Summary
The anterior scoring technique is criticised for a higher risk of haematoma related
complications while the suture techniques for suture-extrusion and recurrence. Horlock
et. al. described a suture otoplasty with addition of a postauricular fascial flap
to reduce suture extrusion and noted recurrence rates of 8%. We report the senior
author’s experience with this technique in 227 consecutive cases. All cases were done
by or under supervision of the senior author and the data collected prospectively.
Complications, recurrence, revision rate and results as recorded were analysed. A
total of 10 (7 early 3 late) complications were recorded (4.4%). Suture extrusion
(n = 6, 2.64%), Keloids (n = 3, 1.32%), Infection, anterior skin necrosis (n = 1 each, 0.44%). A total of 6 unilateral and 5 bilateral cases had a recurrence
(3.67% total ears) and 97% of recorded outcomes were reported as good or excellent
results. The low complication rate seems to support the hypothesis that the fascial
flap prevents suture extrusion and reduces risk of recurrence. Lack of Anterior dissection
avoids risks of bleeding and haematoma.
Keywords
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References
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Article info
Publication history
Published online: November 10, 2011
Accepted:
September 12,
2011
Received:
July 6,
2011
Footnotes
☆Presented at the 2010 winter meeting of BAPRAS in London.
Identification
Copyright
© 2011 British Association of Plastic, Reconstructive and Aesthetic Surgeons. Published by Elsevier Inc. All rights reserved.
