Aims: Scoring to weaken cartilage was first employed by Stenstrom in 1963 following observations
by Gibson and Davis on the natural ability of cartilage to warp away from the scored
surface. A scalpel blade is the usual and preferred method in clinical practise. However
aggressive scoring can cause unattractive and painful ridging or may just not be enough
resulting in suture tension, under-correction and recurrence. The novel use of bipolar
diathermy to reshape cartilage has not previously been investigated. We developed
an ex-vivo pig ear model to compare the effectiveness of bipolar diathermy with blade
scoring for cartilage warping.
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© 2007 Published by Elsevier Inc.