Preview

Radiology - Practice

Advanced search

Method of Morphometry of Cartilaginous Part of Ribs for Planning of Auricle Reconstruction

https://doi.org/10.52560/2713-0118-2021-6-31-42

Abstract

Ultrasound examination of the skin was performed on 63 women, using a 10–22 MHz high frequency linear transducer on the scanning surface in B-mode and Color Doppler Imaging (CDI) mode with the scanning depth of 7 mm, as well as a 6–18 MHz transducer in B-mode with the scanning depth of 15 mm. The thickness of the dermis was measured between the epidermis and the subcutaneous adipose tissue in the middle and lower third of the face at standard points. To determine the border between the dermis and hypodermis, we used the subdermal vascular plexus as an additional anatomical landmark, which was well visualized in the CDI mode. Comparison of three or more groups of independent quantitative parameters was carried out using ANOVA (Analysis of Variance) for looking for dependencies in the data obtained by determining the significance of differences in means. The level of significance was presented according to F. Fisher’s criterion. As a result of the analysis of variance, a significance level was 0.15, based on which it was concluded that there is no difference in measuring the thickness of the dermis with 6–18 MHz and 10–22 MHz high frequency transducers. The optimal scanning depth for measuring the skin thickness is 7–15 mm. Evaluation of the skin microcirculation should be carried out in the Doppler mode at a pulse recurrence frequency of less than 1 kHz.

About the Authors

N. I. Imshenetskaya
Moscow State University of Medicine and Dentistry named after A. I. Evdokimov, Ministry of Healthcare of Russia, Department of Pediatric Maxillo-Facial Surgery; Moscow Branch of Medical University «Reaviz», Department of Dentistry for Postgraduate Studies
Russian Federation

Imshenetskaya Natal’ya Il’yinichna, Ph. D. Med., assistant professor; Teaching
professor

9а, ul. Vucheticha, Moscow,127206, Russia

Phone number: +7 (916) 702-95-88



D. A. Lezhnev
Moscow State University of Medicine and Dentistry named after A. I. Evdokimov, Ministry of Healthcare of Russia, Department of Radiology; Russian Medical Academy of Continuing Professional Education, Therapeutic Dentistry Department
Russian Federation

Lezhnev Dmitry Anatol’evich, M. D. Med., Professor, Chairman; Professor

9а, ul. Vucheticha, Moscow,127206, Russia

Phone number: +7 (495) 611-01-77



O. Z. Topol’nitskiy
Moscow State University of Medicine and Dentistry named after A. I. Evdokimov, Ministry of Healthcare of Russia, Department of Pediatric Maxillo-Facial Surgery
Russian Federation

Topol’nitskiy Orest Zinov’evich, M.D. Med., Professor, Chairman

9а, ul. Vucheticha, Moscow,127206, Russia

Phone number: +7 (495) 611-43-02



T. A. Bakshi
Moscow State University of Medicine and Dentistry named after A. I. Evdokimov, Ministry of Healthcare of Russia, Department of Pediatric Maxillo-Facial Surgery
Russian Federation

Bakshi Tatiana Andreevna, resident of the 2nd year of study

9а, ul. Vucheticha, Moscow,127206, Russia

Phone number: +7 (903)181-22-97



E. Y. Lazarenko
Moscow State University of Medicine and Dentistry named after A. I. Evdokimov, Ministry of Healthcare of Russia, Department of Radiology
Russian Federation

Lazarenko Ekaterina Yur’evna, Postgraduate student

9а, ul. Vucheticha, Moscow,127206, Russia

Phone number: +7 (903) 226-37-94



A. P. Gurgenadze
Moscow State University of Medicine and Dentistry named after A. I. Evdokimov, Ministry of Healthcare of Russia, Department of Pediatric Maxillo-Facial Surgery
Russian Federation

Gurgenadze Anna Panayotovna, Ph. D. Med. teaching professor

9а, ul. Vucheticha, Moscow,127206, Russia

Phone number: +7 (495) 611-43-02



References

1. Andreoli S. M., Mills J. C., Kilpatrick L. A., White D. R., Patel K. G. CT measured normative cartilage growth in children requiring costochondral. Otolaryngol Head Neck Surg. 2013 (Dec). V. 149 (6). P. 924–930.

2. Birgfeld C., Heike C. Craniofacial Microsomia. Clin Plast Surg. 2019 (Apr). V. 46 (2). P. 207–221.

3. Bly R. A., Bhrany A. D., Murakami C. S., Sie K. C. Y. Microtia Reconstruction. Facial Plastic Surgery Clinics of North America. 2016 (Nov). V. 24 (4). P. 577–591.

4. Go J. Y., Kang B. Y., Hwang J. H., Oh K. S. Management of chest deformity caused by microtia reconstruction: Comparison of autogenous diced cartilage versus cadaver cartilage graft partial filling techniques. J. Plast Reconstr Aesthet Surg. 2017 (Jan). V. 70 (1). P. 104–109.

5. Kang S. S., Guo Y., Zhang D.-Y., Jiang D.-Y. Rib Cartilage Assessment Relative to the Healthy Ear in Young Children with Microtia Guiding Operative Timing. Chin Med J (Engl). Case Reports. 2015 (Aug). V. 128 (16). P. 2208–2214.

6. Wallace C. G., Mao H.-Y., Wang C.-Y., Chen Y.-A., Chen P. K.-T., Chen Z. C. Three- Dimensional Computed Tomography Reveals Different Donor-Site Deformities in Adult and Growing Microtia Patients Despite Total Subperichondrial Costal Cartilage Harvest and Donor-Site Reconstruction. Plast Reconstr Surg. 2014 (Mar). V. 133 (3). P. 640–651.

7. Wu R., Jiang H., Chen W., Li Q., Zhao Y., Bi Y., Zhang Y., Li C., Pan B. Threedimensional chest computed tomography analysis of thoracic deformities in patients with microtia. J Plast Reconstr Aesthet Surg. 2015 (Apr). V. 68 (4). P. 498–504.

8. Yamada A. Autologous Rib Microtia Construction: Nagata Technique. Facial Plast Surg Clin North Am. 2018 (Feb). V. 26 (1). P. 41–55.

9. Yamada A. Commentary on ‘Using Four- Layers Sculpted Rib Cartilage Framework to Increase Transverse Height of the Reconstructive Ear in One Operative Stage for Microtia Patients’. Aesthetic Plast Surg. 2018 (Feb). V. 42 (1). P. 176–177.

10. Yan H., Zhang G., Liu W., Wang N., Liu Z. Different Methods of Fabricating Cartilaginous Ear Framework in Children With Microtia According to the Length of the Eighth Costal Cartilage Intraoperatively. J. Craniofac Surg. 2019 (Jul). V. 30 (5). P. 1425–1429.


Supplementary files

Review

For citations:


Imshenetskaya N.I., Lezhnev D.A., Topol’nitskiy O.Z., Bakshi T.A., Lazarenko E.Y., Gurgenadze A.P. Method of Morphometry of Cartilaginous Part of Ribs for Planning of Auricle Reconstruction. Radiology - Practice. 2021;(6):31-42. (In Russ.) https://doi.org/10.52560/2713-0118-2021-6-31-42

Views: 544


Creative Commons License
This work is licensed under a Creative Commons Attribution 4.0 License.


ISSN 2713-0118 (Online)