{"title":"Novel antihelix instrument guided folding technique: A modification of Mustarde otoplasty","authors":"Olivia Ginty , Gabrielle Pundaky , Agnieszka Dzioba , Julie Strychowsky","doi":"10.1016/j.ijporl.2025.112550","DOIUrl":null,"url":null,"abstract":"<div><div>Prominauris is the most common congenital ear deformity, presenting in 5 % of the global population, and most patients endorse negative experiences or aesthetic dissatisfaction as motivation for corrective otoplasty. Mustarde-Furnas is a popular otoplasty technique among pediatric patients. Given the cosmetic intention, result consistency is highly important in otoplasty, which our modification of the Mustarde technique aims to address. A retrospective chart review of pediatric patients with prominauris treated with our modified Mustarde technique at Children's Hospital between 2018 and 2025 was undertaken. The technique utilizes a drill barrel to physically control the neo-antihelix fold, and the tension of the Mustarde sutures; combined with Furnas sutures, for conchal setback. Demographics, auricle measurements, operative details, complications, and revisions were evaluated with descriptive statistics and paired t-tests. Thirty-five patients were included (mean age 12 years, range: 4–19). Significant differences between the pre- and post-operative measurements for three auricular points (mm) were found including superior helical [<em>p</em> < 0.001, mean difference (MD) = 7.67], and, superior and inferior external auditory canal [<em>p</em> < 0.001, MD = 9.35; <em>p</em> < 0.001, MD = 4.88, respectively]. No statistically significant differences were found between each measurement change and the measurement change in the corresponding contralateral auricle measurement (<em>p</em> > 0.05). Revision rate was 5.7 % (2/35), indicated for scar revision and recurrence. The latter prompted a suture switch, and no recurrence followed. The significant differences found across all auricular measurements, and the consistency of results between each auricle pair, demonstrate the potential efficacy of this modified-Mustarde technique for reliable otoplasty for aesthetic satisfaction and applications to trainee education.</div></div>","PeriodicalId":14388,"journal":{"name":"International journal of pediatric otorhinolaryngology","volume":"198 ","pages":"Article 112550"},"PeriodicalIF":1.3000,"publicationDate":"2025-09-05","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":"0","resultStr":null,"platform":"Semanticscholar","paperid":null,"PeriodicalName":"International journal of pediatric otorhinolaryngology","FirstCategoryId":"3","ListUrlMain":"https://www.sciencedirect.com/science/article/pii/S0165587625003374","RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":null,"EPubDate":"","PubModel":"","JCR":"Q3","JCRName":"OTORHINOLARYNGOLOGY","Score":null,"Total":0}
引用次数: 0
Abstract
Prominauris is the most common congenital ear deformity, presenting in 5 % of the global population, and most patients endorse negative experiences or aesthetic dissatisfaction as motivation for corrective otoplasty. Mustarde-Furnas is a popular otoplasty technique among pediatric patients. Given the cosmetic intention, result consistency is highly important in otoplasty, which our modification of the Mustarde technique aims to address. A retrospective chart review of pediatric patients with prominauris treated with our modified Mustarde technique at Children's Hospital between 2018 and 2025 was undertaken. The technique utilizes a drill barrel to physically control the neo-antihelix fold, and the tension of the Mustarde sutures; combined with Furnas sutures, for conchal setback. Demographics, auricle measurements, operative details, complications, and revisions were evaluated with descriptive statistics and paired t-tests. Thirty-five patients were included (mean age 12 years, range: 4–19). Significant differences between the pre- and post-operative measurements for three auricular points (mm) were found including superior helical [p < 0.001, mean difference (MD) = 7.67], and, superior and inferior external auditory canal [p < 0.001, MD = 9.35; p < 0.001, MD = 4.88, respectively]. No statistically significant differences were found between each measurement change and the measurement change in the corresponding contralateral auricle measurement (p > 0.05). Revision rate was 5.7 % (2/35), indicated for scar revision and recurrence. The latter prompted a suture switch, and no recurrence followed. The significant differences found across all auricular measurements, and the consistency of results between each auricle pair, demonstrate the potential efficacy of this modified-Mustarde technique for reliable otoplasty for aesthetic satisfaction and applications to trainee education.
期刊介绍:
The purpose of the International Journal of Pediatric Otorhinolaryngology is to concentrate and disseminate information concerning prevention, cure and care of otorhinolaryngological disorders in infants and children due to developmental, degenerative, infectious, neoplastic, traumatic, social, psychiatric and economic causes. The Journal provides a medium for clinical and basic contributions in all of the areas of pediatric otorhinolaryngology. This includes medical and surgical otology, bronchoesophagology, laryngology, rhinology, diseases of the head and neck, and disorders of communication, including voice, speech and language disorders.