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العنوان
Assessment of Limited Stage Reconstruction of Auricular Deformities Using Autogenous Costal Cartilage /
المؤلف
Abd El-Hafez, Tarek Abd El-rahman.
هيئة الاعداد
باحث / Tarek Abd Elrahman Abd Elhafez
مشرف / abdullatif Ibrahim Elrashidy
مشرف / Fouad Mohammed Gharib
مشرف / Ahmed Abdel Moniem Ragab
الموضوع
Ear- Diseases.
تاريخ النشر
2013.
عدد الصفحات
133 p. :
اللغة
الإنجليزية
الدرجة
الدكتوراه
التخصص
الطب
تاريخ الإجازة
1/9/2013
مكان الإجازة
جامعة المنوفية - كلية الطب - OtoRhinolaryngology.
الفهرس
Only 14 pages are availabe for public view

from 143

from 143

Abstract

In our study we assessed reconstruction of the auricle in 22 patients with dysplasia grade 3 through comparing two limited techniques utilizing autogenous costal cartilage material. The first technique using temporalis fascia flap and skin graft. The first stage involved autogenous rib cartilage harvest and framework fabrication and its implantation covered by fascial flap and skin graft. While the second stage was tragal reconstruction. The second technique using tissue expander. After tissue expander implantation. The first stage was lobule transposition, expander removal and autogenous rib cartilage harvest and framework fabrication and its implantation. The next stage was construction of a pseudomeatus and formation of tragus.
Among the patients that underwent the study of fourteen females and eight males. They were aged between five and twenty and an average age of 10 years.
Among them were eight patients have relation between the father and the mother. And six patients have a family history of congenital malformations.
The surgical outcome was good to fair for the majority of the patients according to doctor satisfaction with no significant differences between the two techniques.
With regard to the texture of the skin after surgery was more natural with tissue expander.
For complications of surgery it was higher in the first group and those complications included infection, sloughing or donor site complications.