Otoplasty techniques in children: a comparative study of outcomes

Punj, Puvesh; Chong, Hsu Phie; Cundy, Thomas P.; Lodge, Michelle; Woods, Roger H.

doi:10.1111/ans.14386

Cited by 12 publications

(11 citation statements)

References 29 publications

(82 reference statements)

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“… 2 Specifically, they have been shown to utilize less soft tissue degloving and exposure, lowering the risk of postoperative hematoma and subsequent infection. 5 , 15 When analyzing the 2 techniques head-to-head, some studies demonstrate cartilage-sparing and cartilage-cutting techniques having comparable complication rates of roughly 20% and revision rates of 7% and 6%, respectively. 12 Other studies demonstrate differing revision rates between the 2 surgical categories (10% for Congchet and 2.9% for Mustardé).…”

Section: Discussionmentioning

confidence: 99%

“… 12 Other studies demonstrate differing revision rates between the 2 surgical categories (10% for Congchet and 2.9% for Mustardé). 5 Alternatively, when comparing postoperative satisfaction, cartilage-sparing techniques demonstrate higher overall satisfaction rates than cartilage-cutting techniques. 12 …”

Section: Discussionmentioning

confidence: 99%

“…When looking specifically at the Mustardé otoplasty and the complications rates associated with the procedure, 2 , 5 , 12 our rates compare favorably with these in the literature, including infection 0%–15%, average 1.13% (0%); hypertrophic scarring 1%–2%, average 1.36% (0%); pruritus 4% (0%), dysesthesia/hypersensitivity 3.4%–20%, average 14.7% (0%); and hematoma/bleeding 0%–33%, average 3.6% (0.84%). Late complications of the Mustardé otoplasty include suture extrusion 0%–22.2%, average 5.55% (16.8%); and revision 3%–24%, average 8.10% (1.7%).…”

Section: Discussionmentioning

confidence: 99%

“…The Mustardé technique is one of the most common cartilage-sparing techniques. 4 , 5 Mustardé sutures correct the prominent ear deformity by creating and securing an antihelical fold with 2–4 horizontal mattress fixation sutures.…”

Section: Introductionmentioning

confidence: 99%

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Outcomes and Complications of the Mustardé Otoplasty: A “Good–Fast–Cheap” Technique for the Prominent Ear Deformity

Boroditsky

Slyke

Arneja

2020

Plastic and Reconstructive Surgery - Global Open

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Background: The Mustardé otoplasty is a commonly used procedure for the correction of the prominent ear deformity. Complication rates related to suture extrusion and long-term outcomes are variable in the literature. The study’s purpose was to examine the efficacy and safety of the Mustardé otoplasty and its resource utilization, using an “iron triangle” methodology incorporating quality, time, and cost. Methods: Retrospective data were collected on patients under 18 years who underwent primary Mustardé otoplasty between 2009 and 2018. Patient demographics, intraoperative details, complications, follow-up, and satisfaction were collected and analyzed. Results: There were 119 Mustardé otoplasties performed on 68 patients, with a median follow-up of 72 weeks (24–476 weeks). In total, 51 of the 68 patients underwent bilateral procedures. The median operative time was 95 minutes (31–133 minutes), translating to a facility case cost of $2046. A total of 24 complications were reported in 17 patients. Minor complications included the following: suture extrusion (n = 20), hematoma (n = 1), and suture abscess (n = 1). Major complications included reoperation (n = 2). The series had a revision rate of 1.7% (n = 2). No additional procedures were documented at other hospitals in the province. The majority (97%) of ear outcomes demonstrated both patient and surgeon satisfaction. Conclusions: The Mustardé otoplasty demonstrated a high efficacy in the correction of the prominent ear, with low reoperation rates and high patient and surgeon satisfaction. The procedure demonstrated intriguing results in resource utilization, with brief operative times, a “knife and fork” supply chain, and minimal overall case costs. This technique qualifies as a good, fast, and cheap outpatient otoplasty option.

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Section: Discussionmentioning

confidence: 99%

Section: Discussionmentioning

confidence: 99%

Section: Discussionmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

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Outcomes and Complications of the Mustardé Otoplasty: A “Good–Fast–Cheap” Technique for the Prominent Ear Deformity

Boroditsky

Slyke

Arneja

2020

Plastic and Reconstructive Surgery - Global Open

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“…An incision is made between the antihelix and the helix to score the anterior surface of the cartilage to form an antihelix. 12 Skin excisions were performed in Chong Chet, Furnas, and Schaverien.…”

Section: Methodsmentioning

confidence: 99%

Anterior versus Posterior Scoring of Cartilage in Otoplasty: A Retrospective Patient-related Outcome Measurement Study

Smit

Coenen

Amerongen

et al. 2020

Plastic and Reconstructive Surgery - Global Open

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Background: Various surgical techniques are applied to correct prominent ears. However, there are limited data on the effect of otoplasty on patient-related outcome measures, such as cold ears and cold intolerance. This retrospective cohort study describes the occurrence of cold intolerance in 98 patients, with a total of 196 ears in a single center during 6 years (2011–2017). Methods: In this study, 3 groups were identified: group I, anterior scoring of the cartilage (ie, Chong Chet); group II, posterior scoring of the cartilage and suture reposition of the cartilage; and group III, posterior approach without scoring (ie, Furnas and Mustardé). Parents of patients filled in a questionnaire with 40 questions to criticize the effect of surgery. Results: Symptoms of cold intolerance and pain were reported in 44.4% (n = 16) in the anterior scoring group, 48.1% (n = 26) in the posterior scoring group, and 62.5% (n = 5) in the posterior approach group without scoring of the cartilage ( P = 0.68). The satisfaction rate was significantly lower in the posterior group without scoring (Likert scale of 17.44 ± 22.01 anterior scoring, 16.02 ± 18.13 posterior scoring, and 11.13 ± 25.87 posterior approach without scoring; P = 0.02). Conclusions: This study underscores the fact that a great part of patients after otoplasty report symptoms of cold intolerance; however, these most often resolve and did not differ between different groups. Patients should be informed about this sequela. Furthermore, overall satisfaction rate was significantly lower in the posterior group without scoring.

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Nonsurgical Treatment for Congenital Auricular Deformities: A Systematic Review and Meta-analysis

Niu

Guo

et al. 2021

Aesth Plast Surg

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Otoplasty techniques in children: a comparative study of outcomes

Cited by 12 publications

References 29 publications

Outcomes and Complications of the Mustardé Otoplasty: A “Good–Fast–Cheap” Technique for the Prominent Ear Deformity

Outcomes and Complications of the Mustardé Otoplasty: A “Good–Fast–Cheap” Technique for the Prominent Ear Deformity

Anterior versus Posterior Scoring of Cartilage in Otoplasty: A Retrospective Patient-related Outcome Measurement Study

Nonsurgical Treatment for Congenital Auricular Deformities: A Systematic Review and Meta-analysis

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