Otoplasty: a graduated approach

Ismail, Ahmed Soliman

doi:10.1186/s43163-020-00031-3

Cited by 3 publications

(1 citation statement)

References 13 publications

(17 reference statements)

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“…Any surgical procedures must also allow for symmetry and achieve a natural-looking auricle while eliminating the appearance of pinned ears. Commonly performed techniques include variations of the Masturdè, Furnas, and Stenstrom cartilage scoring procedures (6). Like any other surgical procedure, otoplasty has related risks and complications; however, they are relatively rare and quite few (7).…”

Section: Introductionmentioning

confidence: 99%

Indications, Evaluation, Technique and Complications of Otoplasty

Abduljabbar,

Alkanderi

2023

JOHS

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Protruding ears are one of the most prevalent congenital auricular anomalies, with significant behavioural and psychological consequences. The management of protruding ears has developed over time and currently involves a wide variety of cutting-edge surgical methods. These procedures have undergone constant improvement to maximize aesthetic outcomes while also reducing the necessity of surgical revision. Otoplasty is a surgical procedure that uses long-lasting sutures to alter the location, size, or form of the ear. Prominauris, or protruding ears, are the primary indication of otoplasty. Several techniques—almost over 200—are described for otoplasty procedures, among which the majority of technical advancements are only slight adaptations of methods that were first published 40–50 years ago. These procedures are broadly classified as cartilage-cutting or cartilage-sparing procedures. Like any other surgical procedure, otoplasty has related risks and complications; however, they are relatively rare and quite few. The complications of otoplasty can also be classified into early and late complications, depending on the time of presentation. Hematoma, hemorrhage, and postoperative infections, including perichondritis, dehiscence, and skin necrosis, are some of the early complications of otoplasty. Excessive scarring, suture extrusion, hypersensitivity, keloids, and the telephone ear are a few of the late complications. However, overall, otoplasty is considered a safe and effective procedure. The purpose of this research is to review the indication evaluation technique and complications of otoplasty, for which a comprehensive literature search in various databases, including PubMed, ScienceDirect, Web of Science, and Cochrane Library, was performed.

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Section: Introductionmentioning

confidence: 99%

Indications, Evaluation, Technique and Complications of Otoplasty

Abduljabbar,

Alkanderi

2023

JOHS

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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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Petal – Like Otoplasty in the Treatment of Protruding Ears

Riznyk

2024

Scientific and practical journal

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Introduction. Approximately 5% of humanity suffers from inborn protruding ears, and usually this condition causes marked psychosomatic disorders. Despite years of experience gained in aesthetic surgery, optimal technique of otoplasty is yet to be elaborated. The Aim of the Research. To develop a method of surgical correction of congenital bulging ears in order to optimize the immediate and long-term results of otoplasty. Material and methods. We have analysed the outcomes of 120 patients operated for congenital protruding ears at Lviv City Cosmetologic Hospital between 2020 and 2023. Distance between mastoid process and the concha exceeding 20 mm, and auriculo-cephalic angle over 30° were used as objective criteria of protruding ears. Surgical improvement of tall concha and increased auriculo-cephalic angle were identified as key vectors in elaboration of the original otoplasty technique. Results of the Research. With local anaesthesia, an S-shaped incision is made to the depth of perichondrium of posterior surface of the cartilage of the ear. Once subcutaneous dissection is completed, preoperative markup is transferred with injection needles from anterior surface to posterior surface of the conchal cartilage. A full depth arch-shaped incision of conchal cartilage is made. Perichondrium and skin of anterior surface of the concha are mobilized with a raspatory, from the chondral «petal» to the margin of external meatus. Basis of the chondral «petal» is dissected by 2/3 of its depth along the vertical axis between the pedicle of the helix, and the antitragus. In order to reliably fix the auricula, the cartilage is stitched to the mastoid process with three mattress sutures on the ventral surface of the «petal». Finally, excessive skin is carefully resected, and the wound is closed with continuous suture, with dead space elimination for hematoma prevention. Our technique has the following significant advantages: Unique conchal cartilage is kept entirely, therefore it can be used as auto-transplant in the future. The technique does not significantly affect the rheology of auricula. With this technique correction and modification of antihelical curve and radius is possible; if necessary, width of auricula can be corrected, and auricular height to width ratio can be modified. The proposed «petal» technique significantly reduces the rate of postoperative complications, such as recurrent protruding ears. Postoperatively, the size of external meatus is not reduced, hence no hearing deterioration. The outcomes of the technique we have developed were assessed 6 months after otoplasty as good, satisfactory and unsatisfactory. Good outcome: preservation of symmetry and anatomical «standard» of both auriculas, no recurrence throughout follow-up, and no impairment of sensation in the external ear. Satisfactory outcome: anatomical «standard» of the organ is preserved, with permissible error of up to 3 mm in the symmetrical points on the right and left auriculas, not requiring additional correction. Conclusions. 98 (81,3%) patients operated by the proposed «petal» technique assessed their otoplasty outcome as good, 17 (14,3%) of patients assessed the outcome of surgery as satisfactory. 5 (4,3%) patients were not satisfied with the outcome of surgery. These patients were operated during the early period of development of the technique.

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Otoplasty: a graduated approach

Cited by 3 publications

References 13 publications

Indications, Evaluation, Technique and Complications of Otoplasty

Indications, Evaluation, Technique and Complications of Otoplasty

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

Petal – Like Otoplasty in the Treatment of Protruding Ears

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