MPS  Vol.3 No.1 , January 2013
Otoplasty Morbidity
ABSTRACT

Background: Auricular deformities, specifically prominent ears are relatively frequent. Although the physiologic consequences are negligible, the aesthetic and psychological impact on a child’s self-image can be substantial. The purpose of our study was to examine the post-operative morbidity of otoplasty, analyse the revision rate and identify, if possible, a gold standard procedure. Methods: Retrospective analysis of the results of 104 operations for correction of prominent ears in 24 months that were performed in one NHSHospitalinLondon,UK. Complications were recorded and analysed. Cases requiring revision were reviewed further, according to technique, seniority of Surgeon and whether a trainee was supervised or not. Results: Of 104 patients, 57 were male and 47 were female. Age ranged from4to 60 years. Peak incidence for the primary operation was identified in the early adolescence for both sexes. Total skeletonisation of the cartilage was used in 26 patients (25%). The anterior scoring technique was used in 76 patients (73%). Cartilage holding sutures were used in 52 patients (50%). Complications were recorded in 32 patients, while 11 patients had more than one complications. There was no significant difference in the complication rate between the most popular methods. (Anterior scoring with or without holding sutures, not including Mustardé type, versus total cartilage skeletonisation technique). Conclusion: The multitude of different approaches indicates that there is not clearly definitive technique for correcting prominent ears. It is preferable that the surgeon is comfortable with multiple techniques (to tailor the correction to each individual patient and deformity).



Cite this paper
K. Anesti and A. L. H. Moss, "Otoplasty Morbidity," Modern Plastic Surgery, Vol. 3 No. 1, 2013, pp. 28-33. doi: 10.4236/mps.2013.31006.
References
[1]   P. A. Adamson and H. D. Strecker, “Otoplasty Techniques,” Facial Plastic Surgery, Vol. 11, No. 4, 1995, pp. 284-300. doi:10.1055/s-2008-1064545

[2]   M. Spira, “Otoplasty: What I Do Now—A 30 Year Perspective,” Plastic and Reconstructive Surgery, Vol. 104, No. 3, 1999, pp. 834-841. doi:10.1097/00006534-199909030-00036

[3]   K. H. Tan, “Long-Term Survey of Prominent Ears Surgery: A Comparison of Two Methods,” British Journal of Plastic Surgery, Vol. 39, No. 2, 1986, pp. 270-273. doi:10.1016/0007-1226(86)90100-1

[4]   S. J. Stenstrom and J. Heftner, “The Stenstrom Otoplasty,” Clinics in Plastic Surgery, Vol. 5, No. 3, 1978, pp. 465-470.

[5]   V. Chongchet, “A Method of Antihelix Reconstruction,” British Journal of Plastic Surgery, Vol. 16, 1963, pp. 268-272. doi:10.1016/S0007-1226(63)80120-4

[6]   A. J. McDowell, “Goals in Otoplasty for Protruding Ears,” Plastic and Reconstructive Surgery, Vol. 41, No. 1, 1968, pp. 17-27. doi:10.1097/00006534-196801000-00004

[7]   J. C. Mustardé, “The Treatment of Prominent Ears by Buried Mattress Sutures—A Ten Years’ Survey,” Plastic and Reconstructive Surgery, Vol. 39, No. 4, 1967, pp. 382-386. doi:10.1097/00006534-196704000-00008

[8]   A. H. Messner and W. S. Crysdale, “Otoplasty: Clinical Protocol and Long-Term Results,” Archives of Otolaryngology—Head and Neck Surgery, Vol. 122, No. 7, 1996, pp. 773-777. doi:10.1001/archotol.1996.01890190069016

[9]   J. C. Calder and A. Naasan, “Morbidity of Otoplasty: A Review of 562 Consecutive Cases,” British Journal of Plastic Surgery, Vol. 47, No. 3, 1984, pp. 170-174. doi:10.1016/0007-1226(94)90049-3

[10]   S. L. A. Jeffery, “Complications Following Correction of Prominent Ears: An Audit Review of 122 Cases,” British Journal of Plastic Surgery, Vol. 52, No. 7, 1999, pp. 558-590.

[11]   K. E. Graham and D. T. Gault, “Endoscopic Assisted Otoplasty: A Preliminary Report,” British Journal of Plastic Surgery, Vol. 50, No. 1, 1997, pp. 47-57. doi:10.1016/S0007-1226(97)91283-2

[12]   N. W. Bulstrode, S. Huang and D. L. Martin, “Otoplasty by Percutaneous Anterior Scoring. Another Twist to the Story: A Long-Term Study of 114 Patients,” British Journal of Plastic Surgery, Vol. 56, No. 2, 2003, pp. 145-149. doi:10.1016/S0007-1226(03)00030-4

[13]   L. Caouette-Laberge, N. Guay, M. D. Bortoluzzi and C. Belleville, “Otoplasty: Anterior Scoring Technique and Results in 500 Cases,” Plastic and Reconstructive Surgery, Vol. 105, No. 2, 2000, pp. 504-515. doi:10.1097/00006534-200002000-00004

[14]   P. Yugueros and J. Friedland, “Otoplasty: The Experience of 100 Consecutive Patients,” Plastic and Reconstructive Surgery, Vol. 108, No. 4, 2001, pp. 1045-1051. doi:10.1097/00006534-200109150-00038

[15]   N. Horloch, A. Misra and D. T. Gault, “The Postauricular Fascial Flap as an Adjunct to Mustardé and Furnas Type Otoplasty,” Plastic and Reconstructive Surgery, Vol. 108, No. 5, 2001, pp. 1487-1490.

 
 
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