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Cited by 25Reconstructive Facial Surgery TechniquesNasal Surgery and Airway StudiesCongenital Ear and Nasal Anomalies

The DOI matches its Crossref record; 24 of the 24 references it cites were found in a registry or an index.

A New Approach for the Correction of Prominent Ear Deformity: The Distally Based Perichondrio-Adipo-Dermal Flap Technique

Cihandide, Ercan, Kayiran, Oguz, Aydin, Elif Eren, Uzunismail, Adnan·2016·Journal of Craniofacial Surgery
DOI 10.1097/scs.0000000000002607
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Abstract

BACKGROUND: Otoplasty techniques are generally divided into 2 categories as cartilage-cutting and cartilage-sparing. The cartilage-cutting techniques have been criticized because of their high risk of hematoma, skin necrosis, and ear deformity. As a result, suture-based cartilage-sparing methods like Mustardé and Furnas-type suture techniques have become increasingly popular. However, with these techniques postauricular suture extrusion may be seen and recurrence rates of up to 25% have been reported. METHODS: In this study, cartilage-sparing otoplasty is redefined by introduction of the distally based perichondrio-adipo-dermal flap which is elevated from the postauricular region. Thirty-seven ears (17 bilateral and 3 unilateral) in 20 patients (14 females and 6 males) have been operated with the defined technique by the same surgeon. The distally based perichondrio-adipo-dermal flap is advanced posteriorly to correct the deformity, also acting as a strong postauricular support to prevent recurrence. In addition to the resultant natural-looking antihelical fold, the posterior advancement of the flap corrects both the otherwise wide conchoscaphal and conchomastoid angles. The operative technique is explained in detail with results and the literature is reviewed. RESULTS: There were no hematomas. After an average follow-up of 8.3 months (2-16 months), recurrence was seen in only 1 patient who requested no further surgery. No patients developed suture extrusion or granuloma. CONCLUSION: The authors introduce a simple and safe procedure to correct prominent ears with benefits including a resultant natural-looking antihelical fold and less tissue trauma. The distally based perichondrio-adipo-dermal flap seems to prevent suture extrusion and may also help to reduce recurrence rates. By forming neochondrogenesis which is stimulated by elevation of the perichondrium, this flap gives the promise of longer durability of the newly formed antihelical fold.

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Crossref · 10.1097/scs.0000000000002607

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24 of 24 references verified0 citation errors · 0 not checkable

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Citations

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Research works printed but not linked: 2

  1. Uzunismail, 1997, Application of external continuous suture in otoplasty, Turk Plast Surg, 5, 145
  2. Reynaud, 1986, Chondrites postoperatoires de l’oreille externe: 2 cases from a series of 200 cases (387 otoplasties), Ann Chir Plast Esthet, 31, 170

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Metadata

Authors
Cihandide, E., Kayiran, O., Aydin, E. E., & Uzunismail, A.
Affiliations
Acıbadem University (TR)
Venue
Journal of Craniofacial Surgery
Publisher
Ovid Technologies (Wolters Kluwer Health)
Published
2016-06
Volume
27
Issue
4
Pages
892-897
ISSN
1049-2275 (ISSN-L)
DOI
10.1097/scs.0000000000002607
OpenAlex
W2372214970
Cited by
25
References
24
Citations by year
2025: 1 · 2024: 4 · 2022: 2 · 2021: 3 · 2020: 5 · 2019: 5 · 2018: 5
FWCI
3.70
Type
journal article
Language
en
Open access
closed
Locations
  • Journal of Craniofacial 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, postauricular flap, antihelical fold, recurrence prevention, suture extrusion
MeSH terms
Adipose Tissue, Adolescent, Adult, Child, Ear Cartilage, Ear, External, Female, Humans, Male, Surgical Flaps, Suture Techniques, Plastic Surgery Procedures, Young Adult

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