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Erschienen in: Aesthetic Plastic Surgery 1/2014

01.02.2014 | Innovative Techniques

New Otoplasty Approach: A Laterally Based Postauricular Dermal Flap as an Addition to Mustarde and Furnas to Prevent Suture Extrusion and Recurrence

verfasst von: Salih Onur Basat, Ufuk Askeroğlu, Tolga Aksan, Brendan Alleyne, Memet Yazar, Çağdaş Orman, İlker Üsçetin, Mithat Akan

Erschienen in: Aesthetic Plastic Surgery | Ausgabe 1/2014

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Abstract

Prominent ear is the most common deformity of the external ear. The major causes can be an underdeveloped antithetical fold, concha hypertrophy, and prominence of the ear lobule. Since Ely’s first aesthetic correction of the prominent ear in 1881, more than 200 different techniques have been described, but the choice of procedure still remains the surgeon’s preference. This report presents the laterally based posterior auricular dermal flap technique as an adjunct to the conventional cartilage-sparing otoplasty. An elliptical skin incision was planned according to the classic prominent ear correction technique. Instead of the excision, skin was deepithelialized. From the inferior border of the incision, the dermal flap was incised and elevated in a medial-to-lateral direction. The posterior auricular dermal flap was used to support and cover the suture material. This method was used in the treatment of 17 consecutive patients. After a follow-up period of 6–32 months (mean 16 months), the patients were evaluated in terms of the recurrence and suture line problems. No suture line problems or recurrences were observed at the end of the follow-up period. Use of the posterior auricular dermal flap both prevents suture extrusion and decreases recurrences.
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Metadaten
Titel
New Otoplasty Approach: A Laterally Based Postauricular Dermal Flap as an Addition to Mustarde and Furnas to Prevent Suture Extrusion and Recurrence
verfasst von
Salih Onur Basat
Ufuk Askeroğlu
Tolga Aksan
Brendan Alleyne
Memet Yazar
Çağdaş Orman
İlker Üsçetin
Mithat Akan
Publikationsdatum
01.02.2014
Verlag
Springer US
Erschienen in
Aesthetic Plastic Surgery / Ausgabe 1/2014
Print ISSN: 0364-216X
Elektronische ISSN: 1432-5241
DOI
https://doi.org/10.1007/s00266-013-0269-z

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