Comparison of Cartilage Scoring and Cartilage Sparing Techniques in Unilateral Otoplasty: A Ten-Year Experience
Abstract
We identified the optimal operative technique of unilateral otoplasty among cartilage-scoring or posterior-suturing methods. All unilateral otoplasties repaired in South East Scotland in 10 years were analyzed. Using visual analog scale, outcomes were scored by blinded professional panel and by patients. Case notes were interrogated for postoperative complications. Of 81 patients, 40 with full photographic records were included in the study. Cosmetic outcomes and symmetry scores in patients who underwent posterior suturing with fascial flap were significantly better than cartilage scoring and posterior suturing without fascial flap. Early complications were significantly more common in cartilage-scoring and posterior-suturing techniques without fascial flap than posterior suturing with fascial flap. In conclusion, posterior suturing with fascial flap represents cosmetically superior technique in unilateral otoplasty. It allows for intraoperative adjustment of posterior sutures, resulting in symmetric ears. The technique seems to be associated with fewer short-term complications, often responsible for pediatric patient distress.
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The complication rate for cartilage-sparing techniques is in the range of 0.4%-24%, with a revision rate of approximately 13.6%.
“The complication rate for cartilage-sparing techniques is in the range of 0.4%–24%, with a revision rate of approximately 13.6%.2,9,10”
From Outcomes and Complications of the Mustardé Otoplasty: A “Good–Fast–Cheap” Technique for the Prominent Ear Deformity (2020) · cites this paper as [10]
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- Authors
- Szychta, P., & Stewart, K. J.
- Affiliations
- Royal Hospital for Sick Children (GB)
- Corresponding author
- Stewart, Ken J.
- Venue
- Annals of Plastic Surgery
- Published
- 2013-11
- Volume
- 71
- Issue
- 5
- Pages
- 522-527
- ISSN
- 0148-7043 (ISSN-L)
- OpenAlex
- W2319196544
- Cited by
- 16
- References
- 16
- Citations by year
- 2024: 1 · 2023: 1 · 2022: 1 · 2021: 1 · 2020: 5 · 2019: 1 · 2018: 1 · 2017: 2 · 2015: 2 · 2013: 1
- FWCI
- 0.98
- 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 › Genetics › Congenital Ear and Nasal Anomalies
- Life Sciences › Biochemistry, Genetics and Molecular Biology › Genetics › Craniofacial Disorders and Treatments
- Keywords
- fascial flap, ear asymmetry, cosmetic outcome, postoperative complications, pediatric otoplasty, patient satisfaction
- MeSH terms
- Adolescent, Adult, Child, Ear Cartilage, Esthetics, Female, Follow-Up Studies, Humans, Male, Postoperative Complications, Scotland, Otologic Surgical Procedures, Surgical Flaps, Suture Techniques, Treatment Outcome, Patient Satisfaction, Young Adult
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