Correction of prominent ears: postauricular muscle relocation and fibrofatty tissue excision.
Abstract
ABSTRACT: In this study, we modified the combined Mustarde and Furnas type otoplasty technique and evaluated the postoperative results of the patients for symmetry and complications. Eighty prominent ears in 42 patients who underwent otoplasty between January 2017 and April 2019 were included in this study. The authors determined the amount of postauricular subcutaneous tissue to be removed according to the shape of skin incision and relocated the postauricular muscle as an adjunct to the Mustarde and Furnas otoplasty technique. All patients were followed-up at least 12 months postoperatively. The patients were also evaluated for early postoperative complications (bleeding, hematoma, perichondritis, wound infection, and skin necrosis), late postoperative complications (asymmetry, hypertrophic scars, suture extrusion, and recurrence), and patient satisfaction using objective and subjective methods.Considering all the patients, early complications consisted of minimal low-flow bleeding (n = 4 ears/4 patients), hematoma (n = 1), and perichondritis (n = 1). Late complications consisted of suture extrusion (n = 2 ears/2 patients), hypertrophic scars (n = 2 ears/2 patients), and asymmetry (n = 1). None of the patients presented with wound infection or skin necrosis. Revision otoplasty was unilaterally performed in only 1 patient with the complaint of asymmetry. A natural-looking, adequate correction, and symmetric ear shape were achieved in all patients except 1. In terms of patient satisfaction, 38 of 42 patients evaluated the outcome as "very good," 3 as "good," and only 1 as "poor." Our modified technique produced very satisfactory results and reduced the postoperative complication and asymmetry rates, as well as eliminating recurrence. The authors recommend this simple and safe procedure with excellent outcomes.
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Mehmet and Baklaci refined the Mustardé-Furnas technique by tailoring postauricular tissue removal and muscle repositioning, reducing recurrence.
“Mehmet and Baklaci95 refined the Mustardé–Furnas technique by tailoring postauricular tissue removal and muscle repositioning, reducing recurrence.”
From Otoplasty Surgical Techniques and Clinical Outcomes: A Practical Review (2026) · cites this paper as [95]
Cites
The correction of prominent ears using simple mattress sutures
Mustardé, J. C. (1963) · British Journal of Plastic Surgery · doi:10.1016/s0007-1226(63)80100-9 · Cited by 426 · see citing works
Correction of prominent ears by concha-mastoid sutures
FURNAS, D. W. (1968) · Plastic and Reconstructive Surgery · doi:10.1097/00006534-196809000-00001 · Cited by 329 · cited 2× · see citing works
“The methods of Mustarde and Furnas described in 1960s remain to be the most popular techniques for anti-helix restoration and conchomastoid suturing.(7,8) Although the use of the cartilage scoring and molding techniques has been decreasing due to the high incidence of complications in recent years, suture techniques a…”
BackgroundMethodGOALS IN OTOPLASTY FOR PROTRUDING EARS
McDowell, A. J. (1968) · Plastic & Reconstructive Surgery · doi:10.1097/00006534-196801000-00004 · Cited by 184 · see citing works
Psychological and social outcome of prominent ear correction in children
Bradbury, E. T., Hewison, J., & Timmons, M. J. (1992) · British Journal of Plastic Surgery · doi:10.1016/0007-1226(92)90165-t · Cited by 145 · see citing works
The postauricular fascial flap as an adjunct to Mustardé and Furnas type otoplasty.
Horlock, N., Misra, A., & Gault, D. T. (2001) · Plastic and Reconstructive Surgery · doi:10.1097/00006534-200111000-00005 · Cited by 102 · see citing works
Adamson, P., & Strecker, H. (1995) · Facial Plastic Surgery · doi:10.1055/s-2008-1064545 · Cited by 96 · cited 3× · see citing works
“Over 200 otoplasty techniques are used to correct prominent ear since the first surgical procedure was described in the 19th century.(5,6) Although no single ideal method has been universally accepted, the treatment of prominent ear can be divided into 2 groups as cartilage incision-scoring techniques and cartilage sp…”
BackgroundMethodLong-term survey of prominent ear surgery: a comparison of two methods
Tan, K. H. (1986) · British Journal of Plastic Surgery · doi:10.1016/0007-1226(86)90100-1 · Cited by 82 · see citing works
Psychosocial Effects of Otoplasty in Children with Prominent Ears
Gasques, J. Á. L., de Godoy, J. M. P., & Cruz, E. M. T. N. (2008) · Aesthetic Plastic Surgery · doi:10.1007/s00266-008-9179-x · Cited by 73 · see citing works
AN ANATOMIC APPROACH TO THE OBTRUSIVE EAR
Rubin, L. R., Bromberg, B. E., Walden, R. H., & ADAMS, A. (1962) · Plastic & Reconstructive Surgery · doi:10.1097/00006534-196204000-00008 · Cited by 71 · see citing works
Ear Projection and the Posterior Auricular Muscle Insertion
Guyuron, B., & DeLuca, L. (1997) · Plastic &amp Reconstructive Surgery · doi:10.1097/00006534-199708000-00030 · Cited by 66 · see citing works
Handler, E. B., Song, T., & Shih, C. (2013) · Facial Plastic Surgery Clinics of North America · doi:10.1016/j.fsc.2013.08.001 · Cited by 58 · see citing works
Complications of Surgery of the External Ear
Furnas, D. W. (1990) · Clinics in Plastic Surgery · doi:10.1016/s0094-1298(20)31245-1 · Cited by 49 · see citing works
Otoplasty for the Protruded Ear
Nazarian, R., & Eshraghi, A. (2011) · Seminars in Plastic Surgery · doi:10.1055/s-0031-1288921 · Cited by 47 · see citing works
Postauricular fascial flap and suture otoplasty: a prospective outcome study of 227 patients.
