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Cited by 2Reconstructive Facial Surgery TechniquesNasal Surgery and Airway StudiesCongenital Ear and Nasal Anomalies

The DOI matches its Crossref record; 41 of the 41 references it cites were found in a registry or an index.

A New Cartilage-Sparing Procedure for Correction of the Prominent Ear Deformity: Dermal Anchor Technique

Mutaf, Mehmet, Temel, Metin·2020·Annals of Plastic Surgery
DOI 10.1097/sap.0000000000002257
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Abstract

BACKGROUND: Although the literature is replete with surgical techniques described for correction of the prominent ears, new techniques are still needed to minimize the recurrence rates and postoperative complications. OBJECTIVE: Here, the author presents a new and simple otoplasty procedure, namely, the dermal anchor technique (DAT), in which a wide planar adhesion between the opposing dermal surfaces of the deepithelized antihelical groove is used as a biological anchor for long-term maintenance of the antihelical fold without any cartilage manipulation. MATERIALS AND METHODS: For 12 years, this new procedure was used for correction of 76 prominent ears in 44 patients, with 17 being female and 27 being male. The ages of the patients ranged from 5 to 37 years. In 28 patients, the DAT was combined with conchal excision and/or concha-mastoid sutures as required, whereas it was used alone in the remaining 16 patients. The preoperative and postoperative distance between the ear and the head was measured at 4 points (superior helical point, superior conchal attachment, inferior conchal attachment, and lobules). RESULTS: All patients healed uneventfully. Except mild edema and pain, there was no postoperative problem. The mean follow-up time was 4½ years (4 months-10 years). During this time, there was no patient with surface irregularities and/or suture-related complications. Two patients required revision because of unilateral lateralization of the upper pole by time (recurrence rate, 2.63%). When the preoperative and postoperative superior helical point, superior conchal attachment, inferior conchal attachment, and lobule measurements for both ears of the patients who were operated on were compared, postoperative values were determined to be significantly decreased (P < 0.001). CONCLUSIONS: The DAT provides predictable and aesthetically satisfactory long-lasting results with a minimal risk of complications. Because it does not harm the cartilage tissue, it avoids the potential problems resulted from cartilage manipulations such as surface irregularities and chondritis. Covering the suture knots with a thick soft tissue layer, it eliminates the suture-related complications. Moreover, it offers a direct approach and does not require anterior dissection. Thus, it requires a shorter operative time, minimizes the risk of anterior skin necrosis and hematoma, and causes less postoperative pain, edema, and ecchymosis.

Overview

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Registry

Crossref · 10.1097/sap.0000000000002257

Cites

41 of 41 references verified0 citation errors · 0 not checkable

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  • Mutaf and Temel developed the dermal anchor technique, which relied on dermal adhesion instead of cartilage manipulation, yielding a low 2.63% recurrence rate.

    “Mutaf and Temel93 developed the dermal anchor technique, which relied on dermal adhesion instead of cartilage manipulation, yielding a low 2.63% recurrence rate.”

    From Otoplasty Surgical Techniques and Clinical Outcomes: A Practical Review (2026) · cites this paper as [93]

Citations

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Research works printed but not linked: 1

  1. 2016, Otoplasty, Ann Chir Plast Esthet, 61, 703

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Metadata

Authors
Mutaf, M., & Temel, M.
Affiliations
  • Clinical Professor, Division of Plastic, Reconstructive and Aesthetic Surgery, Mutaf International Clinic Clinic, Bodrum/Muğla, Turkey
  • Clinician Plastic, Reconstructive and Aesthetic Surgery, Joiest Clinic, Antakya, Hatay, Turkey.
ORCID
Temel, Metin
Venue
Annals of Plastic Surgery
Publisher
Ovid Technologies (Wolters Kluwer Health)
Published
2020-03-07
Volume
85
Issue
3
Pages
221-228
ISSN
  • 0148-7043 (ISSN-L)
  • 1536-3708
DOI
10.1097/sap.0000000000002257
OpenAlex
W3012053664
Cited by
2
References
41
Citations by year
2026: 1 · 2024: 1
FWCI
0.00
Type
journal article
Language
en
Open access
closed
Locations
  • Annals of Plastic 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, antihelical fold, recurrence, postoperative complications
MeSH terms
Adolescent, Adult, Cartilage, Child, Child, Preschool, Ear Cartilage, Ear, External, Female, Humans, Male, Suture Techniques, Sutures, Plastic Surgery Procedures, Ear Auricle, Young Adult

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