Long-term results of posterior suturing with postauricular fascial flap otoplasty.

J Plast Reconstr Aesthet Surg 2010 Sep 29;63(9):1447-51. Epub 2009 Oct 29.

Department of Plastic Surgery, Royal Hospital for Sick Children, Sciennes Road, Edinburgh, UK.

Background: Posterior suturing with postauricular fascial flap otoplasty has previously been shown to be associated with a significantly reduced rate of complications and better aesthetic outcome when compared with the anterior scoring and posterior suturing techniques. This study evaluates the long-term results of this technique.

Material And Methods: A retrospective casenote analysis of all paediatric patients who underwent otoplasty within a four-year period were retrieved. Sixty patients (112 ears) met the inclusion criteria (mean age 8.5 years; range 4 to 14). The perpendicular distance from the mastoid to the helical rim at the Frankfort line was recorded preoperatively and immediately postoperatively. Patients were invited to a follow up clinic where further measurements were taken by two observers. Photographs were evaluated by an independent blinded observer.

Results: The clinical recurrence rate was 4.5%. Thirty patients (57 ears) attended the follow-up clinic (mean 3.9 years since surgery). Mean loss of medialisation was 0.7 mm (6.2%), with loss of medialisation of > or =1 mm seen in 26 ears (46%), and improvement in medialisation of > or =1 mm in 15 ears (26%). Mean visual analogue scores for overall appearance and symmetry were higher at follow-up than at six weeks postoperatively. There was no relationship between measurements or visual analogue scores and duration since surgery.

Conclusions: In conclusion posterior suturing with braided polyester permanent sutures covered with a postauricular fascial flap results in longevity of postoperative appearance and symmetry with low clinical recurrence rates and with excellent patient and parent satisfaction.

Download full-text PDF

Source
http://dx.doi.org/10.1016/j.bjps.2009.09.013DOI Listing
September 2010
250 Reads

Publication Analysis

Top Keywords

posterior suturing
16
fascial flap
12
postauricular fascial
12
analogue scores
8
appearance symmetry
8
visual analogue
8
clinical recurrence
8
loss medialisation
8
flap otoplasty
8
suturing postauricular
8
medialisation ears
8
distance mastoid
4
relationship measurements
4
duration surgeryconclusions
4
range perpendicular
4
perpendicular distance
4
frankfort recorded
4
mastoid helical
4
helical rim
4
surgeryconclusions conclusion
4

Similar Publications