Ear replacement surgery according to Stenström

The Stenström otoplasty operation is a conventional or traditional method of otopexy .

history

The technique of this operation was described by Stenström in 1963 and modified somewhat by him in 1973.

Surgical method

It is an antihelixplasty that is performed with the scratch technique (see also chapter Otopexy ). This method is based on the proof that the cartilage bends convexly to the opposite side after scoring.

method

A long incision is made on the back of the auricle and a strip of skin is removed. From a cartilage incision in the cauda helicis (lower end of the auricular cartilage) or in the scapha (region in the upper rear part of the auricle), the skin on the anterior surface of the anthelix is lifted off together with the perichondrium (cartilage membrane). A rasp is inserted into the resulting skin-perichondrium tunnel and the cartilage of the anterior antihelix is ​​blindly grooved or scratched with it. The skin wound on the back of the auricle is sutured and then a bandage is applied for 1 or 2 weeks, or longer in exceptional cases. The depressions of the auricle on the anterior side of the auricle (cavum conchae, scapha) are modeled for several days with ointment ball swabs and supported in this way.

The method according to Stenström, together with the otomy operations according to Mustardé and Converse, is one of the standard methods of otion operations (see otopexy ).

According to Weerda, this method is not suitable for older patients due to the restricted cartilage elasticity.

Risks and possible complications

According to Weerda, the following are possible: Deformations and visible, cosmetically disfiguring cartilage edges along the anterior surface of the antihelix in the case of too deep scratches or injuries to the cartilage skin, secondary bleeding, hematoma , relapse (ears stick out again), ears that are too tight, hypertrophic scar , keloid , hypersensitivity, pain Pressure and cold, pressure damage ( necrosis ) if the bandage is too tight, hard bandage, perichondritis (inflammation of the cartilage), greater asymmetry of the distances between the ears (see also the otopexy chapter ).

Individual evidence

1. ^ SJ Stenström: A natural technique for correction of congenitally prominent ears. Plastic Reconstr. Surg. , 32, 509-518, 1963
2. ^ SJ Stenström: Cosmetic deformities of the ear. In: Graff WC, Smith JW, eds. Plastic surgery: a concise guide to clinical practice. 2nd Ed. Boston: Little Brown & Co; 603-604, 1973
3. ↑ ^{a b} Hilko Weerda: Surgery of the auricle. Georg Thieme Verlag, 2004, ISBN 3-13-130181-3 .

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