Salvage of suboptimal results in a reconstructed ear: Nonsurgical reshaping with triamcinolone
Journal of Craniofacial Surgery, cilt.21, sa.2, ss.375-378, 2010 (SCI-Expanded, Scopus)
- Yayın Türü: Makale / Tam Makale
- Cilt numarası: 21 Sayı: 2
- Basım Tarihi: 2010
- Doi Numarası: 10.1097/scs.0b013e3181cf609b
- Dergi Adı: Journal of Craniofacial Surgery
- Derginin Tarandığı İndeksler: Science Citation Index Expanded (SCI-EXPANDED), Scopus
- Sayfa Sayıları: ss.375-378
- Anahtar Kelimeler: Cortisone, Ear deformities, Ear external, Microtia
- Maltepe Üniversitesi Adresli: Hayır
Özet
BACKGROUND: Ear reconstruction with autologous tissues and creating a natural-appearing ear is a difficult, multistage surgical procedure. Problems, such as a thick skin or an inadequate cartilage-flap relationship, may cause obliteration of the framework details. A nonsurgical technique to improve auricular definition is described. MATERIALS AND METHODS: Twenty-six patients with reconstructed ears due to inadequate auricular definition were enrolled in the study. To achieve a better auricular shape, triamcinolone acetonide injections up to 4 sessions were applied. Results of injections were evaluated by improvement of ear contours, quality of detail, frequency of injections, and complications. In addition, histopathologic studies were carried out in 8 patients. RESULTS: The results were satisfactory. Significant recovery was observed in auricular definition in all patients. There were no major complications observed as a result of the use of steroids during the long follow-up period, suggesting that our technique was safe. CONCLUSIONS: The solution to unfavorable results of a primary auricular reconstruction generally requires extremely difficult and challenging procedures. In selected patients, triamcinolone injections may be a remedy and may be helpful in avoiding complex surgical procedures. Copyright © 2010 by Mutaz B. Habal.