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  Česky / Czech version Otorinolaryng. a Foniat. /Prague/, 52, 2003, č. 2, s. 70-75.
 
Prominent Ears - a Contribution to the Surgical Technique According to Mustardé and Furnas 
Michálek R. 

Klinika otorinolaryngologie a chirurgie hlavy a krku, Krajská nemocnice Pardubice, přednosta prof. MUDr. A. Pellant, DrSc.Ústav zdravotnických studií Univerzity Pardubice,ředitel prof. MUDr. A. Pellant, DrSc.
 


Summary:

       The author defines the term prominent ear. Describes an examination of the patient before operation, differences between children and adult patients. Goals of otoplasty are summed up in this paper. Surgical techniques are explained in the historical survey, the surgical technique according to Mustardé and Furnas is described step by step. The author operated 216 ears in 109 patients (1994 - 2001), one-side otoplasty in 4 patients. Otoplasty was most often practised in the age group up 5 and under 7 years. There were more females (59.6%) in the study group. The average age was 10.4. 60.6% of the patients were operated in general anaesthesia, the oldest patient was 14 years old.The youngest patient operated under local anaesthesia was7 years old.Because of unsatisfactory postoperative results 4 patients were reoperated - only on one side. That represents 3.8% of the patients. Postoperative bleeding was registered in 3 patients (2.8% of the patients). Suppuration and a minor skin necrosis occurred in another 2 patients. These 2 complications account for 1.8% of the all operated patients. Conforming to the to literature resources the surgical technique according to Mustardé and Furnas has outstanding results. The technique is rapid and easy to learn. No cartilage incisions or excisions are needed, thus minimizing the potential for sharp edges. Sutures modelling cartilage are not visible.A skin suture using absorbable materials is especially well accepted by child patients. Reoperation is easy.

        Key words: prominent ear, otoplasty, surgical technique according to Mustradé and Furnas.
       

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