Complications of Otoplasty

Goode, Richard L.; Proffitt, Stephen D.; Rafaty, F M

doi:10.1001/archotol.1970.00770040510009

Cited by 29 publications

(10 citation statements)

References 8 publications

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“…latter method was used. Similarly, in a study based on the satisfaction of patients and surgeons Goode et al [8] reported less postoperative protrusion and later recurrence with the mattress-suture, cartilage-sparing technique (4.8% of 126 patients) than with the cartilage-cutting techniques (13.6% of 44 patients).…”

Section: Discussionmentioning

confidence: 88%

“…Surgeons can accurately appraise the quality of their work and examine the effects of adapting new techniques. Using such studies, they can identify the causes of imperfections, thus enabling their correction and prevention [8].…”

Section: Discussionmentioning

confidence: 99%

“…The incidences of all early complications, such as hematoma, seroma, wound dehiscence, wound infection, and necrosis (skin edges and cartilage [8]) were noted from the patients' records. Similarly, all unsatisfactory results or imperfections including problems of symmetry, contour (overcorrection, helix behind the antihelix, undercorrection, telephone deformity, protruding upper pole, protruding ear lobe, sharp edges, unrounded antihelix and superior crus, and other cartilage irregularities), and scars were graded according to a system for the evaluation of cosmetic surgical results [6,14,17,18].…”

Section: Methodsmentioning

confidence: 99%

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The Cartilage-Sparing Versus the Cartilage-Cutting Technique: A Retrospective Quality Control Comparison of the Francesconi and Converse Otoplasties

Kompatscher

Schuler

Clemens

et al. 2003

Aesth. Plast. Surg.

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From a total of 281 patients with protruding ears who underwent a bilateral otoplasty between 1990 and 2001, a group of 28 (10%) was selected for a retrospective quality control study. The goal was to compare two methods of otoplasty, the Francesconi, a cartilage-sparing technique, and the Converse, a cartilage-cutting technique, in terms of objectively measurable and subjectively discernable differences in results. Objective parameters included measurement of the three cephaloauricular distances and the conchoscapal angle. An independent plastic surgeon performed the evaluation by means of a systematic evaluation system for rating cosmetic surgical procedures and a 5-point visual analog scale for rating satisfaction. The patients' subjective rate of satisfaction also was investigated using the 5-point scale. The mean medial and inferior cephaloauricular distances were significantly smaller in the Francesconi group. The concoscaphal angle was 90 degrees, or less in all the patients of the Francesconi group, but more than 90 degrees in eight patients (57%) of the Converse group (p = 0.041). Accordingly, the independent surgeon found adequate correction of protrusion in 86% of the Francesconi group and 50% of the Converse group (p = 0.050). His satisfaction rate was significantly in favor of the Francesconi technique (p = 0.006). Not unexpectedly, the patients' satisfaction rate was comparably high in both groups, and there was no statistical difference between them. In conclusion, the quality control led to a clear preference of the Francesconi over the Converse otoplasty. In addition, the assessment of the postoperative results with the systematic evaluation system offered an excellent information base by which to judge the results of otoplasty. Consequent use of this evaluation system will lead to progress in the surgical procedure.

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Section: Discussionmentioning

confidence: 88%

Section: Discussionmentioning

confidence: 99%

Section: Methodsmentioning

confidence: 99%

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The Cartilage-Sparing Versus the Cartilage-Cutting Technique: A Retrospective Quality Control Comparison of the Francesconi and Converse Otoplasties

Kompatscher

Schuler

Clemens

et al. 2003

Aesth. Plast. Surg.

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“…Goode and colleagues found that the rates of complications (infection, hematoma, perichondritis, suture extrusion, and incision separation) for Becker, Converse, and Farrior procedures were 11.4%, as compared with a rate of 7.1% for mattress suture techniques. 23 Unsatisfactory cosmetic results were found in 13.3% of the cartilage‐cutting techniques as compared with 6.4% of suture techniques. These results were not statistically significantly different from each other.…”

Section: Discussionmentioning

confidence: 99%

The Becker Technique for Otoplasty: Modified and Revisited With Long‐Term Outcomes

Lee

Bluestone

2000

The Laryngoscope

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“…Loss of correction is one of the more common postoperative complications encountered, with reported rates ranging from 6.5% to 12% [8,10]. It is most frequent when using cartilage-sparing techniques and, if related to technical deficiencies, will usually present in the first several postoperative months.…”

Section: Loss Of Correctionmentioning

confidence: 99%

Otoplasty Technique

Adamson

Litner

2007

Otolaryngologic Clinics of North America

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Otoplasty remains a challenging but rewarding operation for surgeons who approach it in a rigorous and exacting manner. This article outlines a particular systematic approach to cartilage-sparing otoplasty and related adjuvant procedures. Whichever methods are chosen, precise adherence to the goals and principles summarized herein will help ensure optimal surgical outcomes and associated patient satisfaction.

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Complications of Otoplasty

Cited by 29 publications

References 8 publications

The Cartilage-Sparing Versus the Cartilage-Cutting Technique: A Retrospective Quality Control Comparison of the Francesconi and Converse Otoplasties

The Cartilage-Sparing Versus the Cartilage-Cutting Technique: A Retrospective Quality Control Comparison of the Francesconi and Converse Otoplasties

The Becker Technique for Otoplasty: Modified and Revisited With Long‐Term Outcomes

Otoplasty Technique

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