Evaluation and comparison of two different cartilage-sparing techniques in 356 otoplasties performed in children

Abstract

Background: Prominent ear is the most common deformity of the external ear. Although hundreds of surgical otoplasty techniques have been described, none of them has proved enough advantage over others to become the gold standard in this field. In this study, we evaluated the results of a cohort of 188 patients operated with two different cartilagesparing otoplasty techniques.

Patients and methods: A total of 356 otoplasties were performed in 188 patients, between January 2012 and November 2016. Two different techniques were utilized in two different groups: a modified-Mustardé otoplasty and a modified-Furnas technique. Postoperative follow-ups were performed at week 1, and at 1 and 6 months and at 1 year. Complications were recorded and compared between both techniques. The success rate was measured according to McDowells’ criteria.

Results: A total of 356 ears were operated in 188 patients (85 men; 103 women; mean age 9.97; range: 6–15 years). In all, 105 patients underwent modified-Mustarde otoplasty, and 83 were operated utilizing a modified-Furnas technique. Success rates ranged from 90 to 100% depending on the technique utilized. No significative differences were
observed in the incidence of complications and success rates.

Conclusion: None of the compared otoplasty techniques showed better results than the other. Notwithstanding, otoplasty shows to be an effective treatment with high success rates (independent of the technique utilized) for patients with prominent ears.

Keywords: antihelix, concha, Furnas, Mustarde, otoplasty, prominent ears