Refinement of the mustardé technique for the treatment of prominent ears
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Data
2014
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Resumo
Introduction: Traditionally, multiple abnormalities can cause prominent ears,
and specific techniques have been developed for the treatment of each abnor-
mality. In this study, we tested a single approach aimed at achieving satisfactory
outcomes. Method: Patients submitted to bilateral otoplasty, between June 2010
and December 2012, were retrospectively evaluated and divided into two groups:
group 1 – patients submitted to the conventional Mustardé technique and group
2 – those who underwent the modified Mustardé technique. For comparison,
we collected data relating to early and late complications, requirement for a new
surgery, and degree of patient satisfaction. Statistical analysis was performed
with Fisher’s exact test. Results: Group 1 included nine patients treated with
the conventional Mustardé technique. A case of suture extrusion (11.11%) was
observed. Seven patients reported to be very satisfied, one satisfied, and one dis-
satisfied because of insufficient correction and a subsequent need for a second
surgery. Group 2 included 19 patients submitted to the modified Mustardé tech-
nique, which involved three sutures in the middle third of the ear and the poste-
rior rotation of the vertex of the antihelix. One case of bilateral infection (5.26%)
was observed. Seventeen patients reported to be very satisfied, one satisfied, and
another dissatisfied because of insufficient correction, thus needing to undergo
a second surgery. No statistical difference was observed between the two groups.
Conclusion: The identification of the basic abnormality associated with promi-
nent ears allows performing a single approach that is easy to learn and imple-
ment, in addition to providing good outcome (i.e., natural appearance) and a high
degree of patient satisfaction.
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Palavras-chave
External ear/abnormalities, Post-operative complications, Plastic surgery, Results evaluation, Orelha externa / anormalidades, Cirurgia plástica, Avaliação resultados, Complicações pós-operatórias
Citação
ROSIQUE, Rodrigo Gouvea; ROSIQUE, Marina Junqueira Ferreira. Refinement of the mustardé technique for the treatment of prominent ears. Revista Brasileira de Cirurgia Plástica, São Paulo, v. 29, n. 4, p. 490-496, 2014.