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Abstract| Volume 60, ISSUE 4, PS4-S5, April 2007

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An ex-vivo study of the potential use of bipolar diathermy for cartilage manipulation in otoplasty

  • T. Qureshi
    Affiliations
    Department of Cardiothoracic Surgery, National Heart and Lung Institute, Imperial College School of Medicine, Hammersmith Hospital, Du Cane Road, London W12 ONN, UK
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  • J. Hurren
    Affiliations
    Department of Cardiothoracic Surgery, National Heart and Lung Institute, Imperial College School of Medicine, Hammersmith Hospital, Du Cane Road, London W12 ONN, UK
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  • T. Gourlay
    Affiliations
    Department of Cardiothoracic Surgery, National Heart and Lung Institute, Imperial College School of Medicine, Hammersmith Hospital, Du Cane Road, London W12 ONN, UK
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      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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