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Use of Multiple Techniques for Otoplasty (Stenstrom, Mustarde, Furnas)

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Advanced Cosmetic Otoplasty

Abstract

The goal of an operation for prominent ears is to produce symmetrical, natural-looking ears, with no obvious signs of surgery having been performed. Therefore, a combination technique of the most beneficial features of three previously described techniques, without cartilage resection, is presented. This technique is easy to perform, has been tested over time, and provides excellent cosmetic results, a high level of patient satisfaction, and minimal complications. Given these considerations, it can be used as a standard technique, despite any differences in age and/or magnitude of defect of the patients.

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References

  1. Adamson PA, Litner JA. Otoplasty technique. Facial Plast Surg Clin North Am. 2006;14(2):79–87.

    Article  PubMed  Google Scholar 

  2. Adamson PA, McGraw BL, Tropper GJ. Otoplasty: critical review of clinical results. Laryngoscope. 1991;101(8):883–8.

    Article  PubMed  CAS  Google Scholar 

  3. Baker DC, Converse JM. Correction of protruding ears: a 20-year retrospective. Aesthetic Plast Surg. 1979;3:29–39.

    Article  Google Scholar 

  4. Bardach J. Surgery for congenital and acquired malformation of the auricle. In: Cummings CW, Fredrickson JM, Harker LA, Krause CJ, Schuller DE, editors. Otolaryngology: head and neck surgery. St. Louis: Mosby; 1986. p. 2861.

    Google Scholar 

  5. Barsky AJ. Plastic surgery. Philadelphia: Saunders; 1938. p. 178–80.

    Google Scholar 

  6. Baxter H. Plastic correction of protruding ears in children. Can Med Assoc J. 1941;45(3):217–20.

    PubMed  CAS  Google Scholar 

  7. Burstein FD. Cartilage-sparing complete otoplasty technique: a 10-year experience in 100 patients. J Craniofac Surg. 2003;14(4):521–5.

    Article  PubMed  Google Scholar 

  8. Calder JC, Naasan A. Morbidity of otoplasty: a review of 562 consecutive cases. Br J Plast Surg. 1994;47(3):170–4.

    Article  PubMed  CAS  Google Scholar 

  9. Caouette-Laberge L, Guay N, Bortoluzzi P, et al. Otoplasty: anterior scoring technique and results in 500 cases. Plast Reconstr Surg. 2000;105(2):504–15.

    Article  PubMed  CAS  Google Scholar 

  10. Chongchet V. A method of antihelix reconstruction. Br J Plast Surg. 1963;16:268–72.

    Article  PubMed  CAS  Google Scholar 

  11. Davids JS, Kitlowski EA. Abnormal prominence of the ears: a method of readjustment. Surgery. 1937;2:835–8.

    Google Scholar 

  12. Dieffenbach JE. Die ohrbildung otoplastik. In: Die operative Chirurgie. Leipzig: Brockhaus; 1848. p. 395–7.

    Google Scholar 

  13. Echarri SMR, Cunado HM, Woodeson MJ, Mayor PG. Otoplasty: results after anterior versus posterior approach. Acta Otorrinolaringol Esp. 2011;62(3):188–93.

    Article  Google Scholar 

  14. Ely ET. An operation for prominence of the auricles. Arch Otolaryngol. 1881;10:97–9.

    Google Scholar 

  15. Fritsch MH. Incisionless otoplasty. Laryngoscope. 1995;105:1–11.

    Article  PubMed  CAS  Google Scholar 

  16. Fritsch MH. Incisionless otoplasty. Otolaryngol Clin North Am. 2009;42:1199–208.

    Article  PubMed  Google Scholar 

  17. Furnas DW. Correction of prominent ears by conchamastoid sutures. Plast Reconstr Surg. 1968;42(6):189–93.

    PubMed  CAS  Google Scholar 

  18. Graham KE, Gault DT. Endoscopic assisted otoplasty: a preliminary report. Br J Plast Surg. 1997;50(1):47–57.

    Article  PubMed  CAS  Google Scholar 

  19. Keen WW. New method of operating for relief of deformity from prominent ears. Ann Surg. 1890;11(1):49–51.

    Article  PubMed  CAS  Google Scholar 

  20. Lavy J, Stearns M. Otoplasty: techniques, results and complications – a review. Clin Otolaryngol Allied Sci. 1997;22(5):390–3.

    Article  PubMed  CAS  Google Scholar 

  21. Leclere FM, Trelles M, Mordon SR. Cartilage reshaping for protruding ears: a prospective long term follow-up of 32 procedures. Lasers Surg Med. 2011;43(9):875–80.

    Article  PubMed  Google Scholar 

  22. Luckett WH. A new operation for prominent ears based on the anatomy of the deformity. Surg Gynecol Obstet. 1910;10:635–7.

    Google Scholar 

  23. Maricevich P, de Amorim NF G, Duprat R, Pitanguy I. Island technique for prominent ears: an update of the Ivo Pitanguy clinic experience. Aesthet Surg J. 2011;31(6):623–33.

    Article  PubMed  Google Scholar 

  24. McEvitt WG. The problem of the protruding ear. Plast Reconstr Surg (1946). 1947;2(5):481–96.

    Article  CAS  Google Scholar 

  25. Messner AH, Crysdale WS. Otoplasty. Clinical protocol and long-term results. Arch Otolaryngol Head Neck Surg. 1996;122(7):773–7.

