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CORRECTION OF PROMINENT EARS BY CONCHA-MASTOID SUTURES
Abstract
Iowa City, Iowa From the Department of Surgery and the University Hospitals of the University of Iowa.
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The success of the Mustardé technique is influenced by several variables, including the surgeon's experience, patient age, cartilage elasticity, and the suture material.
“The success of the Mustardé technique is known to be influenced by several variables, including the surgeon’s experience, patient age, cartilage elasticity, and the suture material [7,10,22].”
From Comparative Analysis of Mustardé, Fascioperichondrial Flap, and Combined Otoplasty Techniques: Clinical Outcomes and Recurrence Rates in 365 Patients (2025) · cites this paper as [10]
Messner and Crysdale showed that Mustardé and Furnas sutures achieved good or excellent results in 78% of pediatric cases, despite some relapse in the superior auricle.
“Messner and Crysdale81 showing that Mustardé14 and Furnas15 sutures achieved good or excellent results in 78% of pediatric cases, despite some relapse in the superior auricle.”
From Otoplasty Surgical Techniques and Clinical Outcomes: A Practical Review (2026) · cites this paper as [15]
In 2001, a refined method incorporating Mustardé and Furnas sutures with a postauricular fascial flap achieved an 8% recurrence rate, with no suture extrusions or hematomas over a median follow-up of 19 months in 51 patients.
“In 2001, a refined method incorporating Mustardé14 and Furnas15 sutures with a postauricular fascial flap achieved an 8% recurrence rate, with no suture extrusions or hematomas over a median follow-up of 19 months in 51 patients.83”
From Otoplasty Surgical Techniques and Clinical Outcomes: A Practical Review (2026) · cites this paper as [15]
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Otoplasty: Evaluation, Technique, and Review
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Complications in the treatment of prominent ears
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A Hierarchy of Values in the Design and Construction of the Ear
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Otoplasty: A Combined Approach
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Otoplasty Goals and Principles
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Correction of Prominent Ears with Multiple Sutures
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Self-citationComplications of Surgery of the External Ear
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Self-citationTreatment of Prominent Ears and Otoplasty: A Contemporary Review
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Otoplasty: What I Do Now-A 30-Year Perspective
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Otoplasty for the Protruded Ear
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“Such techniques have been described by Mustarde and Furnas.(7,8)”
BackgroundMethodInfluentialThe Post-Meeting “Wear-You-Out” Syndrome in Cosmetic Surgery
Rohrich, R. J. (2001) · Plastic & Reconstructive Surgery · doi:10.1097/00006534-200109150-00038 · Cited by 46
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Endoscopic assisted otoplasty: a preliminary report
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“Well-described otoplasty techniques [16—18] can be utilized to correct the anomalies seen in patients with VCFS.”
MethodNew Modification in Otoplasty: Anterior Approach
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Cartilage-sparing otoplasty: a review with long-term results
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“several permanent mattress sutures reaching from the conchal wall to the periosteum of the mastoid (Furnas, 1968).”
BackgroundCorrection of protruding ears: A 20-year retrospective
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“We have used the conchal mastoid suture technique [ 5 ], and the mattress suture technique of Mustard6 [11], and found the results to be discouraging because of a high incidence of recurrence.”
MethodOtoplasty and Auricular Reconstruction
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Otoplasty for Prominent Ears: A Versatile Combined Technique to Master the Shape of the Ear
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Effect of Nasal Tip Surgery on Asian Noses Using the Transdomal Suture Technique
Jang, T.-Y., Choi, Y., Jung, Y.-G., Kim, K. T., Kim, K., & Choi, J.-S. (2007) · Aesthetic Plastic Surgery · doi:10.1007/s00266-006-0109-5 · Cited by 31
“The transdomal suture technique, a conservative method, originated from the suture otoplasty demonstrated by Mustard [10], Furnas [ 3 ], and Adamson et al. [1], (Table 4) [5,8,9,13].”
MethodOtoplasty in Children Less Than Four Years of Age: Surgical Technique
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Abdominal Wall Reconstruction with an Expanded Rectus Femoris Flap
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Otoplasty: Shaping the antihelix
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“Finally, the contribution of the concha to prominence was addressed by Furnas [8] and others with the placement of concha-mastoid sutures, with or without direct reduction of conchal height to correct protrusion.”
