Splinting After Ear Reconstruction: A Stepwise and Inexpensive Workflow Protocol.

Abstract:

BACKGROUND:Long-term postoperative splinting plays a role in the prevention of contracture of the grafted skin after a second-stage ear reconstruction. The scar retraction could lead to an unfavorable aesthetic outcome. Splinting could play a role to overcome or prevent the loss of projection and the obliteration of the sulcus. MATERIAL AND METHODS:We have defined the characteristics of an ideal long-term splint and present a stepwise clinical protocol for the fabrication of an ethylene-vinyl acetate splint. The splint was applied to all patients included in a prospective study on the postoperative splinting regime. Ethylene-vinyl acetate has proved its safety and longevity in dental prosthetics. CONCLUSIONS:Patient compliance was optimal, and no allergic reactions, pressure sores, or skin necrosis were reported. The splint is self-retaining and light weight. Because of its transparent color, it can be easily camouflaged. A stepwise clinical protocol for the fabrication of a low-cost patient-specific ear splint is presented.

journal_name

Ann Plast Surg

authors

Vercruysse H Jr,Green JIJ,Osman G,Harrison B,Miyagi K,Bulstrode NW

doi

10.1097/SAP.0000000000001212

subject

Has Abstract

pub_date

2018-04-01 00:00:00

pages

356-358

issue

4

eissn

0148-7043

issn

1536-3708

journal_volume

80

pub_type

杂志文章
  • Forequarter Amputation and Reconstructive Options.

    abstract:OBJECTIVE:This study aimed to present the results of a series of forequarter amputations (FQAs) and to evaluate the reconstructive methods used. SUMMARY BACKGROUND DATA:Although FQA has become a rare procedure in the era of limb-sparing treatment of extremity malignancies, it is a useful option when resection of a sho...

    journal_title:Annals of plastic surgery

    pub_type: 杂志文章

    doi:10.1097/SAP.0000000000002204

    authors: Tukiainen E,Barner-Rasmussen I,Popov P,Kaarela O

    更新日期:2020-06-01 00:00:00

  • External fixation of extremity flaps and grafts.

    abstract::Positioning extremities after soft-tissue reconstructive procedures can be difficult, particularly when flaps or skin grafts have been placed for posterior or circumferential defects. We describe a method using the patient's existing external fixator, when present, to aid in the postoperative care and positioning of t...

    journal_title:Annals of plastic surgery

    pub_type: 杂志文章

    doi:10.1097/00000637-199102000-00017

    authors: Bindiger A,Ecker J,Kuschner S,Sherman R

    更新日期:1991-02-01 00:00:00

  • Self-reported outcome after diode laser hair removal.

    abstract:BACKGROUND:Laser-assisted photoepilation has become the procedure of choice for permanent hair reduction. Our purpose was to evaluate patient satisfaction with the procedure using a diode-laser system. METHOD:A self-administered survey was mailed to 220 patients who underwent treatment between 2000 and 2004. These que...

    journal_title:Annals of plastic surgery

    pub_type: 杂志文章

    doi:10.1097/SAP.0b013e3180cac26e

    authors: Zins JE,Alghoul M,Gonzalez AM,Strumble P

    更新日期:2008-03-01 00:00:00

  • Localization of the arcuate line from surface anatomic landmarks: a cadaveric study.

    abstract::The arcuate line is a relevant structure when reconstructing the abdominal wall after rectus abdominis musculocutaneous flap harvest. Its location is classically taught to be half the distance from the pubic symphysis to the umbilicus, but recent anatomic literature provides evidence to the contrary. Better understand...

    journal_title:Annals of plastic surgery

    pub_type: 杂志文章

    doi:10.1097/01.sap.0000112285.44287.21

    authors: Cunningham SC,Rosson GD,Lee RH,Williams JZ,Lustman CA,Slezak S,Goldberg NH,Silverman RP

    更新日期:2004-08-01 00:00:00

  • Impact of a Newly Implemented Burn Protocol on Surgically Managed Partial Thickness Burns at a Specialized Burns Center in Singapore.

