Refinement of the mustardé technique for the treatment of prominent ears

Carregando...
Imagem de Miniatura

Data

2014

Título da Revista

ISSN da Revista

Título de Volume

Editor

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.

Descrição

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.