Correction of Prominent Ears by Concha-Mastoid Sutures

Furnas, David W.

doi:10.1097/00006534-196809000-00001

Cited by 309 publications

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“…To decrease the risk of possible complications, preoperative, intraoperative, and postoperative detailed planning and execution of surgery are essential (9-11). The most frequent complications are wound infection, hematoma, chondritis, malposition of the ear and recurrence of the abnormality (12)(13)(14)(15).…”

Section: Discussionmentioning

confidence: 99%

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%

Fascioperichondrial Flap with a Proximal Base Combined with Prominent Ear Surgery

Ozkan¹,

Irkoren²,

Karaca³

et al. 2017

meandros

View full text Add to dashboard Cite

show abstract

“…[8] The conchal setback technique was described by Furnas in the late 1960s and involves the use of permanent sutures to narrow a large space between the concha and mastoid process. [6] As this method does not address the antihelix, it was advocated by Furnas "when excessive cupping of the concha is the only cause for prominence of an ear." Small ellipses of skin are removed from the postauricular surface and mastoid, and three or more permanent sutures are then passed between the conchal cartilage and deep mastoid fascia and periosteum.…”

Section: Discussionmentioning

confidence: 99%

“…The conchal setback is an effective maneuver in the appropriate patient, but proper suture location is imperative or impingement of the external auditory canal may result. [6] In contrast to the anterior approach, the suture otoplasty from the posterior approach causes some effacement of the postauricular sulcus and leaves a scar that is longer and often less refined than the anterior conchal scars. However, these flaws are hidden from view.…”

Section: Discussionmentioning

confidence: 99%

“…In 1968, Furnas described a procedure based on Miller's technique (which was further developed by Owens and Delgado), which consisted of securing the concha to the mastoid periosteum posteriorly, thereby decreasing the concha-scaphoid angle. [6] The aim of the present report was to present the author's combination-technique (combined Mustardé and Furnas otoplasty) experience and to analyze the cosmetic results achieved and the incidence of complications and their management.…”

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Combined Mustardé and Furnas type otoplasty: the experience of 85 patients

Songu¹

2013

J Med Updates

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“…A secondary incision in the dorsal side of the scapha is sometimes required to fully correct the shape and angle of the ear. Incision is made directly with a high-fluence surgical narrow beam CO 2 laser (10,600 nm wavelength), layer by layer; the posterior auricular muscle is transected, and excessive retroauricular subcutaneous fat and connective tissue is removed up to an epi-perichondral level, completely sparing the temporal fascial, and the posterior aspect of the cartilage in a caudal direction up to the mastoid plane is prepared (Figure 8) [29].…”

Section: Dermatologic Surgery and Proceduresmentioning

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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Correction of Prominent Ears by Concha-Mastoid Sutures

Cited by 309 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

Combined Mustardé and Furnas type otoplasty: the experience of 85 patients

CO2 Laser-Assisted Otoplasty: A New Dermatosurgical Procedure

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