The correction of prominent ears using simple mattress sutures

Mustardé, J.C.

doi:10.1016/s0007-1226(63)80100-9

Cited by 396 publications

(122 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

View full text Add to dashboard Cite

show abstract

“…The most widely used suture technique was developed by Mustardé in the early 1960s. [5] A postauricular approach is used to achieve adequate exposure of the cartilaginous framework just above the posterior perichondrium. Next, 3 to 4 horizontal mattress sutures are placed at specific locations to recreate the antihelix.…”

Section: Discussionmentioning

confidence: 99%

“…[9] While some authors advocate using a Mersilene™ suture for this technique, Bull and Mustardé preferred natural white silk material that could be cut close to the knot. [5,9,10] When used properly, the Mustardé suture technique can be a reliable method in properly selected patients. In a review of his 25-year experience with the procedure, Bull concluded that it "continues to give good results," with a low incidence of suture extrusion.…”

Section: Discussionmentioning

confidence: 99%

“…[5] By its simplicity and good results obtained, this procedure has become a wide-spread application, especially with regard to the delicate form of the antihelix. 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.…”

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