Outcomes and complications of incisionless otoplasty – A retrospective observational study and a review of the literature

Edafe, Ovie; Argyriou, Kalliopi; Thevasagayam, Mahilravi

doi:10.1016/j.ijporl.2020.110246

Cited by 2 publications

(5 citation statements)

References 14 publications

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“…24 However, these differences in complication rates are comparably small and fall within the accepted range across the wider literature. 2,3,5,6,[8][9][10]15 We found no difference between 3-0 Ethibond and the alternative 4-0 sutures employed by our department (4-0 Ethibond, Monocryl, or PDS) in overall complication rates or suture extrusion, contrary to some previously published research. 25 This study does suffer from certain limitations.…”

Section: Discussioncontrasting

confidence: 90%

“…Although our rates of hematoma and wound infection were lower than those presented by the systemic review, our cases had higher suture-related problems and abnormal scarring 24 . However, these differences in complication rates are comparably small and fall within the accepted range across the wider literature 2,3,5,6,[8][9][10]15 . We found no difference between 3-0 Ethibond and the alternative 4-0 sutures employed by our department (4-0 Ethibond, Monocryl or PDS) in overall complication rates or suture extrusion, contrary to some previously published research 25 .…”

Section: Accepted Manuscriptsupporting

confidence: 64%

“…12,13 The mean number of sutures placed were 3.375 (SD 1). Of which, 3-0 Ethibond (Ethicon) was used in 65% (135) of cases, 4-0 Ethibond (Ethicon) in 28% (56), 4-0 Monocryl (Ethicon) in 4% (8), and 4-0 Polydioxanone (PDS) (Ethicon) in 3% (7). No statistical difference was found between 3-0 Ethibond and 4-0 Ethibond, Monocryl, and PDS in overall complication rates, or suture extrusion specifically (►Table 2).…”

Section: Resultsmentioning

confidence: 99%

“…In summary, pinnaplasty can be categorised into either cartilage-sparing or cartilage-cutting. Cartilage sparing methods are widely used, and include the Mustardé (creating and securing the antihelical fold with horizontal mattress fixation sutures) or Furnas techniques (use of sutures to position the concha to the mastoid) 1, 3,6,8 . Recent reviews have provided reasonable evidence that cartilage-sparing techniques house improved outcomes and reduced complications, however cartilage-cutting remains popular in some established centres 9,10 .…”

Section: Introductionmentioning

confidence: 99%

“…Cartilage-sparing methods are widely used, and include the Mustardé (creating and securing the antihelical fold with horizontal mattress fixation sutures) or Furnas techniques (use of sutures to position the concha to the mastoid). 1,3,6,8 Recent reviews have provided reasonable evidence that cartilage-sparing techniques house improved outcomes and reduced complications; however, cartilagecutting remains popular in some established centers. 9,10 In practice, a patient-centered approach and combination of techniques are often required to drive optimal results.…”

mentioning

confidence: 99%

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A Retrospective Analysis of Pinnaplasty Outcomes: The Welsh Experience

et al. 2023

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Prominent ears (PE) are the most frequent congenital external ear deformity, occurring in approximately 5% of the population. Although the deformity does not usually cause functional difficulties, it can significantly affect the patient's psychological and social health. The authors aim to present the Welsh experience of pinnaplasty, reviewing our outcomes and complications. A retrospective cross-sectional study was performed of all patients undergoing pinnaplasty in Morriston hospital, Swansea, Wales. We represent the tertiary plastic surgery referral unit across Wales. We included all patients undergoing pinnaplasty between 2015 and 2022 inclusive. We excluded patients undergoing revision procedures or those who had no follow-up. Over the seven-year period, 236 pinnaplasties were performed and 203 were included in the analysis. 96% of cases were performed using a cartilage-sparring approach, which represents the mainstay in our unit. The mean follow-up length for our cases was 12 months. Revision procedures were required in 4% of cases. 3 hematomas (1.5%) and 1 (0.5%) wound dehiscence due to infection were recorded and required a return to theatre. Suture extrusion was noted in 5% of cases (10 patients). 4.5% (9) cases were affected by either hypertrophic or keloid scarring. Across the United Kingdom, cosmetic procedures have come under scrutiny, namely because of a difficult economic climate. In the era of tight fiscal control in healthcare, it is pertinent to analyse the outcomes and performance metrics of our operations regularly, thus aiding in the development of an established evidence base to advocate for our respective patients.

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