    abstract:OBJECTIVE:This study evaluated the impact of a newly implemented protocol for superficial to mid-dermal partial thickness burns which involves early surgery and rapid coverage with biosynthetic dressing in a specialized national burns center in Singapore. METHODS:Consecutive patients with 5% or greater total body surf...

    journal_title:Annals of plastic surgery

    pub_type: 临床试验,杂志文章

    doi:10.1097/SAP.0000000000000682

    authors: Tay KS,Chong SJ,Tan BK

    更新日期:2016-03-01 00:00:00

  • Distally based perforator medial plantar flap: a new flap for reconstruction of plantar forefoot defects.

    abstract::In this article the author describes 2 cases of a distally based perforator medial plantar flap that were transferred successfully from the nonweight-bearing instep region to the weight-bearing plantar forefoot (defects, 8 x 5 cm and 6 x 5 cm respectively). This flap is nourished solely by perforators of the medial pl...

    journal_title:Annals of plastic surgery

    pub_type: 杂志文章

    doi:10.1097/01.sap.0000112287.56354.f8

    authors: Coruh A

    更新日期:2004-10-01 00:00:00

  • Posttraumatic Midface Pain: Clinical Significance of the Anterior Superior Alveolar Nerve and Canalis Sinuosus.

    abstract:BACKGROUND:Posttraumatic midface pain secondary to injury of the anterior superior alveolar nerve (ASAN) is characterized as pain localized to the central and lateral incisors, canines, and maxilla. This nerve is susceptible to injury and subsequent formation of neuromas after midface trauma. Surgical intervention requ...

    journal_title:Annals of plastic surgery

    pub_type: 杂志文章

    doi:10.1097/SAP.0000000000000335

    authors: Olenczak JB,Hui-Chou HG,Aguila DJ 3rd,Shaeffer CA,Dellon AL,Manson PN

    更新日期:2015-11-01 00:00:00

  • Use of hemisphincter pharyngoplasty in the management of velopharyngeal insufficiency after pharyngeal flap: an outcome study.

    abstract::Superiorly based pharyngeal flaps (PFs) are commonly used for the treatment of velopharyngeal insufficiency (VPI) in patients with cleft palate. However, failure may occur with recurrence of hypernasality and surgical revision may be necessary. Hemisphincter pharyngoplasty using either unilateral or bilateral posterio...

    journal_title:Annals of plastic surgery

    pub_type: 杂志文章

    doi:10.1097/SAP.0b013e3181c71063

    authors: Lin WN,Wang R,Cheong EC,Lo LJ

    更新日期:2010-08-01 00:00:00

  • Identification of Risk Factors in Lymphatic Surgeries for Melanoma: A National Surgical Quality Improvement Program Review.

    abstract:INTRODUCTION:Sentinel lymph node biopsy (SLNB) and lymphadenectomy (LAD) are commonly performed in the staging and care of patients with malignant melanoma. These procedures are accompanied by complications that may result in hospital readmission, negatively affecting patient outcomes and potentially affecting surgical...

    journal_title:Annals of plastic surgery

    pub_type: 杂志文章

    doi:10.1097/SAP.0000000000001152

    authors: Ascha M,Ascha MS,Gastman B

    更新日期:2017-11-01 00:00:00

  • The internal mammary artery and vein as recipient vessels for microvascular breast reconstruction.

    abstract::Current recipient vessels for microvascular breast reconstruction include the internal mammary and the thoracodorsal systems. This review will focus on the advantages of the internal mammary artery and vein and reasons for their preference. ...

    journal_title:Annals of plastic surgery

    pub_type: 杂志文章,评审

    doi:10.1097/SAP.0b013e31821daac3

    authors: Nahabedian M

    更新日期:2012-05-01 00:00:00

  • Anthropometric Changes in the Upper Lip Between the Standing Position in the Clinic and Supine Position on the Operative Table in Secondary Cleft Lip Nasal Deformities.

