Preventing suture extrusion and recurrence in mustarde and furnas otoplasties by using laterally based postauricular dermal flap, long-term results

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dc.contributor.authorBaşat, Salih Onur
dc.contributor.authorCeran, Fatih
dc.contributor.authorAskeroğlu, Ufuk
dc.contributor.authorAksan, Tolga
dc.contributor.authorOrman, Çağdaş
dc.contributor.authorYazar, Memet
dc.contributor.authorÜsçetin, İlker
dc.contributor.authorAkan, Mithat
dc.contributor.authorBozkurt, Mehmet
dc.date.accessioned10.07.201910:49:13
dc.date.accessioned2019-07-10T19:57:52Z
dc.date.available10.07.201910:49:13
dc.date.available2019-07-10T19:57:52Z
dc.date.issued2016
dc.departmentİstanbul Medipol Üniversitesi, Tıp Fakültesi, Cerrahi Tıp Bilimleri Bölümü, Plastik, Rekonstrüktif ve Estetik Cerrahi Ana Bilim Dalı
dc.descriptionWOS: 000384271100055
dc.descriptionPubMed ID: 27607117
dc.description.abstractBackground:Prominent ear deformity (PD) is an unacceptable condition of pinna that affects 5% of the population and is associated with emotional stress, behavioral disturbances, and social restrictions in relationships. Conchal hypertrphy, inadequate formation of antihelical fold, earlobe placement ahead than it should be, or various combinations of these changes are main characteristics of PD. Many surgical techniques have been described for the PD.The authors' aim was to present laterally based postauricular dermal flap combination with cartilage-sparing methods and effectiveness of this technique in suture extrusion prevention and reducing the rate of recurrence with long-term results.Methods:Forty-one patients had bilateral and 6 patients had unilateral PD, a total of 47 patients with a mean age of 14.48 were operated by using this combined procedure. A laterally based supraperichondrial dermal flap was prepared from a deepithelized elliptical postauricular incision. Mustarde and Furnas suture techniques were used solely for PD correction. The dissected laterally based dermal flap was fixed to the mastoid bone with sutures in stretched position after reshaping the auricular cartilage with sutures.Results:The average helix-mastoid distance was (mm) 16.282.36, concha-mastoid angle was 25.71 +/- 0.96 degrees on 12-month measurements. The helix-mastoid distance showed an increase of 1 to 3mm, in the concha-mastoid angle measurements of 1 degrees to 2 degrees. Statistically significant changes were observed between the average preoperative, postoperative 1. month, postoperative 12. month helix-mastoid distances (mm), and month concha-mastoid angle (degrees) measurements (P=0.0001).Conclusions:The laterally based postauricular dermal flap technique is an effective method to prevent suture extrusion and recurrence which are the most important complications of otoplasty procedure and easy to apply.
dc.identifier.citationBaşat, S. O., Ceran, F., Askeroğlu, U., Aksan, T., Orman, Ç., Yazar, M. ... Bozkurt, M. (2016). Preventing suture extrusion and recurrence in mustarde and furnas otoplasties by using laterally based postauricular dermal flap, long-term results. Journal Of Craniofacial Surgery, 27(6), 1476-1480. https://dx.doi.org/10.1097/SCS.0000000000002832
dc.identifier.doi10.1097/SCS.0000000000002832
dc.identifier.endpage1480
dc.identifier.issn1049-2275
dc.identifier.issn1536-3732
dc.identifier.issue6
dc.identifier.scopusqualityQ3
dc.identifier.startpage1476
dc.identifier.urihttps://dx.doi.org/10.1097/SCS.0000000000002832
dc.identifier.urihttps://hdl.handle.net/20.500.12511/3064
dc.identifier.volume27
dc.identifier.wosqualityQ4
dc.indekslendigikaynakWeb of Science
dc.indekslendigikaynakScopus
dc.indekslendigikaynakPubMed
dc.language.isoen
dc.publisherLippincott Williams & Wilkins
dc.relation.ispartofJournal Of Craniofacial Surgeryen_US
dc.relation.publicationcategoryMakale - Uluslararası Hakemli Dergi - Kurum Öğretim Elemanı
dc.rightsinfo:eu-repo/semantics/embargoedAccess
dc.subjectLaterally Based Dermal Flap
dc.subjectOtoplasty
dc.subjectPostauricular
dc.subjectProminent Ear
dc.subjectReccurence
dc.subjectSuture Extrusion
dc.titlePreventing suture extrusion and recurrence in mustarde and furnas otoplasties by using laterally based postauricular dermal flap, long-term results
dc.typeArticle

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