Srpski arhiv za celokupno lekarstvo 2010 Volume 138, Issue 9-10, Pages: 546-550
https://doi.org/10.2298/SARH1010546A
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No recurrence in otoplasty: Is that possible?
Anđelkov Katarina
Sforza Marcos
Zaccheddu Renato
Lazović Goran
Colić Miodrag
Introduction. Otoplasty or correction of prominent ears, is one of most
commonly performed surgeries in plastic surgery both in children and adults.
Until nowadays, there have been more than 150 techniques described, but all
with certain percentage of recurrence which varies from just a few up to
24.4%. Objective. The authors present an otoplasty technique, a combination
of Mustardj’s original procedure with other techniques, which they have been
using successfully in their everyday surgical practice for the last 9 years.
The technique is based on posterior antihelical and conchal approach.
Methods. The study included 102 patients (60 males and 42 females) operated
on between 1999 and 2008. The age varied between 6 and 49 years. Each
procedure was tailored to the aberrant anatomy which was analyzed after
examination. Indications and the operative procedure are described in stepby-
step detail accompanied by drawings and photos taken during the surgery.
Results. All patients had bilateral ear deformity. In all cases was performed
a posterior antihelical approach. The conchal reduction was done only when
necessary and also through the same incision. The follow-up was from 1 to 5
years. There were no recurrent cases. A few minor complications were
presented. Postoperative care, complications and advantages compared to other
techniques are discussed extensively. Conclusion. All patients showed a high
satisfaction rate with the final result and there was no necessity for
further surgeries. The technique described in this paper is easy to reproduce
even for young surgeons.
Keywords: otoplasty, ear deformity, combined technique, recurrence rate
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