Otoplasty: a review of the surgical techniques
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“Furnas (1968) described a technique to medialize the pinna with firm and carefully placed concha-mastoid sutures.”
MethodAesthetic Otoplasty: Principles, Techniques and an Integrated Approach to Patient-Centric Outcomes
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Retrospective Analysis of the Farrior Technique for Otoplasty
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Management of the prominent ear
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Otoplasty: An Analysis of Technique Over a 33‐Year Period
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“The aesthetic abnormality may result from conchal hypertrophy, underdevelopment of the antihelix, prominent lobule, or a combination of these factors [4,5].”
BackgroundThe correction of the prominent ear
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“Furnass in 1968 [ 7 ] and Spira et. al in 1969 [22] stressed the importance of approximating the ear to the mastoid by mattress sutures.”
BackgroundOtoplasty: An Alternative Approach to Management of the Deep Conchal Bowl
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Island Technique for Prominent Ears: An Update of the Ivo Pitanguy Clinic Experience
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Otoplasty: Anterior Abrasion of Ear Cartilage with Dermabrader
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“Concha–mastoid suturing is performed with 4/0 clear nylon, as described by Furnas [ 7 ].”
MethodBecker, D. G., Lai, S. S., Wise, J. B., & Steiger, J. D. (2006) · Facial Plastic Surgery Clinics of North America · doi:10.1016/j.fsc.2006.01.008 · Cited by 16
Prominent ears and their correction: A forty-year experience
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Szychta, P., & Stewart, K. J. (2013) · Annals of Plastic Surgery · doi:10.1097/sap.0b013e3182503c38 · Cited by 16
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“Mustarde concha-schapal and Furnas concha-mastoid suture are most often used in cartilage-sparing methods.(11,12) Although the use of cartilage-sparing methods increases, suture extrusion, the suture line granuloma formation, deformity relapsing due to suture fatigue, and cartilage memory are the most important compli…”
BackgroundPosterior Auricular Muscle Flap as an Adjunct To Otoplasty
Yazıcı, İ., Fındıkçıoğlu, F., Özmen, S., Noyan, N., & Yavuzer, R. (2008) · Aesthetic Plastic Surgery · doi:10.1007/s00266-008-9253-4 · Cited by 15
“In mild to severe cases, conchamastoid sutures (described by Furnas [ 8 ]) and excision of the conchal cartilage can be used.”
BackgroundBasat, S. O., Askeroğlu, U., Aksan, T., Alleyne, B., Yazar, M., Orman, Ç., Üsçetin, İ., & Akan, M. (2014) · Aesthetic Plastic Surgery · doi:10.1007/s00266-013-0269-z · Cited by 14
“The most common are Mustarde and Furnas otoplasties [19, 20].”
BackgroundSzychta, P., Orfaniotis, G., & Stewart, K. J. (2012) · Plastic & Reconstructive Surgery · doi:10.1097/prs.0b013e31825dc363 · Cited by 14
Surgical Correction of Prominent Ear Using Modified Tube Technique and Posterior Approach
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“Residual cartilage spring and stiffness also cause trouble.(7) The incidence of recurrence is lowered by using permanent sutures placed carefully through the cartilage.”
BackgroundOtoplasty for prominent ears deformity.
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AlAwadh, I., Assiri, H., Bogari, A., Alabduljabbar, Z., & Aldosari, B. (2022) · Journal of Craniofacial Surgery · doi:10.1097/scs.0000000000008455 · Cited by 13
Separating the Helix From the Antihelix: A New Concept in Prominent Ear Correction
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Combined technique for the correction of prominent ears: Results in 140 patients
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“In cases involving deep cochal bowls, reduction of the bowl depth is a complementary procedure to the correction of the prominent ear [6,15,16,38].”
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“This technique was also widely popularized in the literature as a way to stabilize the cephaloauricular angle.(7)”
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“If necessary, an approximation of the cavum conchae to the skull is performed, as described by Goldstein 12 and Furnas, 13 and/or correction of the earlobe position is achieved by using a suspension suture following the recommendations of Siegert et al. 14 All of the surgical steps for otoplasty in the repaired ear co…”
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Posterior auricular muscle—a useful adjunct in otoplasty
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“Cartilage fixation to the mastoid has recently been revived by Paletta et al. (97), Furnas ( 48 ), Spira et al. (116), and Reichert (107).”
