Further Refinements in Otoplasty Surgery: a modified approach to prevent suture extrusion in cartilage-suturing otoplasty using a postauricular dermofascial flap

耳成形术 纤维接头 医学 外科 软骨 解剖
作者
Neil Bulstrode,Elsa M. Ronde,Ahmed S. Mazeed
出处
期刊:Plastic and Reconstructive Surgery [Lippincott Williams & Wilkins]
标识
DOI:10.1097/prs.0000000000011342
摘要

Background: Suture extrusion has been reported to be the most common complication following cartilage-sparing otoplasty. Several studies have described various designs of postauricular flaps to cover the cartilage sutures and reduce the incidence of suture extrusion. Patients and methods: One hundred consecutive patients with prominent ears were operated between January 2018 and February 2023 using a de-epithelialized postauricular dermofascial flap that is performed as an adjunct to our cartilage-sparing otoplasty technique which is essentially a combined modified Mustardé and Furnas technique. The flap is used to cover the cartilage holding sutures with an extra layer of vascularized tissue to avoid the scar being directly over these sutures. Results: The median age of patients was 12 (IQR 9-15) years. One out of the 100 patients (1%) developed a postauricular skin infection requiring surgical removal of sutures. Primary suture extrusion did not occur, compared to our earlier study of cartilage-sparing technique without the postauricular flap in which 17 out of 200 patients had suture extrusion (p=0.001). No hematoma occurred that necessitated return to the theatre. Skin necrosis and wound dehiscence did not occur in any case. No patients developed cartilage deformities or relapse requiring surgical correction. Conclusions: Combining cartilage-sparing otoplasty using sutures and the described postauricular dermofascial flap is simple to perform and has significantly reduced the complication rate and improved the outcome compared to cartilage-sparing otoplasty alone. We recommend using this flap for both primary and revisional otoplasty.
最长约 10秒,即可获得该文献文件

科研通智能强力驱动
Strongly Powered by AbleSci AI
更新
PDF的下载单位、IP信息已删除 (2025-6-4)

科研通是完全免费的文献互助平台,具备全网最快的应助速度,最高的求助完成率。 对每一个文献求助,科研通都将尽心尽力,给求助人一个满意的交代。
实时播报
1秒前
超帅连虎完成签到,获得积分10
1秒前
如意的冰双完成签到 ,获得积分10
2秒前
Dully97给Dully97的求助进行了留言
3秒前
3秒前
四辈完成签到,获得积分10
4秒前
妹妹完成签到,获得积分20
5秒前
fd163c应助Advance.Cheng采纳,获得10
5秒前
LaTeXer应助自由老头采纳,获得100
5秒前
崔浩宇发布了新的文献求助10
7秒前
NexusExplorer应助fiell采纳,获得10
7秒前
勤劳的乐安完成签到,获得积分10
8秒前
kitty发布了新的文献求助20
9秒前
kiltorh完成签到,获得积分10
9秒前
Orange应助平常的路人采纳,获得10
9秒前
10秒前
风犬少年完成签到,获得积分10
10秒前
10秒前
懒懒洋洋洋完成签到 ,获得积分10
10秒前
11秒前
詹密完成签到,获得积分10
11秒前
积极含羞草完成签到,获得积分10
12秒前
故事的小红花完成签到,获得积分10
12秒前
QWDSA完成签到,获得积分10
13秒前
龙华之士发布了新的文献求助10
14秒前
14秒前
北冥有鱼完成签到,获得积分10
16秒前
Yddear发布了新的文献求助10
16秒前
manfullmoon完成签到,获得积分10
16秒前
鲨鱼也蛀牙完成签到,获得积分10
16秒前
Dragon完成签到 ,获得积分10
16秒前
16秒前
李健应助小王采纳,获得10
17秒前
云轩完成签到,获得积分10
19秒前
顾矜应助王铂然采纳,获得10
20秒前
20秒前
20秒前
岩下松风完成签到,获得积分10
21秒前
zzzyyyuuu完成签到 ,获得积分10
21秒前
默默白桃完成签到 ,获得积分10
21秒前
高分求助中
【提示信息,请勿应助】关于scihub 10000
Les Mantodea de Guyane: Insecta, Polyneoptera [The Mantids of French Guiana] 3000
徐淮辽南地区新元古代叠层石及生物地层 3000
The Mother of All Tableaux: Order, Equivalence, and Geometry in the Large-scale Structure of Optimality Theory 3000
Global Eyelash Assessment scale (GEA) 1000
Picture Books with Same-sex Parented Families: Unintentional Censorship 550
Research on Disturbance Rejection Control Algorithm for Aerial Operation Robots 500
热门求助领域 (近24小时)
化学 材料科学 医学 生物 工程类 有机化学 生物化学 物理 内科学 纳米技术 计算机科学 化学工程 复合材料 遗传学 基因 物理化学 催化作用 冶金 细胞生物学 免疫学
热门帖子
关注 科研通微信公众号,转发送积分 4038446
求助须知:如何正确求助?哪些是违规求助? 3576149
关于积分的说明 11374627
捐赠科研通 3305875
什么是DOI,文献DOI怎么找? 1819354
邀请新用户注册赠送积分活动 892680
科研通“疑难数据库(出版商)”最低求助积分说明 815048