    Article  PubMed  CAS  Google Scholar 

  26. Miller C. Operations for corrections of outstanding ears. In: Miller CC, editor. Cosmetic surgery: the correction of featural imperfections. Philadelphia: Davis; 1925. p. 201–11.

    Google Scholar 

  27. Mompo L, Pastor G, Carrasco M. Otoplasty without cartilage section using the Mustarde technique. Presentation of our experience. Acta Otorrinolaringol Esp. 2011;62(3):181–7.

    Article  PubMed  Google Scholar 

  28. Morestin MH. De la reposition et du plissement cosmetiques du pavillon de l’oreille. Rev Orthop. 1903;4:289–303.

    Google Scholar 

  29. Mustarde JC. The treatment of prominent ears by buried mattress sutures: a ten-year survey. Plast Reconstr Surg. 1967;39(4):382–6.

    Article  PubMed  CAS  Google Scholar 

  30. Owens N, Delgado DD. The management of outstanding ears. South Med J. 1965;58:32–3.

    Article  PubMed  CAS  Google Scholar 

  31. Peker F, Celikoz B. Otoplasty: anterior scoring and posterior rolling technique in adults. Aesthetic Plast Surg. 2002;26(4):267–73.

    Article  PubMed  Google Scholar 

  32. Pierce GW, Klabunde EH, Bergeron VL. Useful procedures in plastic surgery. Plast Reconstr Surg (1946). 1947;2(4):358–61.

    Article  CAS  Google Scholar 

  33. Ragab A. Carbon dioxide laser-assisted cartilage reshaping otoplasty: a new technique for prominent ears. Laryngoscope. 2010;120(7):1312–8.

    Article  PubMed  Google Scholar 

  34. Ruttin E. Eine Methode zur Korrektur ­abstehender Ohren und zum Verschluss retroaurikulaerer Oeffnungen. Monatsschr Ohrenheilkd. 1910;44:196.

    Google Scholar 

  35. Salgarello M, Gasperoni C, Montagnese A, Farallo E. Otoplasty for prominent ears: a versatile combined technique to master the shape of the ear. Otolaryngol Head Neck Surg. 2007;137(2):224–7.

    Article  PubMed  Google Scholar 

  36. Scharer SA, Farrior EH, Farrior RT. Retrospective analysis of the Farrior technique for otoplasty. Arch Facial Plast Surg. 2007;9(3):167–73.

    Article  PubMed  Google Scholar 

  37. Schlegel-Wagner C, Pabst G, Muller W, Linder T. Otoplasty using a modified anterior scoring technique: standardized measurements of long-term results. Arch Facial Plast Surg. 2010;12(3):143–8.

    Article  PubMed  Google Scholar 

  38. Sinha M, Richard B. Postauricular fascial flap and suture otoplasty: a prospective outcome study of 227 patients. J Plast Reconstr Aesthet Surg. 2012;65(3):367–71.

    Article  PubMed  Google Scholar 

  39. Stark RB, Saunders DE. Natural appearance restored to the unduly prominent ear. Br J Plast Surg. 1962;15:385–97.

    Article  PubMed  CAS  Google Scholar 

  40. Stenstrom WJ. An aid to accurate fixation during fundus photography. Arch Ophthalmol. 1963;70:389–90.

    Article  PubMed  CAS  Google Scholar 

  41. Tan ST, Shibu M, Gault DT. A splint for correction of congenital ear deformities. Br J Plast Surg. 1994;47(8):575–8.

    Article  PubMed  CAS  Google Scholar 

  42. Tan ST, Gault DT. When do ears become prominent? Br J Plast Surg. 1994;47(8):573–4.

    Article  PubMed  CAS  Google Scholar 

  43. Valente AS. Separating the helix from the antihelix: a new concept in prominent ear correction. Aesthet Surg J. 2010;30(2):139–53.

    Article  PubMed  Google Scholar 

  44. Vital V, Printza A. Cartilage-sparing otoplasty: our experience. J Laryngol Otol. 2002;116(9):682–5.

    Article  PubMed  Google Scholar 

  45. Vuyk HD. Cartilage-sparing otoplasty: a review with long-term results. J Laryngol Otol. 1997;111(5):424–30.

    PubMed  CAS  Google Scholar 

  46. Young F. The correction of abnormally prominent ears. Surg Gynecol Obstet. 1944;78:541.

    Google Scholar 

  47. Yugueros P, Friedland JA. Otoplasty: the experience of 100 consecutive patients. Plast Reconstr Surg. 2001;108(4):1045–51; discussion 1052–3.

    Article  PubMed  CAS  Google Scholar 

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Correspondence to Jack A. Friedland M.D., FACS .

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Friedland, J.A., Friedland, J.A., Maricevich, R.S. (2013). Use of Multiple Techniques for Otoplasty (Stenstrom, Mustarde, Furnas). In: Shiffman, M. (eds) Advanced Cosmetic Otoplasty. Springer, Berlin, Heidelberg. https://doi.org/10.1007/978-3-642-35431-1_20

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  • DOI: https://doi.org/10.1007/978-3-642-35431-1_20

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