Mustardé ear surgery

The otoplasty surgery Mustardé is a traditional or conventional method of Otopexie .

history

The technique of this operation was first described by Mustardé in 1960. Further publications by him appeared in 1963 and 1967.

Surgical method

It is an anti-helix plastic that is performed using the suture technique .

method

In Musardé's ear surgery, a long incision is made on the back of the auricle and a strip of skin is removed. The skin is dissected from here up to the edge of the auricle (helix) and up to the attachment of the auricle to the head (sulcus posterior) and in this way the cartilage of the back of the auricle is exposed. It is therefore assigned to the open ear surgery. With so-called mattress sutures, which are anchored in the cartilage, the antihelical fold is bent more strongly or reshaped. The cartilage is left completely intact, i.e. not scratched, cut or excised, as is the case with the ear replacement surgery according to Stenström and Converse and versions derived from them. Then the skin wound is closed with sutures and a drainage tube is sometimes inserted for a day or two. A head bandage is applied for a week or two, or longer in exceptional cases. In Weerda’s opinion, Mustardé's ear filling operation is not suitable for all ears.

The Mustardé method, together with the otoplasty operations according to Stenström and Converse, is one of the standard methods of oturgery.

A similar method that leaves the cartilage intact is the so-called thread method . Her ear is not cut open, which is why she belongs to the closed and thus minimally invasive ear replacement operations. According to the information provided by its description, it is suitable for all ears.

For information on possible complications and risks, see chapter Otopexy .

Risks and possible complications

Because the cartilage is left intact, the number of possible complications over the other open and more invasive traditional methods such as: B. Stenström and Converse otoplasty surgery , reduced. However, according to Weerda, the method is not suitable for very thin cartilage.

Postoperative bleeding, hematoma , relapse (ears stick out again), ears that are too tight, greater asymmetry of the distances between the ears , hypertrophic scar , keloid , pressure damage ( necrosis ) caused by bandages are possible.

Individual evidence

1. ↑ JC Mustardé: Effective formation of antihelix fold without incising the cartilage. In: Transactions of the International Society of Plastic Surgeons, Second Congress, AB Wallace. Baltimore: Williams% Wilkens; 1960
2. ↑ JC Mustardé: The correction of prominent ears using simple mattress sutures. In: British Journal of Plastic Surgery. 16, 1963, p. 170, doi : 10.1016 / S0007-1226 (63) 80100-9 .
3. ↑ JC Mustardé: The treatment of prominent ears by buried mattress sutures: a ten-year survey. In: Plastic and reconstructive surgery. Volume 39, Number 4, April 1967, pp. 382-386, PMID 5336910 .
4. ↑ ^{a b} Hilko Weerda: Surgery of the auricle. Georg Thieme Verlag, 2004, ISBN 3-13-130181-3 .
5. ↑ WH Merck: The thread method according to Dr. Merck. In: Journal for Aesthetic Surgery. 6, 2013, p. 209, doi: 10.1007 / s12631-013-0265-9 .

This article is about a health issue. It is not used for self-diagnosis and does not replace a diagnosis by a doctor. Please note the information on health issues !