Cartilage-Sparing Otoplasty: A Systematic Review

Ferzli, George; Sukato, Daniel C.; Araslanova, Rakhna; Romo, Thomas

doi:10.1089/fpsam.2020.0123

Cited by 8 publications

(7 citation statements)

References 31 publications

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“…24 However, these differences in complication rates are comparably small and fall within the accepted range across the wider literature. 2,3,5,6,[8][9][10]15 We found no difference between 3-0 Ethibond and the alternative 4-0 sutures employed by our department (4-0 Ethibond, Monocryl, or PDS) in overall complication rates or suture extrusion, contrary to some previously published research. 25 This study does suffer from certain limitations.…”

Section: Discussioncontrasting

confidence: 90%

“…Although our rates of hematoma and wound infection were lower than those presented by the systemic review, our cases had higher suture-related problems and abnormal scarring 24 . However, these differences in complication rates are comparably small and fall within the accepted range across the wider literature 2,3,5,6,[8][9][10]15 . We found no difference between 3-0 Ethibond and the alternative 4-0 sutures employed by our department (4-0 Ethibond, Monocryl or PDS) in overall complication rates or suture extrusion, contrary to some previously published research 25 .…”

Section: Accepted Manuscriptsupporting

confidence: 63%

“…Cartilage sparing methods are widely used, and include the Mustardé (creating and securing the antihelical fold with horizontal mattress fixation sutures) or Furnas techniques (use of sutures to position the concha to the mastoid) 1, 3,6,8 . Recent reviews have provided reasonable evidence that cartilage-sparing techniques house improved outcomes and reduced complications, however cartilage-cutting remains popular in some established centres 9,10 . In practice, a patient-centred approach and combination of techniques is often required to drive optimal results.…”

Section: Introductionmentioning

confidence: 99%

“…1,3,6,8 Recent reviews have provided reasonable evidence that cartilage-sparing techniques house improved outcomes and reduced complications; however, cartilagecutting remains popular in some established centers. 9,10 In practice, a patient-centered approach and combination of techniques are often required to drive optimal results.…”

mentioning

confidence: 99%

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A Retrospective Analysis of Pinnaplasty Outcomes: The Welsh Experience

et al. 2023

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Prominent ears (PE) are the most frequent congenital external ear deformity, occurring in approximately 5% of the population. Although the deformity does not usually cause functional difficulties, it can significantly affect the patient's psychological and social health. The authors aim to present the Welsh experience of pinnaplasty, reviewing our outcomes and complications. A retrospective cross-sectional study was performed of all patients undergoing pinnaplasty in Morriston hospital, Swansea, Wales. We represent the tertiary plastic surgery referral unit across Wales. We included all patients undergoing pinnaplasty between 2015 and 2022 inclusive. We excluded patients undergoing revision procedures or those who had no follow-up. Over the seven-year period, 236 pinnaplasties were performed and 203 were included in the analysis. 96% of cases were performed using a cartilage-sparring approach, which represents the mainstay in our unit. The mean follow-up length for our cases was 12 months. Revision procedures were required in 4% of cases. 3 hematomas (1.5%) and 1 (0.5%) wound dehiscence due to infection were recorded and required a return to theatre. Suture extrusion was noted in 5% of cases (10 patients). 4.5% (9) cases were affected by either hypertrophic or keloid scarring. Across the United Kingdom, cosmetic procedures have come under scrutiny, namely because of a difficult economic climate. In the era of tight fiscal control in healthcare, it is pertinent to analyse the outcomes and performance metrics of our operations regularly, thus aiding in the development of an established evidence base to advocate for our respective patients.

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Section: Discussioncontrasting

confidence: 90%

Section: Accepted Manuscriptsupporting

confidence: 63%

Section: Introductionmentioning

confidence: 99%

mentioning

confidence: 99%

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A Retrospective Analysis of Pinnaplasty Outcomes: The Welsh Experience

et al. 2023

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“…Por el contrario, las técnicas de preservación del cartílago utilizan solo suturas para recrear la anatomía normal del pabellón auricular 13 . Son consideradas más seguras y dan un aspecto natural a la oreja, pero se asocian a mayor tasa de extrusión de sutura y recurrencia, pudiendo requerir reintervenciones 4,14 . Lo anterior sugiere que no existen técnicas perfectas y, por lo tanto, urge el desarrollo y perfeccionamiento de las ya disponibles 4 .…”

Section: Introductionunclassified

Otoplastia en oreja prominente

P.²,

2022

Rev. Otorrinolaringol. Cir. Cabeza Cuello

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A New Guiding Suturing Technique for Reshaping of the Antihelix in Patients with Prominent Ears

Altramsy,

Dahy,

Gad

et al. 2024

Aesth Plast Surg

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Background Prominent ears are the most common congenital anomaly of the head and neck. A complete understanding of the definition of prominent ears is necessary. The present retrospective study described guiding sutures to hold the antihelix in a temporary corrected position before placing the permanent Mustardé sutures. Methods This study was performed between January 2021 and February 2023. All patients with prominent ear deformities subjected to guiding sutures and Mustardé-based otoplasty were included. The surgical-related outcomes and surgeons’ satisfaction were evaluated. The patients’ satisfaction and health-related quality of life were reported. Results The current study included 60 patients with prominent ear deformities. There were 34 (56.66%) males and 26 (43.33%) females with a mean age of 12.2±7.8 years. The mean total operative time was 49±22 minutes. Five (8.33%) patients had suture extrusion, and no case of asymmetry, recurrence, or skin necrosis was documented. There were 55 (91.66%) patients satisfied with the final appearance of their ears, and five (8.33%) patients were not satisfied. The mean general health subscale was 57.1±6.9, and the mean physical health subscale was 8.7±1.5. Conclusions The guiding sutures allowed easy accessibility for reshaping the antihelix in patients with prominent ears. These sutures allowed a relatively shorter operative time, and stable reshaping of the antihelix allowed for a shorter recovery time. This was associated with a low complication rate with no asymmetry, recurrence, or revision surgery. Patients operated on under local anesthesia achieved shorter operative time and better pain control. Level of Evidence III This journal requires that authors assign a level of evidence to each article. For a full description of these Evidence-Based Medicine ratings, please refer to the Table of Contents or the online Instructions to Authors www.springer.com/00266.

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Cartilage-Sparing Otoplasty: A Systematic Review

Cited by 8 publications

References 31 publications

A Retrospective Analysis of Pinnaplasty Outcomes: The Welsh Experience

A Retrospective Analysis of Pinnaplasty Outcomes: The Welsh Experience

Otoplastia en oreja prominente

A New Guiding Suturing Technique for Reshaping of the Antihelix in Patients with Prominent Ears

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