Eficácia do retalho adipofascial retroauricular em otoplastia

Abstract

The effectiveness of the adipofascial retroauricular flap in otoplasty The effectiveness of the adipofascial retroauricular flap in otoplasty Eficácia do retalho adipofascial retroauricular em otoplastia ABSTRACT Background: Otoplasty techniques using permanent sutures to mold cartilage have high rates of incidence of granulomatous issues (up to 22%) during the postoperative period. In order to control these complications, Horlock et al. developed the adipofascial retroau ricular flap in 2001. In the present study, we compared patients who underwent otoplasty with or without the use of this flap. We aimed to quantify the incidence of complications affecting the sutures, evaluate the efficacy of the retroauricular adipofascial flap in the prevention of problems associated with the permanent sutures applied to the auricular cartilage, and analyze if the preparation of this flap increased the rates of other types of complications not related to the sutures, particularly suture dehiscence or defective wound healing during the postoperative period. Methods: We consulted the medical records of 24 patients who underwent otoplasties from 2007 to 2009 at the Hospital das Clínicas da