A “Natural” Technique for Correction of Congenitally Prominent Ears

Stenström, Sten

doi:10.1097/00006534-196311000-00003

Cited by 293 publications

(100 citation statements)

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“…Further techniques are obligatory to decrease this resistance and avoid recurrences. Excess concha is generally excised and mattress sutures are usually used in the correction of a large concha mastoid angle (3,5). In contrast, these techniques necessitate a strong stress to adduct the concha to the mastoid periosteum which brings about an increased risk of suture extrusion, pain and an abnormal result.…”

Section: Discussionmentioning

confidence: 99%

“…The characteristics of this deformity comprise the deficiency of a sufficient antihelical fold, the existence of excessively developed deep conchal bowl, insufficient sharpness of the helical rim, and anomaly of the lobule. There is still no universally accepted technique to treat this common deformity, therefore, an enduring debate and search for techniques for improving results go on (3)(4)(5)(6). In this article, we present our personal technique of rising and transposing fascioperichonrial flap as an adjunct to traditional otoplasty in order to strengthening the efficacy of surgery and eliminating visible cartilage deformities.…”

Section: Introductionmentioning

confidence: 99%

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Fascioperichondrial Flap with a Proximal Base Combined with Prominent Ear Surgery

Ozkan¹,

Irkoren²,

Karaca³

et al. 2017

meandros

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Objective: In this article, we present a personalized surgical technique to relocate a fascioperichondrial flap with a proximal base as an additional measure to improve results and hide sharp edges which frequently occur following traditional otoplasty. Materials and Methods: Fascioperichondrial flap with a proximal base prepared from the dorsal side was transposed to the anterior helix and conchal excision side and secured with stitches to hide visible edges and reinforce Furnas sutures. Nine patients operated for prominent ear deformity using this modification were included in the study and follow-up period was at least 6 months. Conchal mastoid distances were calculated from the superior and middle third of the ears before and after the operation, also in follow-up controls to determine the efficiency of the method. Results: There were no suture extrusions, skin necrosis or infection. The mean difference for both the upper and middle third of the ears were considerably lower (p≤0.05) at the end of six month after the operation. There were no visible skin edges and discomfort described by the patients. Conclusion: Fascioperichondrial flap with a proximal base repositioning to conchal side is an easy procedure that can be applied simply as an adjunct to traditional techniques. Addition of this flap provides an additional tissue to reinforce suture repair and, the results seem to be more durable and strong. Another main advantage of this flap is eliminating the unnatural visible breakpoints in the conchal bowl.Amaç: Bu makalede geleneksel otoplasti yöntemleri sık karşılaşılan bir sorun olan keskin sınırları saklamak ve sonuçları iyileştirmek için kullandığımız bir yöntem olarak proksimal bazlı fasyoperkondriyal flep kullanımını sunduk. Gereç ve Yöntemler: Cerrahi yöntemde; dorsal taraftan hazırlanan proksimal bazlı fasyoperikondriyal flep anterior heliks ve konkal eksizyon bölgesine transpose edilir ve görünür sınırları gizlemek, Furnas dikişlerine destek olmak için sütürler ile tespit edilir. Bu cerrahi teknik kullanılarak opera edilen dokuz hasta çalışmaya dahil edildi, en kısa takip süresi altı aydı. Metodun başarısını değerlendirmek için kulağın superior ve orta 1/3 bölgelerinden konkal mastoid mesafeler preoperatif, postoperatif ve altıncı ay kontrollerinde ölçüldü. Bulgular: Hiçbir hastada deri nekrozu, enfeksiyon veya sütür açığa çıkması görülmedi. Kulak orta ve superior 1/3 ölçümleri altıncı ay kontrollerinde istatistiksel olarak anlamlı olarak azalmış bulundu (p≤0,05). Kontrollerde görünür deri sınırları veya hastalar tarafından belirtilen rahatsızlık olmadı.

