Skip to main content

Posterior Suturing with Postauricular Fascial Flap Otoplasty

  • Chapter
  • First Online:
  • 2258 Accesses

Abstract

The posterior suturing with postauricular fascial flap otoplasty technique was designed to address the high rate of postauricular suture extrusion and recurrence with the cartilage-sparing techniques. It utilizes conchoscaphoid and conchomastoid suturing with permanent sutures with the addition of a postauricular superficial muscular aponeurotic system (SMAS) flap sutured to the helical rim to cover the permanent sutures. The technique is versatile and controls the posterior suturing techniques that are not usually a feature of the anterior scoring otoplasty techniques. The surgical technique is described.

This is a preview of subscription content, log in via an institution.

Buying options

Chapter
USD   29.95
Price excludes VAT (USA)
  • Available as PDF
  • Read on any device
  • Instant download
  • Own it forever
eBook
USD   149.00
Price excludes VAT (USA)
  • Available as EPUB and PDF
  • Read on any device
  • Instant download
  • Own it forever
Softcover Book
USD   199.99
Price excludes VAT (USA)
  • Compact, lightweight edition
  • Dispatched in 3 to 5 business days
  • Free shipping worldwide - see info

Tax calculation will be finalised at checkout

Purchases are for personal use only

Learn about institutional subscriptions

References

  1. Dieffenbach JF. Die operative Chirurgie. Leipzig: FA Brockhause; 1845.

    Google Scholar 

  2. Stenstroem SJ. A “natural” technique for correction of congenitally prominent ears. Plast Reconstr Surg. 1963;32:509–18.

    Article  PubMed  CAS  Google Scholar 

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

    Article  PubMed  CAS  Google Scholar 

  4. Mustardé JC. The correction of prominent ears using simple mattress sutures. Br J Plast Surg. 1963;16:170–8.

    Article  PubMed  Google Scholar 

  5. Mustarde JC. Results of otoplasty by the author’s method. In: Goldwyn RM, editor. Long-term results in plastic and reconstructive surgery. Boston: Little Brown & Co; 1980. p. 138–44.

    Google Scholar 

  6. Furnas DW. Correction of prominent ears by conchal mastoid sutures. Plast Reconstr Surg. 1968;42(3):189–93.

    Article  PubMed  CAS  Google Scholar 

  7. Minderjahn A, Hüttl WR, Hildmann H. Mustardé’s otoplasty–evaluation of correlation between clinical and statistical findings. J Maxillofac Surg. 1980;8(3):241–50.

    Article  PubMed  CAS  Google Scholar 

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

    Article  PubMed  CAS  Google Scholar 

  9. 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 

  10. Ellis D, Keohane J. A simplified approach to otoplasty. J Otolaryngol. 1992;21(1):66–9.

    PubMed  CAS  Google Scholar 

  11. Horlock N, Misra A, Gault DT. The postauricular fascial flap as an adjunct to Mustardé and Furnas type otoplasty. Plast Reconstr Surg. 2001;108(6):1487–90.

    Article  PubMed  CAS  Google Scholar 

  12. Mandal A, Bahia H, Ahmad T, Stewart KJ. Comparison of cartilage scoring and cartilage sparing otoplasty – a study of 203 cases. J Plast Reconstr Aesthet Surg. 2006;59(11):1170–6.

    Article  PubMed  CAS  Google Scholar 

  13. Schaverien MV, Al-Busaidi S, Stewart KJ. Long-term results of posterior suturing with postauricular fascial flap otoplasty. J Plast Reconstr Aesthet Surg. 2010;63(9):1447–51.

    Article  PubMed  CAS  Google Scholar 

  14. Cooper-Hobson G, Jaffe W. The benefits of otoplasty for children: further evidence to satisfy the modern NHS. J Plast Reconstr Aesthet Surg. 2009;62(2):190–4.

    Article  PubMed  CAS  Google Scholar 

  15. Webster RC, Smith RC. Otoplasty for prominent ears. In: Goldwyn RM, editor. Long-term results in plastic and reconstructive surgery. Boston: Little Brown & Co.; 1980. p. 146–86.

    Google Scholar 

  16. 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 

Download references

Acknowledgements

The authors are indebted to the Department of Medical Photography at the Royal Hospital for Sick Children for production of the photographs; Mr. Patrick Addison, consultant plastic surgeon, for his help with this study; Miss Elizabeth Whallett, consultant plastic surgeon, for illustrative figures; and above all the patients involved in the study and their parents.

Author information

Authors and Affiliations

Authors

Corresponding author

Correspondence to Mark V. Schaverien MBChB, MRCS, MSc, MEd, M.D. .

Editor information

Editors and Affiliations

Rights and permissions

Reprints and permissions

Copyright information

© 2013 Springer-Verlag Berlin Heidelberg

About this chapter

Cite this chapter

Schaverien, M.V., Stewart, K.J. (2013). Posterior Suturing with Postauricular Fascial Flap Otoplasty. In: Shiffman, M. (eds) Advanced Cosmetic Otoplasty. Springer, Berlin, Heidelberg. https://doi.org/10.1007/978-3-642-35431-1_34

Download citation

  • DOI: https://doi.org/10.1007/978-3-642-35431-1_34

  • Published:

  • Publisher Name: Springer, Berlin, Heidelberg

  • Print ISBN: 978-3-642-35430-4

  • Online ISBN: 978-3-642-35431-1

  • eBook Packages: MedicineMedicine (R0)

Publish with us

Policies and ethics