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Medica Jadertina, Vol. 53 No. Suplement 1, 2023.

Meeting abstract

Postauricular fascia: the hidden key to successful otoplasty

Tena Šimunjak ; KB Sveti Duh, Zagreb, Hrvatska
Ivan Rašić ; KBC Sestre milosrdnice, Zagreb, Hrvatska
Alan Pegan ; KBC Sestre milosrdnice, Zagreb, Hrvatska
Andro Košec ; KBC Sestre milosrdnice, Zagreb, Hrvatska

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Abstract

Introduction: Traditional otoplasty techniques involve cartilage cutting, scoring and reshaping it with sutures.
Intrinsic postauricular fascia gained popularity in 2001 when Horlock et al. first described a medially based
fascia flap which served as cover for Mustradé sutures. Due to the consequent decrease in the recurrence rate,
the decrease in need for revision and the reduction in the number of complications, we can witness a significant
increase in the utilization of postauricular fascia flaps in otoplasty, even as a stand-alone procedure for
correction of protruding ears. Aim: To describe a novel modified partial laterally based
perichondrioadipodermal flap in cartilage-spearing otoplasty and to review the existing modifications of
intrinsic postauricular fascia flaps in literature. Surgical technique summery: Postauricular skin incision is
performed as de-epitelialization. Incision and elevation of the distally based flap is set in the mid-third of the
exposed fascia. The dissection and elevation of the flap is performed on the subperichondrial plane. Discussion:
Many authors, over the years, contributed to the perfection of the otoplasty techniques to obtain the most
natural appearance of the ear. In strive for perfection, and with goal to reduce known complications of previous
techniques, the postauricular fascia flap was first introduced in 2001. Since then, modifications of medially
and laterally based fascia flap have been published. Yet, each still has some minor drawbacks. In respect to
published postulates, we modified the existing technique to serve us as a great addition to traditional techniques
and as stand-alone procedure in correcting isolated upper helical protrusion. Conclusion: Modifications of
intrinsic postauricular fascia flaps may present a great addition to traditional techniques, but with constant
awareness to look each protruding ear per se.

Keywords

otoplasty; postauricular fascia; prominent ears; surgery

Hrčak ID:

308122

URI

https://hrcak.srce.hr/308122

Publication date:

19.9.2023.

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