Mustardé Versus Incisionless Otoplasty for Protruding Ear

Abstract

Background: Prominent ear is one of the most common facial deformities affecting children. The aesthetic and psychosocial concerns surrounding an ear deformity serve as a catalyst for parents to seek correction, thereby propagating the strong desire for otoplasty at an early age. Objective: is to assess the role of Mustarde technique and incisionless otoplasty technique regarding aesthetic outcome in surgical treatment of protruding ear, complications and postoperative care. Subjects and methods: 24 patients (18 males and 6 females) suffering from prominent ear deformity (4 unilateral and 20 bilateral) were included in the present study. The reconstructive procedures were done for 44 ears divided by the procedure done into 2 groups. Group A: Mustarde procedure (21 ears, 8 patients with bilateral prominent ear and 2 patients with unilateral prominent ear); and group B: Incision-less procedure (23 ears, 9 patients with bilateral prominent ear and 2 patients with unilateral prominent ear). An approval of the study was obtained from Zagazig University academic and ethical committee and an informed written consent was obtained from each patient for acceptance of the operation. Results: The mean values of the duration of operation in Mustarde procedure (group A) was significantly longer than that of Incision-less procedure (P 0.05). Mustarde procedure (group A) has a significant high percentage of reduction in auriculocephalic distance (P 0.05). Conclusion: Both Mustarde and the incision-less suture techniques provide satisfactory results; however, the incisionless suture technique appears to be easier with less surgical time.