Sinha, M., & Richard, B. (2012) · Journal of Plastic, Reconstructive & Aesthetic Surgery · doi:10.1016/j.bjps.2011.09.018 · Cited by 36 · see citing works
Adamson, P. A., & Litner, J. A. (2006) · Facial Plastic Surgery Clinics of North America · doi:10.1016/j.fsc.2006.01.005 · Cited by 30 · see citing works
Cihandide, E., Kayiran, O., Aydin, E. E., & Uzunismail, A. (2016) · Journal of Craniofacial Surgery · doi:10.1097/scs.0000000000002607 · Cited by 25 · see citing works
Campbell, A. (2005) · Facial Plastic Surgery · doi:10.1055/s-2006-939510 · Cited by 20 · see citing works
Irkoren, S., Kucukkaya, D., Sivrioglu, N., & Ozkan, H. S. (2014) · European Archives of Oto-Rhino-Laryngology · doi:10.1007/s00405-013-2552-7 · Cited by 17 · see citing works
Szychta, P., & Stewart, K. J. (2013) · Annals of Plastic Surgery · doi:10.1097/sap.0b013e3182503c38 · Cited by 16 · see citing works
Ersen, B., Sarialtin, Y., Cihantimur, B., & Özyurtlu, M. (2018) · European Journal of Plastic Surgery · doi:10.1007/s00238-018-1407-2 · Cited by 7 · see citing works
Does postauricular fascial flap reduce suture complications in otoplasty?
Albacete Neto, A., Ungarelli, L. F., Coltro, P. S., Schwartzmann, G. L., Horácio, G. S., Silva, V. Z., & Farina, J. A. (2018) · Journal of Plastic Surgery and Hand Surgery · doi:10.1080/2000656x.2018.1444618 · Cited by 3 · see citing works
Two Laterally Based Flap Otoplasty for Protruding Ear Correction
Ersen, B. (2019) · Journal of Craniofacial Surgery · doi:10.1097/scs.0000000000006081 · Cited by 2 · see citing works
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Otoplasty Surgical Techniques and Clinical Outcomes: A Practical Review
Kaleeny, J. D., & Janis, J. E. (2026) · Plastic and Reconstructive Surgery - Global Open · doi:10.1097/gox.0000000000007404
- Authors
- Mehmet, G. M., & Baklaci, D.
- Affiliations
- Kahta State Hospital, Department of Otolaryngology, Adiyaman
- Bülent Ecevit University, School of Medicine, Department of Otolaryngology, Zonguldak, Turkey.
- Venue
- Journal of Craniofacial Surgery
- Published
- 2021-01-28
- Volume
- 32
- Issue
- 6
- Pages
- e530-e533
- ISSN
- 1049-2275 (ISSN-L)
- 1536-3732
- OpenAlex
- W3127301966
- Cited by
- 4
- References
- 22
- Citations by year
- 2026: 1 · 2024: 1 · 2023: 1 · 2021: 1
- Type
- journal article
- Language
- en
- Open access
- closed
- Locations
- Journal of Craniofacial Surgery (publishedVersion)
- PubMed (publishedVersion)
- Zonguldak Bülent Ecevit University Institutional Repository (submittedVersion)
- Topics
- Health Sciences › Medicine › Surgery › Reconstructive Facial Surgery Techniques
- Health Sciences › Medicine › Surgery › Nasal Surgery and Airway Studies
- Health Sciences › Medicine › Genetics › Congenital Ear and Nasal Anomalies
- Keywords
- prominent ears, otoplasty, postoperative complications, ear asymmetry, hypertrophic scars, recurrence, patient satisfaction
- MeSH terms
- Ear Diseases, Ear, External, Humans, Muscles, Suture Techniques, Treatment Outcome, Plastic Surgery Procedures, Dermatologic Surgical Procedures
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