    abstract:BACKGROUND:We evaluated changes in lip height and length by position in cleft lip nasal deformity patients who underwent treatment with Millard technique. METHODS:A retrospective review of the medical records and an anthropometric analysis of photographs were performed in 209 cases of cleft lip nasal deformity. In the...

    journal_title:Annals of plastic surgery

    pub_type: 杂志文章

    doi:10.1097/SAP.0000000000002487

    authors: Han K,Kim T,Kim J,Choi J,Shin Y,Jeong W

    更新日期:2020-07-27 00:00:00

  • A new technique for closure of infraorbital defects.

    abstract:BACKGROUND:The infraorbital region is a unique facial subunit surrounded with several important structures, such as the lower eyelids, oral commissure, ala nasi, and the sideburns. The potential for distortion of these neighboring anatomic landmarks and the absence of natural creases where incisional scars can be camou...

    journal_title:Annals of plastic surgery

    pub_type: 杂志文章

    doi:10.1097/SAP.0b013e31820d6830

    authors: Mutaf M,Günal E,Temel M

    更新日期:2011-12-01 00:00:00

  • Extensive cutaneous leishmaniasis of the upper limb in a patient with leukemia.

    abstract::An unusual case of extensive cutaneous leishmaniasis of the upper limb in a patient with leukemia is presented. A trial of medical therapy (sodium stibogluconate) resulted in rapid healing of the large ulcers. The incidence of leishmaniasis is increasing globally as a result of the ease of travel and migrating populat...

    journal_title:Annals of plastic surgery

    pub_type: 杂志文章

    doi:10.1097/00000637-200206000-00018

    authors: Al-Qattan MM

    更新日期:2002-06-01 00:00:00

  • Sural nerve donor-site morbidity: thirty-four years of follow-up.

    abstract::This study presents a long-term evaluation of sural nerve donor-site morbidity in patients with at least 15 years' follow-up (mean 26 years) after sural nerve harvesting for peripheral nerve repair. Twenty-nine patients (mean age 30 years at time of surgery) participated in a retrospective analysis using a questionnai...

    journal_title:Annals of plastic surgery

    pub_type: 杂志文章

    doi:10.1097/01.sap.0000221963.66229.b6

    authors: IJpma FF,Nicolai JP,Meek MF

    更新日期:2006-10-01 00:00:00

  • A Human-Derived, Collagen-Rich Hydrogel Augments Wound Healing in a Diabetic Animal Model.

    abstract:BACKGROUND:Application of collagen products to wounds has been shown to improve wound healing. Using a collagen-based hydrogel (cHG) capable of cellular support previously developed by our laboratory, we hypothesize that our hydrogel will increase the speed of wound healing by providing a 3-dimensional framework for ce...

    journal_title:Annals of plastic surgery

    pub_type: 杂志文章

    doi:10.1097/SAP.0000000000002380

    authors: Williams T,Sotelo Leon D,Kaizawa Y,Wang Z,Leyden J,Chang J,Fox PM

    更新日期:2020-09-01 00:00:00

  • Reconstruction of defects after excision of facial skin cancer using a venous free flap.

    abstract::After extensive excision of skin cancer on the face, or when skin cancer is located on the 3-dimensional structures of the face, reconstruction with a local flap can be impossible, or clinicians are reluctant to reconstruct defects with a skin graft because of postoperative contraction, hyperpigmentation, or other com...

    journal_title:Annals of plastic surgery

    pub_type: 杂志文章

    doi:10.1097/SAP.0b013e318209a77f

    authors: Park SW,Heo EP,Choi JH,Cho HC,Kim SH,Xu L,Lee Y,Choi TH,Kim S

    更新日期:2011-12-01 00:00:00

  • Meralgia paresthetica: etiology, diagnosis, and outcome of surgical decompression.

    abstract::Entrapment of the lateral femoral cutaneous (LFC) nerve as a source of anterolateral thigh dysesthesias has been recognized for 100 years. Despite this historic recognition, its diagnosis today is often delayed, and definitive treatment of refractory cases by surgical decompression rarely reported. This study describe...

