Comparative Study between Patients’ Satisfaction after Reconstructed Auricle Using 2D And 3D Models | ||
| The Egyptian Journal of Plastic and Reconstructive Surgery | ||
| Articles in Press, Accepted Manuscript, Available Online from 01 October 2022 | ||
| Document Type: Original Article | ||
| DOI: 10.21608/ejprs.2022.161870.1210 | ||
| Authors | ||
| Fady Rezk Shafik* 1; mohamed mamdouh abdel halim2; Ahmed Elshahat3; Ahmed M Gad4 | ||
| 1Plastic,burn and Maxillofacial surgery ,Faculty of Medicine,Ain Shams University , Cairo.,Egypt. | ||
| 2plastic and maxillofacial surgery departement Ain Shams University | ||
| 3Faculty of Medicine,Ain Shans Uni. | ||
| 4Plastic Surgery Department Ain Shams university | ||
| Abstract | ||
| Background: Microtia is a rare and severe craniofacial abnormality that impairs newborns' appearance. The most favored treatment for microtia is autologous ear reconstruction. It is essential for the reconstruction process that surgeons provide templates of their patients’ normal auricles to be shaped. Traditionally, 2D models have been utilized everywhere. The rising use of 3D printing in the medical field has led to several improvements, especially the development of patient-specific models based on actual imaging data. Thus, this study compared the satisfaction of patients regarding the aesthetic outcomes between 2D and 3D modelling. Patients and Methods: In this cross sectional study, 44 patients; with unilateral microtia underwent autologous ear reconstruction using costal cartilage graft were selected. Bilateral cases and Anotia types were excluded. Costal cartilages of 6th to 8th ribs were harvested in the 1st stage to shape the framework, 32 patients underwent 3D model planning while 12 patients were managed by 2D template. Elevation of the framework was done in the 2nd stage after 3-6 months. Satisfaction was recorded using a questionnaire form 4 months postoperatively. Results: Scores of 3D in specific items were significantly better than those in 2D. It was highly significant difference in satisfaction regarding concha subunit and separation of the auricle. Conclusion: After autogenous ear reconstruction, 3D modelling is more effective than 2D modelling at improving patient satisfaction, particularly with regard to the concha's form and separation from the scalp. | ||
| Keywords | ||
| 3D modeling; Autologous ear reconstruction; Patient satisfaction; microtia management | ||
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