Reconstructive otoplasty: precision virtual simulation autoreverse cartilaginous skeleton of the auricle


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Abstract

In the article the objectives are to develop a methodology for determining the size and configuration of the ear cartilage according to CT and to optimize surgical treatment ofpatients with defects and deformations of auricles of a various aetiology on the basis of development of a technique of virtual simulation precision Auto Reverse cartilaginous skeleton of the auricle. On the basis of CT studied anthropometric parameters of the cartilaginous part of the ribs - the donor area to obtain the cartilaginous skeleton of the auricle of the required size and configuration. Intraoperative data confirmed the parameters obtained in precision of virtual modeling, which helped to significantly optimize the operation, reducing her time due to the stage of obtaining cartilage grafts and allowing the donor to reduce the damage and severity ofsubsequent deformation of the chest. Suggested activities can be used as precision planning to improve the efficiency of surgical treatment to eliminate defects and deformations of auricles.

About the authors

Tamara Zurabovna Chkadua

Central research Institute of dentistry and maxillofacial surgery of Ministry of health of Russia

Author for correspondence.
Email: mail@chkadua.com

Dr. med. Sciences, oral and maxillofacial surgeon

119991, Moscow

A. G Nadtochiy

Central research Institute of dentistry and maxillofacial surgery of Ministry of health of Russia

Email: info@eco-vector.com

Department of reconstructive oral and maxillofacial surgery, microsurgery and actoprotective, laboratory of 3D modeling and prototyping Department of radiology, Department of radiological methods of diagnostics

119991, Moscow

V. G Asirova

Central research Institute of dentistry and maxillofacial surgery of Ministry of health of Russia

Email: info@eco-vector.com

Department of reconstructive oral and maxillofacial surgery, microsurgery and actoprotective, laboratory of 3D modeling and prototyping Department of radiology, Department of radiological methods of diagnostics

119991, Moscow

M. M Chernen’kiy

Central research Institute of dentistry and maxillofacial surgery of Ministry of health of Russia

Email: info@eco-vector.com

Department of reconstructive oral and maxillofacial surgery, microsurgery and actoprotective, laboratory of 3D modeling and prototyping Department of radiology, Department of radiological methods of diagnostics

119991, Moscow

S. S Frolov

Central research Institute of dentistry and maxillofacial surgery of Ministry of health of Russia

Email: info@eco-vector.com

Department of reconstructive oral and maxillofacial surgery, microsurgery and actoprotective, laboratory of 3D modeling and prototyping Department of radiology, Department of radiological methods of diagnostics

119991, Moscow

P. I Davydenko

“Institute of surgery A.V. Vishnevsky” of Minzdrav of Russia

Email: info@eco-vector.com

Radiology and magnetic resonance research

117997, Moscow

References

  1. Меллер Т.Б., Райф Э. Норма при КТ- и МРТ-исследованиях: Пер. с англ. / Под общ. ред. Труфанова Г.Е., Марченко Н.В. 2-е изд. М.: МЕДпресс-информ; 2013.
  2. Firmin F., Marchac A. A Novel Algorithm for Autologous Ear Reconstruction. Semin. Plast. Surg. 2011; 25 (04): 257-264.

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