Otoplasty: New Modification of the Mustardé Technique | ||||
The Egyptian Journal of Plastic and Reconstructive Surgery | ||||
Article 5, Volume 43, Issue 2, July 2019, Page 185-189 PDF (12.81 MB) | ||||
Document Type: Original Article | ||||
DOI: 10.21608/ejprs.2019.64902 | ||||
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Author | ||||
Mohamed A S M El Rouby* | ||||
The Department of Plastic and Reconstructive Surgery, Faculty of Medicine, Ain Shams University, Cairo, Egypt | ||||
Abstract | ||||
Background: One of the most established techniques for management of protruding ears is the Mustardé technique (1). Many modifications had been published for this technique; however, all these modifications started by retro-auricular incision. We modify the Mustardé technique using three retroauricular microincisions to correct several deformities of the auricular cartilage in protruding ears. Patients and Methods: 46 patients (7 unilateral, 39 bilateral) (85 ears) who were candidates for this technique, their age (25±2.8 years), 38 males, 8 females. The operation time, steps, follow-up sessions (2 weeks, 3, 6 and 18 months) data was recorded. Pre-operative and post-operative (1, 18 months) photos were compared and analyzed by custom made computer program the evaluated the results. Results: 42 patients achieve a natural appearance. Extrusion of threads occurred in 8 ears. Asymmetrical ears were noticed in 4 patients and recurrence in 11 patients. These patients were revised by Mustardé technique with retroauricular incisions. None of the patients developed retroauricular scars. Conclusion: This versatile modif ication allows for better asthenic results of otoplasty and minimizes complications of skin incision unless cartilage and/or skin resection is needed. | ||||
Keywords | ||||
Thread – Otoplasty – Prominent ear | ||||
References | ||||
1- Mustarde J.C.: The correction of prominent ears using simple mattress sutures. British Journal of Plastic Surgery, 16: 170-8, 1963. 2- Janis J.E., Rohrich R.J. and Gutowski K.A.J.P.: Surgery R. Otoplasty, 115 (4): 60e-72e, 2005. 3- Ribeiro J.A.S. and Silva G.S.D.J.A.P.S.: Finesse in Otoplasty in Four Steps, 36 (4): 846-52, 2012. 4- Petersson R.S.: Current Trends in Otoplasty. Advanced Cosmetic Otoplasty: Springer, p. 65-80, 2013. 5- Peled I.J.J.A.P.S.: Knifeless otoplasty: How simple can it be?19 (3): 253-5, 1995. 6- Fritsch M.H.J.T.L.: Incisionless Otoplasty, 105 (S70): 1- 11, 1995. 7- De La Fuente A. and Santamaria A.J.E.J.O.P.S.: Minimally Invasive Otoplasty, 21 (5): 249-53, 1998. 8- Fritsch M.H.J.F.P.S.: Incisionless Otoplasty, 20 (04): 267- 70, 2004. 9- Fritsch M.H.J.O.C.O.N.A.: Incisionless Otoplasty, 42 (6): 1199-208, 2009. 10- Benedict M. and Pirwitz K.U.J.H.: Minimal invasive Otoplastik Minimally Invasive Otoplasty, 53 (3): 230- 7, 2005. 11- Fritsch M.H.: "Incisionless Otoplasty“: Anlegen des Cavum conchae ohne HautschnittIncisionless otoplasty with conchal bowl recession. J. HNO, 60 (10): 856-61, 2012. 12- Merck W.J.J.f.Ä.C.: Die Fadenmethode nach Dr. Merck, 6 (4): 209-20, 2013. 13- Fritsch M.H.: Incisionless Otoplasty zur Ohrmuschelkorrektur ohne Hautschnitt-die Technik von Fritsch. In: Bumm K, editor. Korrektur und Rekonstruktion der Ohrmuschel. Berlin, Heidelberg: Springer Berlin Heidelberg, p. 145-51, 2017. 14- Merck W.H.: Ohrmuschelkorrektur ohne Hautschnitt-die Fadenmethode von Merck. Korrektur und Rekonstruktion der Ohrmuschel: Springer, p. 153-69, 2017. 15- Miyamoto J., Nagasao T., Tamaki T. and Nakajima T.J.P.: Surgery r. Biomechanical evaluation of surgical correction of prominent ear, 123 (3): 889-96, 2009. 16- Kelley P., Hollier L. and Stal S.J.J.O.C.S.: Otoplasty: Evaluation, technique, and review, 14 (5): 643-53, 2003. 17- Kaye B.L. and Kaye B.L.J.P.: Surgery r. A simplified method for correcting the prominent ear, 40 (1): 44-8, 1967. 18- Stenstrom S. and Heftner J.: The Stenstrom otoplasty. J. Clinics in Plastic Surgery, 5 (3): 465, 1978. 19- Serdev N.: Serdev Sutures® in Upper Face: Brow and Temporal Lift; Glabella Muscle Ligation. Miniinvasive Face and Body Lifts-Closed Suture Lifts or Barbed Thread Lifts: In Tech, 2013. 20- Owsley T.G. and Biggerstaff T.G.J.O.: America mscoN. Otoplasty complications, 21 (1): 105-18, 2009. 21- https://youtu.be/meM2LlzO4DM. | ||||
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