Otoplasty techniques in children: a comparative study of outcomes.
Abstract
BACKGROUND: Numerous otoplasty techniques have been described in the literature to correct prominent ears; however, few have focused on the complication rates. We reviewed our experience aiming to assess peri-operative care requirements and complication rates. METHOD: We conducted a retrospective review of 207 otoplasty procedures performed in 119 patients over a 5-year period (2009-2014) at the Women's and Children's Hospital, Adelaide. Information pertaining to demographic details, length of stay, otoplasty technique and complications (early and late) were obtained. RESULTS: In the study period, 97% of the 119 patients had an overnight stay. There was an early complication of 2.2% (return to theatre for bleeding) in the modified Chongchet technique and 0.9% (wound infection) in the Mustarde technique. Late complications included suture extrusion (1.9%) with the Mustarde technique and hypertrophic scarring (2.2%) in the modified Chongchet technique. The recurrence rate requiring revision following modified Chongchet technique was 10% and Mustarde technique was 2.9%. The Mustarde otoplasty technique was associated with a slightly lower antiemetic requirement than the Chongchet technique (3.2 versus 14.3%, P = 0.032). Both techniques had comparable opioid analgesic requirement of 30-35% post-operatively (P = 0.248). CONCLUSION: Our results are comparable to the huge variation in available literature. We note the higher revision rate following modified Chongchet technique. Both techniques had a low and acceptable rate of post-operative analgesia and antiemetic requirement. We are considering either otoplasty technique as a day surgery procedure within our unit with the provision of adequate patient support as a safe and economical advance.
Integrity signals
Registry
Cites
Statistics
Claims the paper makes
Claims other papers make about this one
Each is checked against this paper’s own text: does it say what the citing paper says it does?
Hematomas have been described to occur in 1-33% of cases after otoplasty, according to individual techniques and publications.
“Hematomas have been described to occur in 1–33% of cases after otoplasty, according to individual techniques and publications [23].”
From Otoplasty through Ventral Skin Incision and Shaping of the Antihelix by Abrasion—A Retrospective Study (2021) · cites this paper as [23]
One recent study showed posterior cartilage modification according to a modified Mustardé technique resulted in lower recurrence rates (3%) compared to ventral cartilage manipulation (10%) according to a modified Chongchet technique.
“Additionally, one recent study showed posterior cartilage modification according to a modified Mustardé technique, to result in lower recurrence rates (3%) compared to ventral cartilage manipulation (10%) according to a modified Chongchet technique [23].”
From Otoplasty through Ventral Skin Incision and Shaping of the Antihelix by Abrasion—A Retrospective Study (2021) · cites this paper as [23]
Wound infection was 2% for this study compared to 1% for the modified Mustardé technique.
“Wound infection was found to be 2% for our study compared to 1% for the modified Mustardé technique [23].”
From Otoplasty through Ventral Skin Incision and Shaping of the Antihelix by Abrasion—A Retrospective Study (2021) · cites this paper as [23]
The recurrence rate in ear protrusion of 5% is comparably low, as current literature suggests rates between 3% and 12% depending on the individual technique applied.
“our data show a comparably low rate of recurrence in ear protrusion (5%; Table 1), as current literature suggests rates between 3% and 12% [22,23] depending on the individual technique applied.”
From Otoplasty through Ventral Skin Incision and Shaping of the Antihelix by Abrasion—A Retrospective Study (2021) · cites this paper as [23]
Cites
A “NATURAL” TECHNIQUE FOR CORRECTION OF CONGENITALLY PROMINENT EARS
STENSTRÖM, S. J. (1963) · Plastic and Reconstructive Surgery · doi:10.1097/00006534-196311000-00003 · Cited by 328 · see citing works
A method of antihelix reconstruction
Chongchet, V. (1963) · British Journal of Plastic Surgery · doi:10.1016/s0007-1226(63)80120-4 · Cited by 219 · see citing works
GOALS IN OTOPLASTY FOR PROTRUDING EARS
McDowell, A. J. (1968) · Plastic & Reconstructive Surgery · doi:10.1097/00006534-196801000-00004 · Cited by 184 · see citing works
THE GROWTH PATTERN OF THE EXTERNAL EAR
ADAMSON, J. E., HORTOX, C. E., & CRAWFORD, H. H. (1965) · Plastic and Reconstructive Surgery · doi:10.1097/00006534-196510000-00008 · Cited by 164 · see citing works
Janis, J. E., Rohrich, R. J., & Gutowski, K. A. (2005) · Plastic and Reconstructive Surgery · doi:10.1097/01.prs.0000156218.93855.c9 · Cited by 159 · see citing works
Complications of otoplasty: a literature review.
