Archives of Plastic Surgery

Korean Society of Plastic and Reconstructive Surgeons (대한성형외과학회)
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Correction of Mild-to-Moderate Constricted Ear Abnormality Using Mustardé Suture, Cartilage Onlay Graft, and Transposition Flap: A Case Report

  • Ha Jong Nam (Department of Plastic and Reconstructive Surgery, Soonchunhyang University Gumi Hospital) ;
  • Syeo Young Wee (Department of Plastic and Reconstructive Surgery, Soonchunhyang University Gumi Hospital)
  • Received : 2023.01.31
  • Accepted : 2023.04.06
  • Published : 2023.07.15
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Abstract

Constricted ear has a prevalence of 5.2 to 10% among ear abnormalities, and various surgical methods are suggested for treatment. We introduce a case of a constricted ear treated with a simple method using a novel concept cartilage graft and transposition flap, along with the well-known Mustardé suture, which is used for pediatric patients with mild to moderate constricted ears of Tanzer classification type IIA. A 10-year-old female patient visited the hospital complaining of an abnormality in the congenital right ear. Surgical approach was planned under the diagnosis of Tanzer classification type IIA constricted right ear. Posterior helix onlay graft and perichondrocutaneous transposition flap using excessive helical cartilage were performed along with the Mustardé suture. In the immediate postoperative period, ear contour was improved, and it was well-maintained without recurrence until 6 months' follow-up. In conclusion, the combination of Mustardé suture, and cartilage onlay graft and perichondrocutaneous transposition flap in the mild to moderate constricted ear would be a useful surgical option, producing aesthetically good results in a simple and effective method.

Keywords

Acknowledgement

This work was supported by the Soonchunhyang University Research Fund (grant number: 2023 0030).

References

  1. Tanzer RC. The constricted (cup and lop) ear. Plast Reconstr Surg 1975;55(04):406-415  https://doi.org/10.1097/00006534-197555040-00003
  2. Cosman B. The constricted ear. Clin Plast Surg 1978;5(03):389-400  https://doi.org/10.1016/S0094-1298(20)32142-8
  3. Cho YS, Byun HY. Surgery for minor auricle deformity. J Clin Otolaryngol Head Neck Surg 2012;23:171-184  https://doi.org/10.35420/jcohns.2012.23.2.171
  4. Janz BA, Cole P, Hollier LH Jr, Stal S. Treatment of prominent and constricted ear anomalies. Plast Reconstr Surg 2009;124(1, Suppl):27e-37e  https://doi.org/10.1097/PRS.0b013e3181aa0e9d
  5. Mohammadi AA, Imani MT, Kardeh S, Karami MM, Kherad M. Non-surgical management of congenital auricular deformities. World J Plast Surg 2016;5(02):139-147
  6. Zeng B,Wang Z. Analysis of follow-up results of neonatal congenital auricle deformity after noninvasive correction [in Chinese]. Lin Chung Er Bi Yan Hou Tou Jing Wai Ke Za Zhi 2021;35(01):59-61 
  7. Vu GH, Azzolini A, Humphries LS, et al. Ear molding therapy: laypersons' perceptions, preferences, and satisfaction with treatment outcome. Plast Reconstr Surg Glob Open 2020;8(07):e2902 
  8. Woo T, Kim YS, Roh TS, Lew DH, Yun IS. Correction of congenital auricular deformities using the ear-molding technique. Arch Plast Surg 2016;43(06):512-517  https://doi.org/10.5999/aps.2016.43.6.512
  9. Chen P, Yang J, Yang L, et al. One-year outcomes of ear molding for infants with constricted ear. Plast Reconstr Surg 2023;151(01):159-166  https://doi.org/10.1097/PRS.0000000000009781
  10. Mustarde JC. The correction of prominent ears using simple mattress sutures. Br J Plast Surg 1963;16:170-178  https://doi.org/10.1016/S0007-1226(63)80100-9
  11. Park C, Park JY. Classification and algorithmic management of constricted ears: a 22-year experience. Plast Reconstr Surg 2016;137(05):1523-1538  https://doi.org/10.1097/PRS.0000000000002120
  12. Barsky AJ, Gordon SD. Principles and practice of plastic surgery. Ann Surg 1950;132:1168 
  13. Ragnell A. A new method of shaping deformed ears. Br J Plast Surg 1951;4(03):202-206  https://doi.org/10.1016/S0007-1226(51)80035-3
  14. Stephenson KL. Correction of a lop ear type deformity. Plast Reconstr Surg 1960;26:540-545  https://doi.org/10.1097/00006534-196011000-00008
  15. Musgrave RH. A variation on the correction of the congenital lop ear. Plast Reconstr Surg 1966;37(05):394-398  https://doi.org/10.1097/00006534-196605000-00002
  16. Elshahat A, Lashin R. Reconstruction of moderately constricted ears by combining V-Y advancement of helical root, conchal cartilage graft, and mastoid hitch. Eplasty 2016;16:e19 
  17. Zhu J, Xiao Y, SunM,Wang Y, Lu C,Xue C. Reconstruction of constricted ears by combing bilateral cartilage flaps bridging with V-Y advancement flap. J Plast Reconstr Aesthet Surg 2023;77:162-166  https://doi.org/10.1016/j.bjps.2022.11.052
  18. Duan W, Liu Y. Correction of Tanzer type IIB constricted ears via Z-shaped double V-Y advancement flaps. Ann Plast Surg 2019;82(03):284-288  https://doi.org/10.1097/SAP.0000000000001750
  19. Park C. Upper auricular adhesion malformation: definition, classification, and treatment. Plast Reconstr Surg 2009;123(04):1302-1312  https://doi.org/10.1097/PRS.0b013e31819e2679
  20. Grotting JK. Otoplasty for congenital cupped protruding ears using postauricular flap. Plast Reconstr Surg Transplant Bull 1958;22(02):164-167  https://doi.org/10.1097/00006534-195808000-00007