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Cartilage-Sparing Otoplasty: A Systematic Review
George Ferzli1, Daniel Sukato2, Rakhna Araslanova1
1Department of Otolaryngology, Head and Neck Surgery, Zucker School of Medicine at Hofstra/Northwell, Lenox Hill Hospital, New York, New York, USA.
Facial Plastic Surgery & Aesthetic Medicine
|May 30, 2020
Summary
This systematic review found that cartilage-sparing otoplasty techniques may offer superior outcomes compared to cartilage-invasive methods. However, low-quality studies necessitate a personalized surgical approach for optimal results.
Area of Science:
- Plastic Surgery
- Otoplasty Techniques
- Evidence-Based Medicine
Background:
- Cartilage-sparing otoplasty minimizes risks like skin necrosis and infection.
- Refinements are needed to reduce recurrence and suture extrusion rates.
- Systematic review to evaluate current evidence on cartilage-sparing otoplasty.
Purpose of the Study:
- Assess the evidence for cartilage-sparing otoplasty.
- Compare outcomes of cartilage-sparing versus cartilage-invasive techniques.
- Inform surgical decision-making for otoplasty.
Main Methods:
- Systematic review of PubMed and EMBASE databases.
- Search terms: 'cartilage', 'sparing', 'otoplasty'.
- Included 20 studies (case series, cohort studies) published by August 2019.
Main Results:
- Initial search yielded 80 results; 20 studies analyzed.
- Sample sizes ranged from 17 to 565 patients.
- All reviewed studies were of low quality according to the Oxford Centre for Evidence-Based Medicine scale.
Conclusions:
- Cartilage-sparing otoplasty shows promising outcomes, potentially superior to cartilage-invasive methods.
- Personalized patient approach is essential for optimal aesthetic results.
- Combination of techniques may be required for best outcomes.
