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Porous Polyethylene Versus Autologous Costochondral Reconstruction for Microtia: Incidence and Analysis of Secondary Procedures.
- Source :
- Cleft Palate Craniofacial Journal; Mar2024, Vol. 61 Issue 3, p365-372, 8p
- Publication Year :
- 2024
-
Abstract
- Objective: To examine the frequency of autologous and alloplastic ear reconstructions for patients with microtia in the United States, and describe post-index procedure rates associated with each method. Design: Retrospective cohort study. Setting: Claims data from 500 + hospitals from IBM® MarketScan® Commercial and Multi-State Medicaid databases. Patients/Participants: A total of 649 patients aged 1 to 17 years with International Classification of Diseases, ninth/tenth revision (ICD-9/10) diagnoses for microtia, congenital absence of the ear, or hemifacial microsomia. Interventions: Alloplastic or autologous ear reconstruction between 2006 and 2018. Main Outcome Measure: Post-index procedures performed within 1 year following the index repair, analyzed across the study period and separately for each half of the study period (2006-2012, 2012-2018). Results: A total of 486 (75%) qualifying patients received autologous and 163 (25%) received alloplastic reconstruction. Secondary procedure rates were significantly higher in the autologous group at 90 days (P =.034), 180 days (P <.001), and at 365 days (P <.001). Alloplastic reconstruction accounted for 23.2% of reconstructions in the first half of the study period compared with 26.7% in the second half (P =.319). One-year secondary procedure rates in the autologous group were not significantly different between both halves of the study period (69.7% vs 67.1%, P =.558), but were significantly lower in the second half for the alloplastic group (44.9% vs 20.2%, P =.001). Conclusions: In these databases, autologous reconstruction is more common than alloplastic reconstruction. Autologous reconstruction is staged, with most undergoing a secondary procedure between 3 months and 1 year postoperatively. Secondary procedure rates decreased over time in patients undergoing alloplastic reconstruction. [ABSTRACT FROM AUTHOR]
- Subjects :
- EXTERNAL ear abnormalities
EAR surgery
RIB cage
CRANIOFACIAL abnormalities
GOLDENHAR syndrome
PLASTIC surgery
BONE substitutes
POLYETHYLENE
RETROSPECTIVE studies
ACQUISITION of data
AUTOGRAFTS
TREATMENT effectiveness
COMPARATIVE studies
REOPERATION
MEDICAL records
DESCRIPTIVE statistics
RESEARCH funding
BONE grafting
LONGITUDINAL method
Subjects
Details
- Language :
- English
- ISSN :
- 10556656
- Volume :
- 61
- Issue :
- 3
- Database :
- Complementary Index
- Journal :
- Cleft Palate Craniofacial Journal
- Publication Type :
- Academic Journal
- Accession number :
- 175633414
- Full Text :
- https://doi.org/10.1177/10556656221132034