Three Points Suturing to Avoid Recurrence in Ear Setback: Prospective Study | ||
| The Egyptian Journal of Plastic and Reconstructive Surgery | ||
| Article 10, Volume 48, Issue 4, October 2024, Pages 317-325 PDF (1.55 M) | ||
| Document Type: Original Article | ||
| DOI: 10.21608/ejprs.2024.385107 | ||
| Authors | ||
| Sherien Metwally Salama; Ibrahim Kamel; Ahmed Gadallah* | ||
| The Department of Plastic, Burn and Maxillofacial Surgery, Faculty of Medicine, Ain Shams University | ||
| Abstract | ||
| Background: Auricular deformities, specifically prominent ears, are frequent. Although the physiologic consequences are negligible, the aesthetic and psychological effects on the patient can be substantial. Otoplasty, or correction of prominent ears, is one of most performed surgeries in plastic surgery both in children and adults. Until nowadays, there have been more than 150 techniques described, but all with certain percentage of recurrence which varies from just a few up to 24.4%. Objective: In this study, we will evaluate the efficacy of new suture technique for otoplasty in the form of weakening of the cartilage by parallel partial cartilage incisions along the length of the antithetical fold associated with permanent sutures (three points suturing of the antihelix to mastoid fascia with or without concha reduction accordingly) to decrease the incidence of recurrence and to leave the ear with an “unoperated” soft, natural contours with high patient satisfaction and good aesthetic results. Patients, Methods, and Results: In this prospective study, patients will be followed up objectively and subjectively over 6 months as regard effectiveness, longevity, complications, recurrence, satisfaction rate with the final aesthetic results Patients in concern in this study; all patients had bilateral prominent ears, age varied between 6 and 40 years with no history of previous repair. Conclusion: Using three-point fixation as the main technique in otoplasty improves aesthetic outcomes in adults. This technique decreased the incidence of recurrence, corrected the protrusion and maintains it and improves the symmetry. | ||
| Keywords | ||
| Otoplasty; Suture technique; Recurrence | ||
| References | ||
|
Furnas D.W.: Otoplasty for prominent ears. Clin. Plast. Surg., 29 (02): 273–288, 2002. 2- Janis J.E., Rohrich R.J. and Gutowski K.A.: Otoplasty. Plast. Reconstr. Surg., 115: 60e-72e, 2005. 3- Converse J.M., Nigro A, Wilson F.A. and Johnson N.: A technique for surgical correction of lop ears. Plast. Reconstr. Surg., 1955; 15: 411-8, 1946. 4- Pitanguy I., Muller P., Piccolo N., Ramalho E. and Solinas R.: The treatment of prominent ears: A 25-year survey of the island technique. Aesthetic Plast. Surg., 11 (2): 87-93, 1987. 5- Mustarde J.C.: The correction of prominent ears using simple mattress sutures. Br. J. Plast. Surg., 16: 170-8, 1963. 6- Mustarde J.C.: The treatment of prominent ears by buried mattress sutures: A ten-year survey. Plast. Reconstr Surg., 39: 382-6, 1967. 7- Stenstrom S.J.: A “natural” technique for correction of congenitally prominent ears. Plast. Reconstr. Surg., 32: 509-18, 1963. 8- Chongchet V.: A method of antihelix reconstruction. Br. J. Plast. Surg., 16: 268-72, 1963. 9- Gibson T. and Davis W.: The distortion of autogenous cartilage grafts: its cause and prevention. Br. J. Plast. Surg., 10: 257-74, 1958. 10- Spira M., McCrea R., Gerow F.J. and Hardy S.B.: Correction of the principal deformities causing protruding ears. Plast. Reconstr. Surg., 44: 150-4, 1969. 11- Farrior R.T.: Otoplasty for children. Otolaryngol Clin North Am., 3 (2): 365-74, 1970. 12- Cuccolo N.G., Zwierstra M.J., Ibrahim A.M.S., Peymani A., Afshar S. and Lin S.J.: Reconstruction of congenital microtia and anotia: Analysis of practitioner epidemiology and postoperative outcomes. Plast. Reconstructive Surgery Glob Open, 7 (6): e2318, 2019. 13- British Furnas, David W. M.D. Correction of Prominent Ears by Concha-Mastoid Sutures. Plastic and Reconstructive Surgery, 42 (3): p 189-194, September 1968. Journal of Plastic Surgery, 16, 170. 14- Spira M., McCrea R., Gerow F.J. and Hardy S.B.: Correction of the principal deformities causing protruding ears. Plast Reconstructive Surgery, 44: 150, 1969. 15- Jeffery S.L.: Complications following correction of prominent ears: An audit review of 122 cases. Br. J. Plast Surgery, 52: 588, 1999. 16- Mustarde J.C.: The correction of prominent ears by buried mattress sutures: A ten-year survey. Plast Reconstructive Surgery, 39: 382, 19б7. 17- Spira M.: Otoplasty: What I do now A 30-year perspective. Plast Reconstructive Surgery, 104: 834, 1999. 18- Stenstrom S.J.: A ‘‘natural ‘‘technique for correction of congenitally prominent ears. Plast Reconstructive Surgery, 32: 509, 19б3. 19- Tan H.H.: Long-term survey of prominent ear surgery: A comparison of two methods. Br. J. Plast Surgery, 39: 270, 198б. 20- Thomas S.S. and Fatah F.: Closed anterior scoring for prominent-ear correction revisited. Bu J. Plast Surgery, 54: 581, 2001. 21- Kotler H.S., Robertson K. and Tardy M.E. Jr.: Pre- and postoperative management in otoplasty. Facial Plast Surg., 10: 244-54, 1994. 22- Mustarde J.C.: The correction of prominent ears using simple mattress sutures. Br. J. Plast Surg., 16: 170, 1963. 23- Stenstrom S.J.: A “natural” technique for correction of congenitally prominent ears. Plast Reconstr. Surg., 32: 509, 1963. 24- Lee Y., Kim Y.S., Lee W.J., Rha D.K. and Kim J.: Proposal of a Classification System for the Assessment and Treatment of Prominent Ear Deformity. Aesthetic Plastic Surgery, 42 (3): 759-765, 2018. | ||
|
Statistics Article View: 135 PDF Download: 191 |
||
