Thread method

from Wikipedia, the free encyclopedia

The thread method is a minimally invasive otoplasty operation . The method is one of the special types of otoplasty operations . In contrast to other special forms, the suture method does not use additional techniques from traditional otopex surgery (see otopexy ). It belongs to the closed ear surgery, because the auricle is not cut open to lay the sutures. In the opinion of the author of the thread method, it is suitable for all protruding ears and, besides Mustardé's ear surgery, is the only method in which the cartilage is not weakened by scratches. The Merck suture method is the most commonly used method of minimally invasive ear surgery.

A method called the EarFold or Earfold method has recently been offered as a minimally invasive method. However, it does not meet the criteria of a minimally invasive otoplasty operation because, like traditional oturgery (see traditional oturgery ), incisions are made from which skin is lifted from the cartilage, albeit to a lesser extent.

history

The technique of the thread method as well as its results and possible risks has been described by Merck. According to him, he developed it in 1995 and used it on a large number of patients from 1996 onwards.

Surgical method

From 2 to 3 stab incisions on the back of the auricle, permanent, non-absorbable (non-dissolvable) sutures are placed around the cartilage of the antihelix using a special technique , tightened and knotted without the ear being cut open. When the threads are tightened, the auricle moves towards the head. The cartilage is left intact. The attached ear is held in its new position by the threads alone. During the operation, the patient can check and help determine the new position of his ears in a hand mirror. If the cartilage structure of the ear protrudes sufficiently far into the earlobe, Merck also uses the thread method to attach protruding earlobes.

In 1995 Fritsch had operated on 13 patients with this technique, but not limited to them, but combined this technique with the conventional method according to Furnas. In his later publications, Fritsch abandoned this method because he suspected that lasting results can only be achieved if the cartilage is additionally pricked, scratched or deeply cut in and sometimes completely through the cartilage on the front of the antihelical fold, which is based on conventional otoplasty surgery Stenström corresponds. In the opinion of Merck, supplementation with the Furnas and Stenström method is not necessary, which he demonstrated with several thousand operated ears.

Possible complications and risks

Pain; Thread repulsion; rarely inflammation; Relapse ; very rarely thread granuloma or atheroma ; low, harmless secondary bleeding (see also risks in the otopexy chapter ); slight, very rarely greater asymmetry .

See also

  • In ophthalmology , there is a special method of eye muscle surgery , the thread operation is called.
  • Outside of medicine, the term thread method is used for a special method of removing hair from the area of ​​the eyebrows, upper lip and face.

supporting documents

  1. ↑ Hilko Weerda: Surgery of the auricle. Georg Thieme Verlag, 2004, ISBN 3-13-130181-3 .
  2. ↑ BL Kaye: A simplified method for correcting the prominent ear. In: Plastic and reconstructive surgery. Volume 40, Number 1, July 1967, pp. 44-48, PMID 5338774 .
  3. ^ R. Mouly, Correction sans ciĹcatrice des oreilles décollées. Ann. Chir. Plast. , 16, 55-59, 1971
  4. ↑ IJ Peled: knifeless otoplasty: how simple can it be? In: Aesthetic plastic surgery. Volume 19, Number 3, 1995 May-Jun, pp. 253-255, PMID 7668173 .
  5. ↑ MH Fritsch: Incisionless otoplasty. In: Otolaryngologic clinics of North America. Volume 42, Number 6, December 2009, pp. 1199-208, Table of Contents, doi: 10.1016 / j.otc.2009.09.003 , PMID 19962016 .
  6. ^ H. Tramier: Personal approach to treatment of prominent ears. In: Plastic and reconstructive surgery. Volume 99, Number 2, February 1997, pp. 562-565, PMID 9030170 .
  7. ^ TR Vecchione: Needle scoring of the anterior surface of the cartilage in otoplasty. In: Plastic and reconstructive surgery. Volume 64, Number 4, October 1979, p. 568, PMID 482446 .
  8. ↑ WH Merck: The thread method according to Dr. Merck. J. Aesth. Chir. 209-220, 2013
  9. ↑ WH Merck: The thread method according to Dr. Merck. J. Aesth. Chir. 209-220, 2013
  10. ↑ WHMerck: Auricle correction without skin incision - the Merck thread method. In: K.Bumm (Ed.): Correction and reconstruction of the auricle. Springer, 153–169, 2017
  11. ^ MH Fritsch: "Incisionasty". Laryngoscope . 105, 1-11, 1995
  12. ↑ Furnas, D. (1968). "Correction of prominent ears by concha mastoid sutures." Plast Reconstr Surg 42: 189
  13. ^ MH Fritsch: "Incisionless Otoplasty". Facial Plastic Surgery 20, 267-70, 2004
  14. ^ MH Fritsch: Incisionless Otoplasty. Otolaryngol. Clin. N. Am. 42, 1199-1208, 2009
  15. ^ MH Fritsch: "Incisionless otoplasty. A review. " J Aesthet Chir , 6. 203-208, 2013