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The three-bite technique: a novel method of dog ear correction
Omar Jaber1, Marta Vischio2, Angela Faga3
1Plastic Surgery Residency Program, University of Pavia, Pavia, Italy.
Archives of Plastic Surgery
|March 24, 2015
Summary
A novel three-bite suture technique effectively corrects surgical
Area of Science:
- Surgical Techniques
- Wound Healing
- Plastic Surgery
Background:
- Dog ears are common complications of wound closure, resulting in excess tissue.
- Existing dog ear correction methods often lead to scar extension and damage to the dermal plexus.
- Understanding dog ear formation is crucial for effective treatment strategies.
Purpose of the Study:
- To introduce and evaluate a novel, minimally invasive technique for immediate dog ear correction.
- To address the limitations of current dog ear correction methods.
- To preserve scar length and dermal blood supply during correction.
Main Methods:
- A novel three-bite suture technique was developed for dog ear correction.
- The technique involves sequential piercing of the deep fascial plane and dog ear margins.
- The suture anchors excess tissue to the deep plane for flattening.
Main Results:
- The three-bite suture technique effectively flattened dog ears.
- The method proved to be fast, easy, and versatile.
- No extension of the scar was required, and local skin blood supply was maintained.
Conclusions:
- The proposed three-bite suture technique offers an effective solution for immediate dog ear correction.
- This method avoids scar extension and preserves the dermal plexus.
- The technique is a valuable addition to surgical practice for optimizing wound closure outcomes.

