Retrospective Study of the Long-Term Results of Otoplasty Using a Modified Mustardé (Cartilage-Sparing) Technique

Olivier, Beaudoin; Mohammad, Hamid; Christian, Ahmarani; Akram, Rahal
June 2009
Journal of Otolaryngology -- Head & Neck Surgery;Jun2009, Vol. 38 Issue 3, p340
Academic Journal
Objective: To determine the long-term results and the complication rates of a cartilage-sparing otoplasty technique. Patients and Methods: In our study, patients who had undergone otoplasty from 1990 to 2002 inclusively were evaluated retrospectively. The study consisted of a chart review and a telephone survey. The minimum follow-up for patients was 5 years. Main Outcome Measures: The main outcome measures were long-term satisfaction rates, early complications, late complications, and rate of revisional procedures. A detailed description of the surgical technique is included. Results: The overall long-term satisfaction rate was 95.7%. Early complications (, 1 month) included one case of bleeding (1.0%) and five cases of asymmetry (4.9%) between both ears, two of which required reoperations. One case of early unilateral recurrence was noted owing to trauma inflicted by another child (1.0%) and necessitated a revisional procedure. Late complications (. 1 month) included five cases (4.8%) of suture granulomas/extrusions, three (2.9%) keloids, and one case of hypertrophic scarring (1.0%). Seven cases of partial recurrence of the deformity (10.3%) were noted, six of which were unilateral and one of which was bilateral, none requiring reoperation. There was only one case of overcorrection of the deformity (1.4%). Three cases within the sample of 104 patients underwent reoperation, yielding a 2.9% rate of revision procedures. Conclusions: On long-term follow-up, the otoplasty technique used in our institution yields a high satisfaction rate and a low complication rate.


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