Refinement of the Mustardé technique for the treatment of prominent ears

ABSTRACT

Introduction:

Traditionally, multiple abnormalities can cause prominent ears, and specific techniques have been developed for the treatment of each abnormality. In this study, we tested a single approach aimed at achieving satisfactory outcomes.

Method:

Patients submitted to bilateral otoplasty, between June 2010 and December 2012, were retrospectively evaluated and divided into two groups: group 1 - patients submitted to the conventional Mustardé technique and group 2 - those who underwent the modified Mustardé technique. For comparison, we collected data relating to early and late complications, requirement for a new surgery, and degree of patient satisfaction. Statistical analysis was performed with Fisher’s exact test.

Results:

Group 1 included nine patients treated with the conventional Mustardé technique. A case of suture extrusion (11.11%) was observed. Seven patients reported to be very satisfied, one satisfied, and one dissatisfied because of insufficient correction and a subsequent need for a second surgery. Group 2 included 19 patients submitted to the modified Mustardé technique, which involved three sutures in the middle third of the ear and the posterior rotation of the vertex of the antihelix. One case of bilateral infection (5.26%) was observed. Seventeen patients reported to be very satisfied, one satisfied, and another dissatisfied because of insufficient correction, thus needing to undergo a second surgery. No statistical difference was observed between the two groups.

Conclusion:

The identification of the basic abnormality associated with prominent ears allows performing a single approach that is easy to learn and implement, in addition to providing good outcome (i.e., natural appearance) and a high degree of patient satisfaction.

Keywords:
External ear/abnormalities; Plastic surgery; Results evaluation; Postoperative complications