OBJECTIVES/HYPOTHESIS: Needle electrode-based electromechanical reshaping (EMR) is a novel, ultra-low-cost nascent surgical technology to reshape cartilage with low morbidity. EMR uses direct current to induce mechanical relaxation in cartilage that is first deformed into a required geometry, which in turn leads to permanent shape change. The objective of this study was to determine the effect of EMR voltage and time on the shape change of costal cartilage grafts. STUDY DESIGN: EMR of ex vivo porcine costal cartilage. METHODS: Graft specimens obtained from the central core of porcine costal cartilage were bent at a 90-degree angle with a custom jig and then reshaped via EMR. The effects of voltage (3-7 V) and application time (1-5 minutes) on the amount of shape change were systematically examined. Bend angles were analyzed using analysis of variance and paired t tests to determine significant reshaping times at each voltage setting. RESULTS: There is a threshold for voltage and time above which the retention of bend angle is statistically significant in treated specimens compared to the control (P < .05). Above the threshold of 3 V, shape retention initially increased with application time for all voltages tested and was then observed to reach a plateau. Shape retention was noted to be greatest at 6 V without a rise in temperature. CONCLUSIONS: EMR provides a novel method to bend and shape costal cartilage grafts for use in facial plastic surgery. A low voltage can reshape cartilage grafts within several minutes and without the heat generation. This study demonstrates the feasibility of EMR and brings this minimally invasive procedure closer to clinical implementation.
OBJECTIVES/HYPOTHESIS: Needle electrode-based electromechanical reshaping (EMR) is a novel, ultra-low-cost nascent surgical technology to reshape cartilage with low morbidity. EMR uses direct current to induce mechanical relaxation in cartilage that is first deformed into a required geometry, which in turn leads to permanent shape change. The objective of this study was to determine the effect of EMR voltage and time on the shape change of costal cartilage grafts. STUDY DESIGN: EMR of ex vivo porcine costal cartilage. METHODS: Graft specimens obtained from the central core of porcine costal cartilage were bent at a 90-degree angle with a custom jig and then reshaped via EMR. The effects of voltage (3-7 V) and application time (1-5 minutes) on the amount of shape change were systematically examined. Bend angles were analyzed using analysis of variance and paired t tests to determine significant reshaping times at each voltage setting. RESULTS: There is a threshold for voltage and time above which the retention of bend angle is statistically significant in treated specimens compared to the control (P < .05). Above the threshold of 3 V, shape retention initially increased with application time for all voltages tested and was then observed to reach a plateau. Shape retention was noted to be greatest at 6 V without a rise in temperature. CONCLUSIONS: EMR provides a novel method to bend and shape costal cartilage grafts for use in facial plastic surgery. A low voltage can reshape cartilage grafts within several minutes and without the heat generation. This study demonstrates the feasibility of EMR and brings this minimally invasive procedure closer to clinical implementation.
Authors: Edward C Kuan; Ashley A Hamamoto; Cyrus T Manuel; Dmitriy E Protsenko; Brian J F Wong Journal: Laryngoscope Date: 2014-05-02 Impact factor: 3.325
Authors: Amy Y Y Yau; Cyrus Manuel; Syed F Hussain; Dmitry E Protsenko; Brian J F Wong Journal: JAMA Facial Plast Surg Date: 2014 Jul-Aug Impact factor: 4.611
Authors: Dana M Hutchison; Amir A Hakimi; Ellen M Hong; Tiffany T Pham; Avin Wijayaweera; Soohong Seo; Yueqiao Qu; Melissa Bircan; Ryan Sivoraphonh; Brandyn Dunn; Chung-Ho Sun; Mark R Kobayashi; Sehwan Kim; Brian J F Wong Journal: Facial Plast Surg Aesthet Med Date: 2020-02-20
Authors: Karam W Badran; Cyrus T Manuel; Anthony Chin Loy; Christian Conderman; Yuk Yee Yau; Jennifer Lin; Tjoson Tjoa; Erica Su; Dmitriy Protsenko; Brian J F Wong Journal: Laryngoscope Date: 2015-03-16 Impact factor: 3.325