    journal_title:Annals of plastic surgery

    pub_type: 杂志文章

    doi:

    authors: Nahabedian MY,Dellon AL

    更新日期:1995-12-01 00:00:00

  • The PreFACE: A preoperative psychosocial screen for elective facial cosmetic surgery and cosmetic dentistry patients.

    abstract:BACKGROUND:Currently no brief and objective screening protocol exists to assist surgeons and dentists in the identification of patients who are likely to report unsatisfactory outcomes after cosmetic surgery interventions. The aims of this study were to (1) investigate the relationship between postoperative dissatisfac...

    journal_title:Annals of plastic surgery

    pub_type: 杂志文章

    doi:10.1097/SAP.0b013e3181d50e54

    authors: Honigman RJ,Jackson AC,Dowling NA

    更新日期:2011-01-01 00:00:00

  • The superficial fascia as a new plane of elevation for anterolateral thigh flaps.

    abstract::The elevation plane for the anterolateral thigh perforator flap is either subfascial or suprafascial approach. But extensive debulking is frequently performed with possibilities of endangering viability. We hypothesized that by elevating the flap in the layer between the deep and the superficial fat, the superficial f...

    journal_title:Annals of plastic surgery

    pub_type: 杂志文章

    doi:10.1097/SAP.0b013e3182367c2f

    authors: Hong JP,Chung IW

    更新日期:2013-02-01 00:00:00

  • Psychological characteristics of women who undergo single and multiple cosmetic surgeries.

    abstract::Women over the age of 30 who had undergone single (N = 20) and multiple (N = 16) facial cosmetic surgery were compared with a control group (N = 49) on five personality measures. Cosmetic surgical patients were found to be more narcissistic (p = 0.05) and to have more problems with separation-individuation (p = 0.01) ...

    journal_title:Annals of plastic surgery

    pub_type: 杂志文章

    doi:10.1097/00000637-199709000-00001

    authors: Dunofsky M

    更新日期:1997-09-01 00:00:00

  • Zone of traction injury of the common peroneal nerve.

    abstract::The history of functional motor recovery after reconstruction of traction injury to the common peroneal nerve is poor, regardless of technique and regardless of the experience of the surgeon doing the reconstruction. The hypothesis tested is that the failure of functional motor recovery after common peroneal nerve tra...

    journal_title:Annals of plastic surgery

    pub_type: 杂志文章

    doi:10.1097/SAP.0b013e3180302668

    authors: Prasad AR,Steck JK,Dellon AL

    更新日期:2007-09-01 00:00:00

  • Intercostal Nerve Transfer in Management of Biceps and Triceps Cocontraction in Spontaneously Recovered Obstetric Brachial Plexus Palsy.

    abstract:BACKGROUND:Obstetric brachial plexus palsy is caused by traction during birth. Most patients regain useful function with spontaneous recovery. In some cases, cross reinnervation occurs between the biceps and triceps muscles. In these cases, smooth active motion of the elbow joint is impaired by simultaneous biceps and ...

    journal_title:Annals of plastic surgery

    pub_type: 杂志文章

    doi:10.1097/SAP.0000000000002075

    authors: Semaya AE,El-Nakeeb R,Hasan M,Shams A

    更新日期:2019-10-01 00:00:00

  • Results of immediate breast reconstruction after skin-sparing mastectomy.

    abstract::Skin sparing mastectomy (SSM) removes the breast, nipple-areolar complex, previous biopsy incisions, and skin overlying superficial tumors. Preservation of the native skin envelope facilitates immediate breast reconstruction. The procedure has been adopted for the treatment of breast cancer. All cases of SSM and immed...

    journal_title:Annals of plastic surgery

    pub_type: 杂志文章

    doi:10.1097/00000637-200103000-00003

    authors: Carlson GW,Losken A,Moore B,Thornton J,Elliott M,Bolitho G,Denson DD

    更新日期:2001-03-01 00:00:00

  • A Novel Hypothesis of Visual Loss Secondary to Cosmetic Facial Filler Injection.

