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Cited by 18Reconstructive Facial Surgery TechniquesNasal Surgery and Airway StudiesCongenital Ear and Nasal Anomalies

The DOI matches its Crossref record; 36 of the 37 references it cites were found in a registry or an index.

Refinements in otoplasty surgery: experience of 200 consecutive cases using cartilage-sparing technique.

Mazeed, Ahmed S., Bulstrode, Neil W.·2019·Plastic & Reconstructive Surgery
DOI 10.1097/prs.0000000000005704
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Abstract

BACKGROUND: Many techniques have been described to correct prominent ears, including cartilage-suturing, cartilage-scoring, and cartilage-breaking techniques. Understanding the topography and anatomy of the auricular cartilage is crucial for performing safe otoplasty with consistent results. METHODS: Two hundred consecutive patients with prominent ears were operated on using a modified Mustardé and Furnas technique with some refinements and without performing any cartilage scoring or excision. Adequate dissection and exposure of cartilage and precise repositioning of the tail of helix (cauda helicis) are keys to correction of lobule prominence without the need for any adjunctive procedures such as skin excision from the back of the lobule or suture fixation of the lobular tissues to the concha, mastoid, or scalp. Detailed description of the technique and review of the complications are presented. RESULTS: This suturing-only technique had a low complication rate. Hematoma occurred in two patients only. Skin necrosis and wound dehiscence were not reported in any patient. Suture extrusion was the most common complication and was easily managed, mostly in the clinic. Relapse of deformity needing surgical correction occurred in eight cases. CONCLUSIONS: The series demonstrates that most of the potential complications of otoplasty can be avoided and favorable results can be obtained by paying attention to the anatomical details of the deformity and the auricular cartilage anatomy. The described cartilage-sparing otoplasty procedure with the refinements outlined resulted in a reproducible natural correction, with a low risk profile, that can be applied to almost all prominent ears. CLINICAL QUESTION/LEVEL OF EVIDENCE: Therapeutic, IV.

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Crossref · 10.1097/prs.0000000000005704

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36 of 36 references verified0 citation errors · 0 not checkable

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1 of the 37 references couldn’t be matched to a known paper.

Research works printed but not linked: 1

  1. Luckett, 1910, A new operation for prominent ears based on the anatomy of the deformity., Surg Gynecol Obstet, 10, 635

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Metadata

Authors
Mazeed, A. S., & Bulstrode, N. W.
Affiliations
Great Ormond Street Hospital (GB)
ORCID
Venue
Plastic & Reconstructive Surgery
Publisher
Ovid Technologies (Wolters Kluwer Health)
Published
2019-07
Volume
144
Issue
1
Pages
72-80
ISSN
0032-1052 (ISSN-L)
DOI
10.1097/prs.0000000000005704
OpenAlex
W2936751222
Cited by
18
References
37
Citations by year
2024: 4 · 2023: 4 · 2022: 3 · 2021: 4 · 2020: 2 · 2019: 1
FWCI
2.41
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 › Genetics (clinical) › Congenital Ear and Nasal Anomalies
Keywords
otoplasty, prominent ears, suture extrusion, postoperative complications, deformity recurrence
MeSH terms
Adolescent, Adult, Child, Child, Preschool, Ear Cartilage, Ear, External, Female, Humans, Male, Postoperative Complications, Recurrence, Otologic Surgical Procedures, Suture Techniques, Young Adult, Wound Closure Techniques, Organ Sparing Treatments

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