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Splinting After Ear Reconstruction: A Stepwise and Inexpensive Workflow Protocol.

Herman Vercruysse, James I J Green, Gaynor Osman

    Annals of Plastic Surgery
    |September 21, 2017
    PubMed
    Summary
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    This study presents an effective ethylene-vinyl acetate splint for ear reconstruction, ensuring optimal patient compliance and preventing skin contracture. The developed splinting protocol offers a low-cost, patient-specific solution for improved aesthetic outcomes.

    Area of Science:

    • Plastic Surgery
    • Biomaterials Engineering

    Background:

    • Postoperative splinting is crucial for preventing grafted skin contracture in second-stage ear reconstruction.
    • Scar retraction can negatively impact aesthetic results by causing loss of projection and sulcus obliteration.

    Purpose of the Study:

    • To define the characteristics of an ideal long-term ear splint.
    • To present a clinical protocol for fabricating a patient-specific ethylene-vinyl acetate splint.

    Main Methods:

    • A prospective study was conducted using an ethylene-vinyl acetate splint.
    • The splint's fabrication protocol was developed based on ideal characteristics.
    • Ethylene-vinyl acetate was chosen for its safety and longevity, proven in dental prosthetics.

    Main Results:

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    • The splint demonstrated optimal patient compliance.
    • No adverse events such as allergic reactions, pressure sores, or skin necrosis were reported.
    • The splint is lightweight, self-retaining, and transparent for easy camouflage.

    Conclusions:

    • A stepwise protocol for fabricating a low-cost, patient-specific ear splint using ethylene-vinyl acetate is presented.
    • The splint effectively prevents contracture and maintains ear projection and sulcus definition.
    • The material's safety and the splint's design contribute to excellent patient outcomes and satisfaction.