    abstract::With the current tendency of increasing minimally invasive cosmetic surgeries, some rare but disastrous complications of facial filler injections come into sight, such as visual loss. The study aims to investigate the possible route that the injected droplet accesses the ophthalmic artery to explain and prevent such d...

    journal_title:Annals of plastic surgery

    pub_type: 杂志文章,评审

    doi:10.1097/SAP.0000000000000572

    authors: Li X,Du L,Lu JJ

    更新日期:2015-09-01 00:00:00

  • Seroma prevention using an albumin-glutaraldehyde-based tissue adhesive in the rat mastectomy model.

    abstract::Seroma formation is a common postoperative complication in plastic surgery, resulting in notable patient morbidity and expense. In this study the authors investigated the efficacy of a synthetic glutaraldehyde-based tissue adhesive (BioGlue; Cryolife, Inc., Kennesaw, GA) in seroma prevention in the rat mastectomy sero...

    journal_title:Annals of plastic surgery

    pub_type: 杂志文章

    doi:10.1097/01.SAP.0000054182.47311.17

    authors: Menon NG,Downing S,Goldberg NH,Silverman RP

    更新日期:2003-06-01 00:00:00

  • A novel method of auricular reconstruction.

    abstract::Seven male patients and 8 total ears underwent composite excision for neoplasm of the auricular helix. Defect size ranged from 2.5 to 4.5 cm exceeding the conventional limit of l.5 cm for wedge excision with primary closure. An incision at the root of the helix released the superior auricular muscle and a portion of t...

    journal_title:Annals of plastic surgery

    pub_type: 杂志文章

    doi:10.1097/SAP.0b013e3181a395fb

    authors: McRae MC,Au A,Narayan D

    更新日期:2009-05-01 00:00:00

  • Subincisional muscular coverage of expander implants in immediate breast reconstruction with pectoralis flaps.

    abstract::Immediate breast reconstruction with expander implants is a safe, simple procedure that allows for a rapid physical and emotional postmastectomy recovery. When complications occur, the patient may be left with a prolonged reconstructive course. Such complications may result from thin mastectomy flaps and resulting mar...

    journal_title:Annals of plastic surgery

    pub_type: 杂志文章

    doi:10.1097/01.sap.0000154855.89547.ee

    authors: Bernard RW,Boutros S

    更新日期:2005-04-01 00:00:00

  • Divided latissimus dorsi musculocutaneous flap for chest wall radionecrosis.

    abstract::A 69-year-old woman with a history of mastectomy and radiotherapy for breast carcinoma demonstrated extensive anterior thoracic wall radionecrosis 22 years later. The latissimus dorsi musculocutaneous flap was chosen to repair two distant ulcerative defects. Chest wall coverage was performed by dividing the muscle int...

    journal_title:Annals of plastic surgery

    pub_type: 杂志文章

    doi:10.1097/00000637-199410000-00011

    authors: Rouanet P,Jozwik M,Pujol H

    更新日期:1994-10-01 00:00:00

  • The utility of high-frequency ultrasound in dermal filler evaluation.

    abstract::Aim of this study is to describe the use of high-frequency ultrasound to ascertain the site, quantity, and type of filler injected in the soft tissue of the face, with respect to reliability of the procedure and the analysis costs. Between December 2006 and August 2010, 80 subjects aged 25 to 65 years, who underwent f...

    journal_title:Annals of plastic surgery

    pub_type: 杂志文章

    doi:10.1097/SAP.0b013e318203ebf6

    authors: Grippaudo FR,Mattei M

    更新日期:2011-11-01 00:00:00

  • Lateral-dorsal neurovascular island flaps for pulp reconstruction.

    abstract::Finger pulp loss is often observed in daily practice. When the lateral and dorsal surfaces of the injured digit remain intact, a neurovascular island flap can be designed and raised from that part of the finger for pulp reconstruction. Two types of homodigital lateral-dorsal neurovascular island flaps were used in 17 ...

    journal_title:Annals of plastic surgery

    pub_type: 杂志文章

    doi:10.1097/00000637-200045060-00008

    authors: Chen CT,Wei FC

    更新日期:2000-12-01 00:00:00