In Vivo Electromechanical Reshaping of Ear Cartilage in a Rabbit Model A Minimally Invasive Approach for Otoplasty

In Vivo Electromechanical Reshaping of Ear Cartilage in a Rabbit Model A Minimally Invasive Approach for Otoplasty
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DOI:
10.1001/2013.jamafacial.2
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发表时间:
2013-01-01
影响因子:
--
通讯作者:
Wong, Brian J. F.
Wong, Brian J. F.
中科院分区:
医学3区
文献类型:
--
作者:
Oliaei, Sepehr;Manuel, Cyrus;Wong, Brian J. F.

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Objective: To report the first successful study to date of in vivo electromechanical reshaping of ear cartilage in a rabbit model.Methods: Ears of New Zealand white rabbits were reshaped using percutaneous needle electrode electromechanical reshaping (5 V for 4 minutes) and were then bolstered for 4 weeks. Ten ears were treated, with 2 undergoing sham procedures and serving as controls. The treatment was performed using a platinum array of electrodes consisting of 4 parallel rows of needles inserted across the region of flexures in the ear. After 4 weeks, the animals were killed, and the ears were photographed and sectioned for conventional light microscopy and confocal microscopy (live-dead fluorescent assays).Results: Significant shape change was noted in all the treated ears (mean, 102.4 degrees; range, 87 degrees-122 degrees). Control ears showed minimal shape retention (mean, 14.5 degrees; range, 4 degrees-25 degrees). Epidermis and adnexal structures were preserved in reshaped ears, and neochondrogenesis was noted in all the specimens. Confocal microscopy demonstrated a localized zone of nonviable chondrocytes (