Limandjaja, G. C., Breugem, C. C., Mink van der Molen, A. B., & Kon, M. (2009) · Journal of Plastic, Reconstructive & Aesthetic Surgery · doi:10.1016/j.bjps.2008.06.043 · Cited by 151 · see citing works
Otoplasty: Evaluation, Technique, and Review
Kelley, P., Hollier, L., & Stal, S. (2003) · Journal of Craniofacial Surgery · doi:10.1097/00001665-200309000-00008 · Cited by 145 · cited 1× · see citing works
“Stenström, in contrast, used a rasp to blindly score the antihelix but without a cartilage incision.(5,17) Scaphal reduction has also been described to modify the contour of the upper auricle and decrease the overall size of the ear.”
MethodMorbidity of otoplasty: a review of 562 consecutive cases
Calder, J. C., & Naasan, A. (1994) · British Journal of Plastic Surgery · doi:10.1016/0007-1226(94)90049-3 · Cited by 136 · 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
Otoplasty: Anterior Scoring Technique and Results in 500 Cases
Caouette‐Laberge, L., Guay, N. A., Bortoluzzi, P. A., & Belleville, C. (2000) · Plastic & Reconstructive Surgery · doi:10.1097/00006534-200002000-00004 · Cited by 100 · see citing works
Non-surgical correction of a congenital lop ear deformity by splinting with Reston foam
Kurozumi, N., Ono, S., & Ishida, H. (1982) · British Journal of Plastic Surgery · doi:10.1016/0007-1226(82)90160-6 · Cited by 92 · cited 2× · see citing works
“utilizing foam to successfully correct a lop ear deformity.(6) Following which,”
BackgroundMethodComparison of cartilage scoring and cartilage sparing otoplasty: a study of 203 cases.
Mandal, A., Bahia, H., Ahmad, T., & Stewart, K. J. (2006) · Journal of Plastic, Reconstructive & Aesthetic Surgery · doi:10.1016/j.bjps.2006.01.055 · Cited by 83 · see citing works
Long-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
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
Treatment of Prominent Ears and Otoplasty: A Contemporary Review
Pawar, S. S., Koch, C. A., & Murakami, C. (2015) · JAMA Facial Plastic Surgery · doi:10.1001/jamafacial.2015.0783 · Cited by 48 · cited 6× · see citing works
“Prominauris, is defined as the abnormal protrusion of normal or abnormal sized ears from the head.(1,2) Structural causes include”
BackgroundMethodInfluentialOtoplasty 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
Horlock, N., Grobbelaar, A. O., & Gault, D. T. (1998) · Plastic & Reconstructive Surgery · doi:10.1097/00006534-199812000-00008 · Cited by 42 · see citing works
Long-term results of posterior suturing with postauricular fascial flap otoplasty.
Schaverien, M. V., Al-Busaidi, S., & Stewart, K. J. (2010) · Journal of Plastic, Reconstructive & Aesthetic Surgery · doi:10.1016/j.bjps.2009.09.013 · Cited by 41 · see citing works
Endoscopic assisted otoplasty: a preliminary report
Graham, K. E., & Gault, D. T. (1997) · British Journal of Plastic Surgery · doi:10.1016/s0007-1226(97)91283-2 · Cited by 39 · see citing works
The Conchal Flap: An Adjunct in Otoplasty
Spira, M., & Stal, S. (1983) · Annals of Plastic Surgery · doi:10.1097/00000637-198310000-00006 · Cited by 37 · see citing works
Adamson, P. A., & Litner, J. A. (2007) · Otolaryngologic Clinics of North America · doi:10.1016/j.otc.2006.11.006 · Cited by 37 · see citing works
The survival of living homograft cartilage in man.
GIBSON, T. E., Curran, R. C., & Wb, D. (1957) · PubMed · Cited by 28 · see citing works
Incisionless Otoplasty: A Reliable and Replicable Technique for the Correction of Prominauris
Mehta, S., & Gantous, A. (2014) · JAMA Facial Plastic Surgery · doi:10.1001/jamafacial.2014.552 · Cited by 26 · cited 1× · see citing works
“3%.(3,20) Few papers have focused on the peri-operative morbidity associated with these procedures including post-operative pain, nausea and vomiting.”