BackgroundOtoplasty for prominent ears with combined techniques
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“The latter goal is achieved by: (a) removal of the posterior auricular muscle, which allows the concha to be easily seated in the mastoid, (b) Furnas stitches [ 3 ], which allow it to be secured firmly and permanently, and (c) a large cutaneous excision in the upper one-third, instead of an ellipse, which helps to app…”
BackgroundThe lateral conchal resection otoplasty
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Otoplasty for Congenital Auricular Malformations
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Otoplasty with Mustarde Suture, Cartilage Rasping, and Scratching
Sevin, K., & Sevin, A. (2006) · Aesthetic Plastic Surgery · doi:10.1007/s00266-006-0061-4 · Cited by 10
“However, the use of conchomastoidal suturing was popularized by Furnas [9] and later modified by Spira et al. [24].”
MethodInfluentialCugno, S., Farhadieh, R. D., & Bulstrode, N. (2013) · Journal of Plastic Reconstructive & Aesthetic Surgery · doi:10.1016/j.bjps.2013.06.042 · Cited by 10
“concho-mastoid sutures where appropriate.(22) The cartilage was exposed through a retro-auricular elliptical skin excision.”
[Correction of deformities of the ear-auricle].
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A technique for remodeling the antihelix to correct the prominent ear
Robiony, M., Costa, F., & Politi, M. (2001) · Journal of Oral and Maxillofacial Surgery · doi:10.1053/joms.2001.19259 · Cited by 10
Taboada‐Suárez, A., Brea‐García, B., Couto‐González, I., & Vila‐Moriente, J. L. (2014) · Otolaryngology · doi:10.1177/0194599814551541 · Cited by 10
Otoplasty: a combined approach to different structures of the auricle
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Becker, D. G., Lai, S. S., Schipor, I., & Becker, S. S. (2003) · Facial Plastic Surgery Clinics of North America · doi:10.1016/s1064-7406(03)00017-8 · Cited by 9
Helix free otoplasty for correction of prominent ear
Ahmed, M., Alkhalaf, H., & Ibrahim, E. (2018) · Asian Journal of Surgery · doi:10.1016/j.asjsur.2018.08.005 · Cited by 9
Metadata
- Authors
- FURNAS, D. W.
- Affiliations
- University of Iowa (US)
- Corresponding author
- FURNAS, DAVID W.
- Venue
- Plastic and Reconstructive Surgery
- Published
- 1968-09
- Volume
- 42
- Issue
- 3
- Pages
- 189-194
- ISSN
- 0032-1052 (ISSN-L)
- OpenAlex
- W2047723859
- Cited by
- 329
- References
- 0
- Citations by year
- 2026: 7 · 2025: 9 · 2024: 13 · 2023: 16 · 2022: 12 · 2021: 13 · 2020: 15 · 2019: 8 · 2018: 9 · 2017: 15 · 2016: 15 · 2015: 10 · 2014: 10 · 2013: 38 · 2012: 11
- Type
- journal article
- Language
- en
- Open access
- closed
- Locations
- Plastic & Reconstructive 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 › Surgery › Craniofacial Disorders and Treatments
- Keywords
- prominent ears, otoplasty, ear deformity correction, mastoidectomy, concha
- MeSH terms
- Ear Deformities, Acquired, Humans, Male, Methods, Surgery, Plastic, Suture Techniques
About these checks
Registry, retraction, Cites and statistics results are computed, not judged, with one exception: a printed reference that no index lists is read once by a model before it counts as a citation error. Claims are extracted by a model and kept only when their quote appears verbatim in the text; each cited source is then checked, with a model’s help, for whether it says what the claim relies on. Those verdicts can be wrong — read the claim’s quote and the cited source before relying on one.
Statistics and arithmetic are recomputed, not judged.
Confidence bands are shown only for fields calibrated on our annotated test set. None is calibrated yet, so no band is shown.
What counts as a claim ›How we measure confidence ›How we check this ›
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