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Section: Discussionmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

Fascioperichondrial Flap with a Proximal Base Combined with Prominent Ear Surgery

Ozkan¹,

Irkoren²,

Karaca³

et al. 2017

meandros

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show abstract

“…Converse incide el cartílago en el área posterior del antihélix y lo fija mediante sutura no absorbible (16); Mustardé, con una incisión por debajo y paralela al hélix, sutura a través del cartílago y el pericondrio, sin tocar la piel ventral para plegar un antihélix (17); Stenström utiliza una escofina para producir un adelgazamiento del cartílago posterior (18), mientras que Weerda lo hace con una broca diamantada (7); Cuenca-Guerra emplea una legra curva que debilita las caras anterior y posterior del cartílago (4); Walter expone y libera previamente la cara anterior del cartí-lago del pabellón auricular y con múltiples cortes transversales en el área de proyección antihelical, logra debilitar el cartílago (7).…”

Section: Discussionunclassified

Otoplastia en orejas prominentes: alternativa quirúrgica

Dávalos¹,

Rivera

Dávalos³

2009

Cir. plást. iberolatinoam.

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Las orejas prominentes o en asa son la deformidad congénita más frecuente del pabellón auricular. En esta patología es notoria la falta del antihélix y el aumento del ángulo mastoideoconchal, teniendo en cuenta que las dimensiones del área del pabellón auricular estén dentro de unos límites normales.Han sido descritas numerosas y diversas técnicas quirúrgicas para su corrección, buscando todas ellas cómo acortar el ángulo mastoideo conchal y crear un nuevo antihélix. Cada oreja tiene sus propias características en el contexto anatómico normal del paciente, por lo que es importante realizar una evaluación correcta para aplicar la técnica quirúrgica más adecuada a cada caso.En el presente trabajo describimos sistemáticamente los pasos quirúrgicos a seguir buscando la simplificación del procedimiento y sobre todo, demostrando que con una incisión mínima producida por una aguja calibre 21G con punta angulada, mediante la que se realizan cortes de relajación en la superficie anterior del cartíla-go paralelos al eje vertical del pabellón auricular en el área que corresponde a la proyección del antihélix, se puede obtener una curvatura natural del neoantihélix. Prominent ear, is the most frequent congenital malformation of the auricular pavillion. In this pathology, the absence of the antihelix is notorious as well as the increase of the mastoid-conchal angle, considering that the dimensions of the area of the auricular pavillion are within the normal limits. Many techniques have been described, all of them trying to reduce the mastoid-conchal angle and to create a new antihelix. Each ear has its own characteristics within the normal anatomic context; so it is important to make a correct evaluation in order to apply the adequate surgical technique. The surgical steps to be followed are systematically described to simplify the procedure, and most of all, showing that with a minimum incision done with a 21G size angulated needle, over the anterior side of the auricular cartilage, we can perform relaxation cuts parallel to the vertical axe of the auricular pavillion, and obtain a natural curve of the neoantihelix.Dávalos Dávalos, P.

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“…[16], and Mustardé's suture technique [17]. Beasley and Jones cut out the lower conchal bowl segment via a posterior access to diminish the height of the antitragus [18].…”

Section: Historymentioning

confidence: 99%

CO2 Laser-Assisted Otoplasty: A New Dermatosurgical Procedure

Silva¹

2018

Dermatologic Surgery and Procedures

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Otoplasty is the surgical procedure characteristically performed to improve the appearance of unpleasant, protruding auricles. An incision in the back of the ear with or without excision of cartilage is the usual approach. A novel technique performed with CO 2 laser is presented. The objective of CO 2 laser-assisted otoplasty is to decrease the mastoid-scapha angle up to approximately 30°; also, the conchal-scapha angle should be reduced to its usual of approximately 90°. The aims of this procedure are to restructure the scapha and the antihelix fold, to diminish the size of the concha (hinge effect), and to relocate the reshaped ear closer to the head in esthetically desired angles, not only horizontally (lateral angle), but also (and of extreme importance for most patients) vertically (superior angle).

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A “Natural” Technique for Correction of Congenitally Prominent Ears

Cited by 293 publications

References 0 publications

Fascioperichondrial Flap with a Proximal Base Combined with Prominent Ear Surgery

Fascioperichondrial Flap with a Proximal Base Combined with Prominent Ear Surgery

Otoplastia en orejas prominentes: alternativa quirúrgica

CO2 Laser-Assisted Otoplasty: A New Dermatosurgical Procedure

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