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No recurrence in otoplasty: is that possible?

Katarina Andjelkov1, Marcos Sforza, Renato Zaccheddu

  • 1General Hospital "Belmedic" Koste Jovanovića 87, 11000 Belgrade, Serbia. kandjelkov@hotmail.com

Srpski Arhiv Za Celokupno Lekarstvo
|December 25, 2010
PubMed
Summary

This study presents a combined otoplasty technique for prominent ears, achieving high patient satisfaction and no recurrence in 102 patients over 9 years. The method is reproducible for surgeons.

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Area of Science:

  • Plastic Surgery
  • Otorhinolaryngology
  • Aesthetic Surgery

Background:

  • Otoplasty, or prominent ear correction, is a common plastic surgery procedure for children and adults.
  • Over 150 techniques exist, yet recurrence rates range from a few percent up to 24.4%.

Purpose of the Study:

  • To present a combined otoplasty technique, integrating Mustardé's original procedure with other methods.
  • This technique, utilizing a posterior antihelical and conchal approach, has been successfully employed for 9 years.

Main Methods:

  • A cohort of 102 patients (60 males, 42 females) aged 6-49 years underwent the procedure between 1999 and 2008.
  • Procedures were individualized based on anatomical analysis, with detailed descriptions of surgical steps, drawings, and intraoperative photos.

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  • A posterior antihelical approach was used for all patients, with conchal reduction performed as needed via the same incision.

    • Main Results:

    • All 102 patients had bilateral ear deformities corrected.
    • Follow-up ranged from 1 to 5 years, with no cases of recurrence reported.
    • Minor complications were infrequent, and the technique demonstrated advantages over other methods.

    Conclusions:

    • The described otoplasty technique resulted in high patient satisfaction with no need for revision surgeries.
    • The procedure is straightforward and easily reproducible, even for less experienced surgeons.