconstruction continue…

Total auricular reconstruction for microtia is dependent on the fabricated three-dimensional costal cartilage framework, with all the auricular features and the skin flaps formed and utilized to cover the three-dimensional framework, in whi…

Among the microtic disorders, those with the remnant ear, ear lobule, concha, acoustic meatus, tragus, and incisura intertragica are classified as concha-type microtia. From these characteristic factors, concha-type microtia has been though…

The characteristic features of small concha-type microtia are the existence of the remnant ear and lobule and a small indentation representing the concha. Presently, the microtic disorder known as hypoplasia of the middle third of the auric…

This new method for total reconstruction of the auricle is a two-stage operation in which the first stage involves fabrication and grafting of a three-dimensional costal cartilage framework and the second stage is the ear elevation operatio…

The purpose of this paper is twofold: to present a sound approach to auricular construction using methods that have evolved through two decades of my personal experience with 600 cases and to discuss pertinent information I have gleaned fro…

During the period 1967-1987, 26 ear reconstructions were carried out in the Department of Plastic Surgery, Rigshospitalet, Copenhagen. These 26 patients were followed up, partly from the hospital records and partly by means of a questionnai…

Microtia patients encountered over 9 years from 1978 to 1986 were listed. The total number of patients for the period was 155, 113 males and 42 females. The microtia occurred on the right side in 93 cases, on the left in 50 cases and bilate…