A new strategy for otoplasty.
Abstract
Pinnaplasty using the Mustardé and Furnas techniques is increasingly popular. One adjunctive technique that is often used involves the elevation of a fascial flap beneath which sutures are placed for additional cover, potentially reducing the risk of complications and possibly recurrence. This flap is traditionally raised with a proximal base, but it can be raised distally with a number of advantages as we illustrate. More significantly, we demonstrate the potential for an entirely new operation to correct prominent ears with benefits including a natural end result, simplicity, reduced operative time, less tissue trauma and the use of a single buried knot. We illustrate the use of this procedure adjunctively to reinforce suture-based techniques in a series of 15 patients.
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The literature shows palpable or protruding suture knots to be a relevant complication, even leading to the use of flap techniques for knot coverage.
“Although the literature shows palpable or protruding suture knots to be a relevant complication, even leading to respective usage of flap techniques for knot coverage [20,21]”
From Otoplasty through Ventral Skin Incision and Shaping of the Antihelix by Abrasion—A Retrospective Study (2021) · cites this paper as [21]
Several studies have modified cartilage-sparing otoplasty by including a postauricular fascial flap to cover the postauricular sutures.
“Several studies have modified cartilage-sparing otoplasty by including a postauricular fascial flap to cover the postauricular sutures. 17,19-30”
In the current study, both medially and laterally based postauricular dermofascial flaps provided a robust vascularized layer of tissue covering the row of cartilage sutures, with no reported suture extrusion or relapse in any case.
“In the current study, we used both medially and laterally based flaps, and found both to provide a robust vascularized layer of tissue covering the row of cartilage sutures, with no reported suture extrusion or relapse in any case.”
Cites
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A method of antihelix reconstruction
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A New Way for Antihelixplasty in Prominent Ear Surgery: Modified Postauricular Fascial Flap
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“Although the literature shows palpable or protruding suture knots to be a relevant complication, even leading to respective usage of flap techniques for knot coverage [20,21], the follow-up of this study has not shown palpable sutures or knots to present a complication of this technique.”
BackgroundBulstrode, N. W., Ronde, E. M., & Mazeed, A. S. (2024) · Plastic & Reconstructive Surgery · doi:10.1097/prs.0000000000011342 · Cited by 4 · see citing works
- Authors
- Shokrollahi, K., Cooper, M. A., & Hiew, L. Y.
- Affiliations
- Morriston Hospital (GB)
- Corresponding author
- Shokrollahi, K.
- ORCID
- Shokrollahi, K.
- Venue
- Journal of Plastic, Reconstructive & Aesthetic Surgery
- Publisher
- Elsevier BV
- Published
- 2009-06
- Volume
- 62
- Issue
- 6
- Pages
- 774-781
- ISSN
- 1748-6815 (ISSN-L)
- OpenAlex
- W2167326367
- Cited by
- 36
- References
- 9
- Citations by year
- 2024: 2 · 2022: 1 · 2021: 2 · 2020: 1 · 2019: 6 · 2018: 2 · 2017: 3 · 2016: 4 · 2015: 3 · 2014: 1 · 2013: 6 · 2012: 3
- FWCI
- 0.70
- Type
- journal article
- Language
- en
- Open access
- closed
- Locations
- Journal of Plastic Reconstructive & Aesthetic Surgery (publishedVersion)
- PubMed (publishedVersion)
- Topics
- Health Sciences › Medicine › Surgery › Reconstructive Facial Surgery Techniques
- Health Sciences › Medicine › Surgery › Nasal Surgery and Airway Studies
- Health Sciences › Medicine › Genetics › Congenital Ear and Nasal Anomalies
- Keywords
- otoplasty, prominent ears, Mustardé technique, fascial flap, ear reconstruction, surgical complications
- MeSH terms
- Fasciotomy, Adolescent, Child, Ear, External, Female, Humans, Surgical Flaps, Suture Techniques, Plastic Surgery Procedures
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