phenylephrine-hydrochloride and Ear-Deformities--Acquired

Auricular and nasal deformities can have significant social ramifications; therefore, proper repair of these deformities is critically important to a child's well-being. Moreover, the benefits of reconstruction in the pediatric population must be weighed against added concerns about potential growth restriction on the ear and the nose with any manipulation. This article reviews various methods of auricular and nasal reconstruction and discusses some of the technical pearls for improved outcome. A complete discourse on treatment of total ear and nasal reconstruction is beyond the scope of this article. Attention is focused primarily on partial to subtotal defects.

Topics: Adolescent; Child; Child, Preschool; Ear Deformities, Acquired; Ear, External; Humans; Infant; Nose; Nose Deformities, Acquired; Plastic Surgery Procedures; Prostheses and Implants; Rhinoplasty; Surgical Flaps; Wound Closure Techniques

Topics: Adult; Anthropology, Physical; Anthropometry; Blood Group Antigens; Cartilage; Cephalometry; Cerumen; Child; Child, Preschool; Ear Deformities, Acquired; Ear, External; Ethnicity; Face; Female; Genetics, Medical; Genetics, Population; Histocompatibility; Humans; Italy; Jews; Male; Mandibulofacial Dysostosis; Middle Aged; Nose; Nose Deformities, Acquired; Photography; Racial Groups; Rhinoplasty; Surgery, Plastic; United States

Topics: Athletic Injuries; Ear; Ear Deformities, Acquired; Ear, External; Humans; Nasal Bone; Nasal Septum; Nose; Nose Deformities, Acquired; Referral and Consultation; Rhinoplasty

With conventional procedures for harvesting costal cartilage, several large, full-thickness cartilage blocks are harvested from the chest wall and are cut, shaped, and joined to create the desired form. Many pieces of unused cartilage are discarded excluding those preserved for future use. Conventional procedures for costal cartilage harvesting are also associated with severe problems such as pain, deformity of the chest wall, and a long scar. We developed a new technique that permits only the necessary size and shape of cartilage to be directly harvested with the use of a chisel. With this technique, both sides and the bottom of the cartilage remain intact at the donor site. The anterior perichondrium can be harvested simultaneously. This technique was performed in 28 patients. The required quantities could be harvested in all patients without severe complications such as perforation of the pleura and excessive bleeding. The procedure required 30 min or less in all patients. The length of the skin incision was less than 3 cm in 25 patients and greater than 3 cm in two obese patients and a young man who had hard subcutaneous connective tissue. Pain intensity was markedly lower than that after conventional techniques. Twenty-six patients could walk 1 day after the operation. There were virtually no deformities of the thorax, even in children younger than 10 years. The structure of the reconstructed site was maintained during at least 2 years follow-up in all patients. Our technique for harvesting costal cartilage is associated with smaller scars, less pain, and less deformity of the chest wall than conventional procedures. In addition, it is minimally invasive and can be performed in a short time.

Topics: Adolescent; Adult; Aged; Cartilage; Child; Ear Deformities, Acquired; Ear Neoplasms; Ear, External; Female; Humans; Male; Middle Aged; Nose; Nose Deformities, Acquired; Nose Neoplasms; Ribs; Tissue and Organ Harvesting; Transplantation, Autologous

Twenty-two patients with congenital and acquired defects, rehabilitated with silicone ectoprostheses, were followed up for 6 mo to 4 yr. The simplicity of the procedure, its good results and the early physical and social rehabilitation attained, favor its use when adequately indicated.

Topics: Adolescent; Adult; Aged; Child; Ear Deformities, Acquired; Ear, External; Eye, Artificial; Face; Facial Neoplasms; Female; Humans; Male; Middle Aged; Nose; Nose Deformities, Acquired; Prostheses and Implants; Silicones

Topics: Ear; Ear Deformities, Acquired; Humans; Laryngostenosis; Larynx; Nose; Nose Deformities, Acquired; Rhinoplasty; Surgery, Plastic; Trachea; Tracheal Stenosis

Composite autografts of skin and cartilage from the auricule are useful in the reconstruction of defects in many areas of the head and neck. However, their use has certain limitations if minimal loss of the graft is to be achieved. A variety of examples are presented by the authors and the limitations are summarized.

Topics: Cartilage; Congenital Abnormalities; Ear; Ear Deformities, Acquired; Ear, External; Humans; Methods; Nose; Nose Deformities, Acquired; Rhinoplasty; Skin Transplantation; Transplantation, Autologous

Topics: Bone Transplantation; Cicatrix; Ear Deformities, Acquired; Facial Injuries; Humans; Nose; Skin Transplantation; Surgery, Plastic; Transplantation, Autologous

Topics: Child; Cleft Lip; Cleft Palate; Ear Deformities, Acquired; Facial Bones; Female; Growth; Heart Defects, Congenital; Humans; Kidney; Mandible; Microcephaly; Nose; Syndactyly

Topics: Ear; Ear Deformities, Acquired; Eye Neoplasms; Eye, Artificial; Facial Injuries; Facial Neoplasms; Female; Humans; Male; Maxillofacial Prosthesis; Nose; Nose Neoplasms

Topics: Anodontia; Child; Ear Deformities, Acquired; Ear, External; Ectodermal Dysplasia; Genetics, Medical; Hair; Humans; Intellectual Disability; Nose; Nose Deformities, Acquired; Respiratory Tract Infections; Sweating; Xerophthalmia

Topics: Congenital Abnormalities; Ear Deformities, Acquired; Ear, External; Facial Injuries; Facial Neoplasms; Humans; Mandibular Injuries; Nose; Nose Deformities, Acquired; Plastics; Prostheses and Implants; Surgery, Plastic

Topics: Cleft Palate; Dental Prosthesis; Ear Deformities, Acquired; Ear, External; Eye Injuries; Eye, Artificial; Facial Injuries; History; History, Modern 1601-; Humans; Mandibular Injuries; Nose; Nose Deformities, Acquired; Prostheses and Implants

Topics: Ear Deformities, Acquired; Ear, External; Epistaxis; Granulomatosis with Polyangiitis; Hoarseness; Humans; Nose; Nose Deformities, Acquired; Otitis Media; Otolaryngology; Polyarteritis Nodosa

Three cases of de Lange's syndrome are described. This condition is characterized by generally severe mental retardation, reduced stature, mild microcephaly, hypertrichosis, various anomalies of hands and feet, and a peculiar facies. The most outstanding features of the latter are the low forehead, profuse, generally confluent eyebrows, abundant long eyelashes, eyes that frequently slant downwards and outwards in antimongoloid fashion, pug nose with prominent anteverted nostrils, increased distance between nose and vermilion border of upper lip, slight reduction in size of chin, and often abnormally low-placed ears. The etiology of de Lange's syndrome is at present unknown.

Topics: Adolescent; Body Height; Child; Congenital Abnormalities; De Lange Syndrome; Ear Deformities, Acquired; Ear, External; Eye; Eyebrows; Facial Expression; Hand Deformities; Hirsutism; Humans; Hypertrichosis; Intellectual Disability; Lip; Mandible; Microcephaly; Nose; Nose Deformities, Acquired

Topics: Burns; Dermabrasion; Ear Deformities, Acquired; Ear, External; Humans; Nose; Nose Deformities, Acquired; Rosacea; Surgery, Plastic

Topics: Cartilage; Cortisone; Diagnosis, Differential; Ear Deformities, Acquired; Ear, External; Humans; Inflammation; Nose; Nose Deformities, Acquired; Pathology; Polychondritis, Relapsing; Prednisone