(Y)ears of Freedom? Customized Splints in Microtia Reconstruction to Maintain Cephloauricular Angle

Background Maintaining ear projection and preservation of cephaloauricular sulcus from obliteration following graft contracture is a challenge following staged microtia reconstruction. Authors have designed simple, effective, and easy-to-use splints to ensure improved aesthetic outcomes and patient...

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Main Authors: S. Sridevi Shanmugam, Janhavi Venkataraman
Format: Article
Language:English
Published: Thieme Medical and Scientific Publishers Pvt. Ltd. 2019-05-01
Series:Indian Journal of Plastic Surgery
Subjects:
Online Access:http://www.thieme-connect.de/DOI/DOI?10.1055/s-0039-1693848
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author S. Sridevi Shanmugam
Janhavi Venkataraman
author_facet S. Sridevi Shanmugam
Janhavi Venkataraman
author_sort S. Sridevi Shanmugam
collection DOAJ
description Background Maintaining ear projection and preservation of cephaloauricular sulcus from obliteration following graft contracture is a challenge following staged microtia reconstruction. Authors have designed simple, effective, and easy-to-use splints to ensure improved aesthetic outcomes and patient compliance. Materials and Methods This is a prospective study over 3 years including 8 patients of both sexes aged 6 to 12 years. Custom-made ear splints were designed separately for females and males and used to maintain ear projection. Projection of the ear was measured postoperatively and at follow-up using goniometer and photographic records. Outcome was assessed in terms of cephaloauricular angle, conchal depth, pain, cost-effectiveness, splint retention period, and aesthetics. Results and Conclusion Maximal follow-up was 2 years. The splint effectively maintained ear projection of more than 30 degrees. Patient compliance was optimal, and no major complications were associated with its prolonged use.
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publisher Thieme Medical and Scientific Publishers Pvt. Ltd.
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spelling doaj-art-1feff5871808452cb9e97c033dd7f3512025-08-20T03:17:44ZengThieme Medical and Scientific Publishers Pvt. Ltd.Indian Journal of Plastic Surgery0970-03581998-376X2019-05-01520222623010.1055/s-0039-1693848(Y)ears of Freedom? Customized Splints in Microtia Reconstruction to Maintain Cephloauricular AngleS. Sridevi Shanmugam0Janhavi Venkataraman1Department of Plastic, Reconstructive, and Oro-Faciomaxillary Surgery, Rajiv Gandhi Government General Hospital, Madras Medical College, Chennai, Tamil NaduDepartment of Plastic, Reconstructive, and Oro-Faciomaxillary Surgery, Rajiv Gandhi Government General Hospital, Madras Medical College, Chennai, Tamil NaduBackground Maintaining ear projection and preservation of cephaloauricular sulcus from obliteration following graft contracture is a challenge following staged microtia reconstruction. Authors have designed simple, effective, and easy-to-use splints to ensure improved aesthetic outcomes and patient compliance. Materials and Methods This is a prospective study over 3 years including 8 patients of both sexes aged 6 to 12 years. Custom-made ear splints were designed separately for females and males and used to maintain ear projection. Projection of the ear was measured postoperatively and at follow-up using goniometer and photographic records. Outcome was assessed in terms of cephaloauricular angle, conchal depth, pain, cost-effectiveness, splint retention period, and aesthetics. Results and Conclusion Maximal follow-up was 2 years. The splint effectively maintained ear projection of more than 30 degrees. Patient compliance was optimal, and no major complications were associated with its prolonged use.http://www.thieme-connect.de/DOI/DOI?10.1055/s-0039-1693848cephaloauricular sulcusear projectionmicrotiacustomized splints
spellingShingle S. Sridevi Shanmugam
Janhavi Venkataraman
(Y)ears of Freedom? Customized Splints in Microtia Reconstruction to Maintain Cephloauricular Angle
Indian Journal of Plastic Surgery
cephaloauricular sulcus
ear projection
microtia
customized splints
title (Y)ears of Freedom? Customized Splints in Microtia Reconstruction to Maintain Cephloauricular Angle
title_full (Y)ears of Freedom? Customized Splints in Microtia Reconstruction to Maintain Cephloauricular Angle
title_fullStr (Y)ears of Freedom? Customized Splints in Microtia Reconstruction to Maintain Cephloauricular Angle
title_full_unstemmed (Y)ears of Freedom? Customized Splints in Microtia Reconstruction to Maintain Cephloauricular Angle
title_short (Y)ears of Freedom? Customized Splints in Microtia Reconstruction to Maintain Cephloauricular Angle
title_sort y ears of freedom customized splints in microtia reconstruction to maintain cephloauricular angle
topic cephaloauricular sulcus
ear projection
microtia
customized splints
url http://www.thieme-connect.de/DOI/DOI?10.1055/s-0039-1693848
work_keys_str_mv AT ssridevishanmugam yearsoffreedomcustomizedsplintsinmicrotiareconstructiontomaintaincephloauricularangle
AT janhavivenkataraman yearsoffreedomcustomizedsplintsinmicrotiareconstructiontomaintaincephloauricularangle