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- W2249619778 abstract "Background: The fundamental principle of microtia reconstruction is to create an auricle with an appearance as close as possible to that of a normal auricle. Aim and Objectives: To improve that the use of human fibrin sealant during the first stage auricular reconstruction can attain an accentuated contour of the reconstructed auricle without resorting to placement of a drainage system or bolster suture. Materials and Methods: In the first stage operation in microtia reconstruction, we use human fibrin sealant (Tissucol Duo Quick) after insertion of the three-dimension costal cartilage (3-D frame) under the skin pocket and wound closure. The human fibrin sealant was placed to the space between the 3- D frame and skin flap. The contour of the reconstructed auricle was retained without the application of any external force. A wide 3M Tegaderm was used to completely seal the reconstructed auricle and rolled gauze was placed in the convoluted areas of the reconstructed auricle. Results: We have applied this maneuver to eight consecutive reconstruction patients and the overall results have been consistent and more satisfactory. There are no major postoperative complications encountered. Conclusion: The benefits of this maneuver when compared with the others are: simple, easy to apply and no need to use suture or another suction devices postoperatively, therefore makes the patients more comfortable and theoretically reduces the complications associated with bolster suturing and continuous suction drainage." @default.
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- W2249619778 date "2012-12-01" @default.
- W2249619778 modified "2023-09-24" @default.
- W2249619778 title "Application of Human Fibrin Sealant in Microtia Reconstruction" @default.
- W2249619778 doi "https://doi.org/10.7096/tjtsps.201212.0301" @default.
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