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外文期刊>Journal of Applied Medical Sciences
>Clinical and Tomographic Evaluation of Thoracic Deformities in Unilateral Auricular Reconstruction with Autologous Costal Cartilage: A Useful Tool for Proper Monitoring
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Clinical and Tomographic Evaluation of Thoracic Deformities in Unilateral Auricular Reconstruction with Autologous Costal Cartilage: A Useful Tool for Proper Monitoring
Background:Thoracic deformity after costal cartilage harvesting is a poorly reported complicationin current literature. Several authors reconstruct an ear using 3 or 4 costalcartilages. This method produces various chest wall deformities. There is nodescription of an analysis of thoracic deformity as a sequel in patients whounderwent autologous auricular reconstruction based on a clinical andtomographic evaluation. Methods: We performed a prospective analysis of 40patients who underwent auricular reconstruction after harvesting rib cartilageof a single hemithorax, with one year follow up. All patients underwentclinical analysis and measurements of each hemithorax using computed tomography(CT) scan one year after removing rib cartilage. Results: The tomographicanalysis diagnosed 70% of thoracic deformity, but only 30% of those deformitieswere clinically evident in this series. Conclusion: Removing three or morecostal cartilages causes clinically evident thoracic deformity in 30% of thepatients, while up to 70% of the defects can be detected by CT scan, because amild deformity is not noticeable clinically. This analysis indicates that thereis an underestimation of thoracic deformities after reconstruction withautologous cartilage. We suggest that CT scan and its multiple modalities areessential for comprehensive evaluation of these patients.
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