Kombine Mustardé ve Furnas tipi otoplastisi: 85 hastalık deneyim

Amaç: Çalışmamızın amacı otoplasti cerrahisinde kombine teknik (Mustardé ve Furnas otoplastisi) deneyimimizi sunmak, elde edilen kozmetik sonuçların, komplikasyonlar ve tedavi insidansını incelemektir. Yöntem: Kombine Mustardé ve Furnas otoplasti prosedürü geçirmiş hastaların klinik veri tabanları içinde bir retrospektif çalışma uygulanmıştır. Kepçe kulakları olan toplam 147 hasta, 2008 Martıyla Kasım 2012 arasında otoplasti prosedüründen geçmiştir. Bu 147 hastanın 85'i kombine Mustardé ve Furnas otoplastisi amaliyatı olmuş ve çalışmaya uygunluk kriterlerini karşılamıştır. Veriler tablo haline getirilmiş, yaş, cinsiyet, otoplasti yöntem, etkilenen bölge ve komplikasyon açısından analiz edilmiştir. Bulgular: Yetmiş bir hasta çift ve 14'ü tek taraflı prosedürlerden geçirilmiş ve toplam 156 kulağın rekonstrüksiyonu yapılmıştır. Bir hastada eksizyon ve topikal ve enjektabl steroidlerle tedavi edilen keloidler gelişmiştir. Sekiz kulakta en sık görülen, ancak en minör komplikasyon olan sütür ekstrüzyonu dikkat çekmiştir. Bu dışarı atılan sütürlerin tümü lokal anestezi altında çıkartılmış ve bu hastaların hiçbiri herhangi bir ek prosedüre gerek göstermemiştir. Yedi kulağın yeterince düzeltilemediği dikkat çekmiş ve ikinci bir düzeltme prosedürünün uygulanmasına yol açılmıştır. Sonuç: Kombine Mustardé ve Furnas tipi otoplasti tekniği basit ve güvenli prosedür olup kulak ön yüzünde nedbeleşme ve cilt nekrozuna neden olmamaktadır. İlaveten, yeniden yapılandırılan kulak, dış güç ve travmaya karşı sağlamlık ve stabilite açısından güvenli sonuçlar göstermektedir.

Anahtar Kelimeler:

Otoplasti, pinnaplasti, kepçe kulak, yarasa kulak

Combined Mustardé and Furnas type otoplasty: the experience of 85 patients

Objective: To present combined technique (Mustardé and Furnas otoplasty) experience and to analyze the cosmetic results achieved and the incidence of complications and their management in otoplasty surgery. Methods: A retrospective study was performed within the clinical databases for patients who had undergone combined Mustardé and Furnas otoplasty procedure. A total of 147 patients with protruding ears underwent otoplasty procedure from March 2008 and November 2012. Eighty-five of these 147 patients were operated with combined Mustardé and Furnas otoplasty procedure and met the eligibility criteria for the study. Data were tabulated and analyzed in regard to age, sex, method of otoplasty, side involved, and complications. Results: Seventy-one patients underwent bilateral procedures and 14, unilateral, for a total of 156 ears reconstructed. One patient developed keloids treated with excision, and combination of topical and injected steroids. Suture extrusion, the most frequent but the most minor complication, was noted in eight ears. All extruded sutures were removed while the patient was under local anesthesia, and none of these patients required any additional procedures. Undercorrection was noted in seven ears which led to secondary correction. Conclusion: The combined Mustardé and Furnas type otoplasty technique is a simple and safe procedure that does not cause anterior scarring or skin necrosis. In addition, the reconstructed ear shows reliable results in firmness and stability against external force or trauma.

Keywords:

Otoplasty, pinnaplasty, protruding ear, bat ear,

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Please cite this article as: Songu M. Combined Mustardé and Furnas type otoplasty: the experience of 85 patients. J Med Updates 2013;3(3):129-134.