Search our Database of Scientific Publications and Authors

I’m looking for a
    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.

    Similar Publications

    Comparison of cartilage scoring and cartilage sparing techniques in unilateral otoplasty: a ten-year experience.
    Ann Plast Surg 2013 Nov;71(5):522-7
    From the *Department of Plastic and Reconstructive Surgery, Royal Hospital of Sick Children, Edinburgh, United Kingdom; and †Research Institute, Department of Oncological Surgery and Breast Diseases, Polish Mother's Memorial Hospital, Poland.
    We identified the optimal operative technique of unilateral otoplasty among cartilage-scoring or posterior-suturing methods. All unilateral otoplasties repaired in South East Scotland in 10 years were analyzed. Using visual analog scale, outcomes were scored by blinded professional panel and by patients. Read More
    Otoplasty using a modified anterior scoring technique: standardized measurements of long-term results.
    Arch Facial Plast Surg 2010 May-Jun;12(3):143-8
    Department of Otorhinolaryngology-Head and Neck Surgery, Kantonsspital Luzern, 6004 Lucerne, Switzerland.
    Objective: To evaluate long-term results of otoplasty using standardized measurements.

    Methods: We performed a retrospective study of patients who underwent otoplasty using a modified anterior scoring technique combined with postauricular fixation sutures. Two hundred twenty-two consecutive patients (421 primary otoplasties) were included. Read More
    Comparison of otoplasty results using different types of suturing techniques.
    Acta Chir Plast 2012 ;54(1):3-7
    Iaso Hospital, Athens, Greece.
    Background: Prominent ears are a common congenital deformity. Numerous techniques have been developed for the treatment of protruding ears, indicating that there is no single widely-accepted procedure. Modern otoplasty techniques fall into of two main surgical categories, (1) cartilage sparing (Mustardé & Furnas), and (2) cartilage cutting (Chongchet & Stenström). Read More
    Postauricular fascial flap and suture otoplasty: a prospective outcome study of 227 patients.
    J Plast Reconstr Aesthet Surg 2012 Mar 9;65(3):367-71. Epub 2011 Nov 9.
    Birmingham Children's Hospital, Steelhouse Lane, Birmingham, UK.
    The anterior scoring technique is criticised for a higher risk of haematoma related complications while the suture techniques for suture-extrusion and recurrence. Horlock et. al. Read More