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Further Refinements in Otoplasty Surgery: A Modified Approach to Prevent Suture Extrusion in Cartilage-Suturing Otoplasty Using a Postauricular Dermofascial Flap.
Plast Reconstr Surg
December 2024
Department of Plastic and Reconstructive Surgery, Sohag Cleft and Craniofacial Unit, Sohag University.
Background: Suture extrusion has been reported to be the most common complication after cartilage-sparing otoplasty. Several studies have described various designs of postauricular flaps to cover the cartilage sutures and reduce the incidence of suture extrusion.
Methods: A total of 100 consecutive patients with prominent ears were operated on between January of 2018 and February of 2023 using a deepithelialized postauricular dermofascial flap that is performed as an adjunct to the authors' cartilage-sparing otoplasty technique, which is essentially a combined modified Mustardé and Furnas technique.
Cartilage-Sparing Otoplasty: A Systematic Review.
Facial Plast Surg Aesthet Med
May 2020
Department of Otolaryngology, Head and Neck Surgery, Zucker School of Medicine at Hofstra/Northwell, Lenox Hill Hospital, New York, New York, USA.
Cartilage-sparing techniques have continued to play a large role in modern otoplasty. Without invasion of the cartilage, the approach has been associated with less risk of skin necrosis, cartilage irregularities, hematoma, and infection. However, refinements are often needed to decrease the incidence of recurrence and suture extrusion.
View Article and Find Full Text PDFNew surgical technique: Simultaneous use of contiguous intercostal spaces during total rib preservation exposure of the internal mammary vessels in microvascular breast reconstruction.
J Plast Reconstr Aesthet Surg
September 2019
Department of Plastic and Reconstructive Surgery, Addenbrooke's Hospital, Cambridge University Hospitals NHS Foundation Trust, Cambridge CB2 0QQ, UK; Cambridge Breast Unit, Addenbrooke's Hospital, Cambridge University Hospitals NHS Foundation Trust, Cambridge CB2 0QQ, UK; Anglia Ruskin University School of Medicine, Cambridge and Chelmsford, UK. Electronic address:
Introduction: Microvascular free tissue transfer is the gold standard for autologous breast reconstruction. For many surgeons, the internal mammary vessels (IMV) are the preferred recipient vessels. The merits of the rib preservation technique have been previously discussed.
View Article and Find Full Text PDFDiscussion: Refinements in Otoplasty Surgery: Experience of 200 Consecutive Cases Using Cartilage-Sparing Technique.
Plast Reconstr Surg
July 2019
From the Division of Plastic Surgery, Baylor College of Medicine.
Refinements in Otoplasty Surgery: Experience of 200 Consecutive Cases Using Cartilage-Sparing Technique.
Plast Reconstr Surg
July 2019
From the Department of Plastic and Reconstructive Surgery, Great Ormond Street Hospital; and the Department of Plastic and Reconstructive Surgery, Sohag Cleft and Craniofacial Unit, Sohag University.
Background: Many techniques have been described to correct prominent ears, including cartilage-suturing, cartilage-scoring, and cartilage-breaking techniques. Understanding the topography and anatomy of the auricular cartilage is crucial for performing safe otoplasty with consistent results.
Methods: Two hundred consecutive patients with prominent ears were operated on using a modified Mustardé and Furnas technique with some refinements and without performing any cartilage scoring or excision.
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