Long-term results of posterior suturing with postauricular fascial flap otoplasty

Schaverien, Mark V.; Al-Busaidi, Said; Stewart, Kenneth J.

doi:10.1016/j.bjps.2009.09.013

Cited by 34 publications

(13 citation statements)

References 10 publications

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“…3,4 However, some of the surgeons, including the senior author, have abandoned skin excision during the procedure and instead utilise a linear access incision. This resulted in the formation of two patient cohorts, for whom the only difference in surgical technique was excision of the posterior skin.…”

Section: Discussionmentioning

confidence: 99%

“…1,2 Since it was first reported in 1845, 3 hundreds of techniques have been described. 4,5 Anterior scoring techniques, such as those described by Stenström 10 and Chongchet, 11 though initially popular, have recently fallen out of favour in the UK, following consistent reports in literature of higher recurrence and increased complication rates, including significant cartilage necrosis requiring auricular reconstruction surgery.…”

Section: Discussionmentioning

confidence: 99%

See 1 more Smart Citation

Otoplasty: The case for skin incision by higher volume operators

Arkoulis

Reid

Neill

et al. 2015

Journal of Plastic, Reconstructive & Aesthetic Surgery

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Section: Discussionmentioning

confidence: 99%

Section: Discussionmentioning

confidence: 99%

Otoplasty: The case for skin incision by higher volume operators

Arkoulis

Reid

Neill

et al. 2015

Journal of Plastic, Reconstructive & Aesthetic Surgery

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“…Post-auricular proximal-based fascial flap, illustrated by Horlock et al (24), combined with posterior suturing has been demonstrated to be the method with the lowest recurrence and least complication rates by Schaverien et al (25). In a follow-up period of 3.9 years (range: 1.5-7.8), the clinical recurrence rate was 4.5%.…”

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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“…The ultimate goal for prominent ear correction is the reproduction of natural, symmetrical looking ears with no obvious signs of surgery and minimal complications and recurrences (Schaverien et al, 2010). The patients, or their parents, are concerned about the gross outline, gross contour and gross position of the ears as a whole.…”

Section: Discussionmentioning

confidence: 99%

The Effectiveness of Posturicular Fascial Flap as an Adjunct to Suture Otoplasty

Abdilkarim

2016

KJAR

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Mustardé technique of otoplasty is probably the most famous and practical among all otoplasty procedures especially in our centers. Yet it possesses the risk of suture extrusion, stitch granulomas and recurrence. Such complications have been reported, albeit few, yet they are bothersome to patients and their families. Placing tissues between the suture lines and the postauricular incision whether grafts or fascial flaps have been reported to reduce these complications.This study was set to evaluate the effectiveness of elevating a post-auricular fascial flap to cover the sutures in Mustardé and Furnas techniques for reducing the risk of suture extrusion and granulomas and possibly recurrence.Eleven patients with prominent ears (21 ears) fit our inclusion criteria. Nine of them were males and two females. They underwent suture otoplasty with post-auricular fascial flap in Burn and Plastic Surgery Hospital in Sulaimania from December 2011 to July 2015. Their mean age was 15.5 years, with a mean follow-up period of 242 days (ranged from 66 days to 431 days. Polydioxanone suture was used in (6 ears), and polypropylene suture was used in (15 ears).We achieved 91% satisfaction rates among patients and their families (only one patient was unsatisfied). One patient developed partial recurrence of the middle half of antihelix in one side (4.7%). Another one developed bleeding that only needed pressure and change dressing in the left ear (4.7%). Adding fascial flap to cover the sutures appears to be beneficial in preventing suture extrusions and granulomas and possibly recurrence by acting as another supporting layer.

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Long-term results of posterior suturing with postauricular fascial flap otoplasty

Cited by 34 publications

References 10 publications

Otoplasty: The case for skin incision by higher volume operators

Otoplasty: The case for skin incision by higher volume operators

Fascioperichondrial Flap with a Proximal Base Combined with Prominent Ear Surgery

The Effectiveness of Posturicular Fascial Flap as an Adjunct to Suture Otoplasty

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