BackgroundIn Vivo Needle-Based Electromechanical Reshaping of Pinnae: New Zealand White Rabbit Model
Yau, A. Y. Y., Manuel, C., Hussain, S. F., Protsenko, D. E., & Wong, B. J. F. (2014) · JAMA Facial Plastic Surgery · doi:10.1001/jamafacial.2014.85 · Cited by 25 · see citing works
Reduction Otoplasty: Correction of the Large or Asymmetric Ear
Yuen, A., & Coombs, C. (2006) · Aesthetic Plastic Surgery · doi:10.1007/s00266-006-0119-3 · Cited by 20 · see citing works
Sinno, S., Chang, J. B., & Thorne, C. H. M. (2015) · Plastic & Reconstructive Surgery · doi:10.1097/prs.0000000000001225 · Cited by 18 · see citing works
A modification of incisionless otoplasty for correcting the prominent ear deformity
Haytoğlu, S., Haytoglu, T. G., Yıldırım, İ., & Arıkan, O. K. (2014) · European Archives of Oto-Rhino-Laryngology · doi:10.1007/s00405-014-3329-3 · Cited by 13 · see citing works
Flagged first, then by citations
Cited by
Sorted by citations
Boroditsky, M. L., Van Slyke, A. C., & Arneja, J. S. (2020) · Plastic and Reconstructive Surgery - Global Open · doi:10.1097/gox.0000000000003103 · Cited by 30 · see citing works
Kühn, S., Wöhler, N., Wehle, A., Küenzlen, L., Rothenberger, J., Sader, R., Lemperle, G., & Rieger, U. M. (2021) · Journal of Clinical Medicine · doi:10.3390/jcm10163713 · Cited by 7 · see citing works
“Additionally, one recent study showed posterior cartilage modification according to a modified Mustardé technique, to result in lower recurrence rates (3%) compared to ventral cartilage manipulation (10%) according to a modified Chongchet technique [23].”
BackgroundMethodInfluentialMinimally invasive technique for correction of prominent ear
Teaima, A. A., Hasaballah, M. S., & Mady, O. M. (2020) · The Journal of International Advanced Otology · doi:10.5152/iao.2020.7942 · Cited by 4 · see citing works
“[9] stated that bleeding occurred in 2.”
Smit, J. A., Coenen, D. W., van Amerongen, E. A., Ruhé, P. Q., & Breugem, C. C. (2020) · Plastic and Reconstructive Surgery, Global Open · doi:10.1097/gox.0000000000002900 · Cited by 2 · see citing works
- Authors
- Punj, P., Chong, H. P., Cundy, T. P., Lodge, M., & Woods, R.
- Affiliations
- Women's and Children's Hospital (AU)
- Corresponding author
- Punj, Puvesh
- Venue
- ANZ Journal of Surgery
- Publisher
- Wiley
- Published
- 2018-05-08
- Volume
- 88
- Issue
- 10
- Pages
- 1071-1075
- ISSN
- 1445-1433 (ISSN-L)
- 1445-2197
- OpenAlex
- W2801053583
- Cited by
- 16
- References
- 27
- Citations by year
- 2025: 1 · 2024: 2 · 2023: 4 · 2022: 3 · 2021: 2 · 2020: 3 · 2015: 1
- FWCI
- 1.30
- Type
- journal article
- Language
- en
- Open access
- closed
- Locations
- ANZ Journal of Surgery (publishedVersion)
- PubMed (publishedVersion)
- Topics
- Health Sciences › Medicine › Surgery › Reconstructive Facial Surgery Techniques
- Health Sciences › Medicine › Surgery › Nasal Surgery and Airway Studies
- Life Sciences › Biochemistry, Genetics and Molecular Biology › Genetics › Craniofacial Disorders and Treatments
- Keywords
- otoplasty, prominent ears, pediatric otoplasty, Mustardé technique, postoperative complications, suture extrusion, hypertrophic scars, recurrence, reoperation, antiemetic requirement, opioid analgesia, perioperative care, outpatient surgery
- MeSH terms
- Adolescent, Australia, Child, Child, Preschool, Ear, External, Female, Hemorrhage, Humans, Length of Stay, Male, Postoperative Complications, Recurrence, Reoperation, Retrospective Studies, Wound Infection, Cicatrix, Hypertrophic, Plastic Surgery Procedures, Perioperative Care
About these checks
Registry, retraction, Cites and statistics results are computed, not judged, with one exception: a printed reference that no index lists is read once by a model before it counts as a citation error. Claims are extracted by a model and kept only when their quote appears verbatim in the text; each cited source is then checked, with a model’s help, for whether it says what the claim relies on. Those verdicts can be wrong — read the claim’s quote and the cited source before relying on one.
Statistics and arithmetic are recomputed, not judged.
Confidence bands are shown only for fields calibrated on our annotated test set. None is calibrated yet, so no band is shown.
What counts as a claim ›How we measure confidence ›How we check this ›
Are you an author, or do you see a problem with this page? Request a review
