Abstract
The goal of otoplasty surgery for prominent ears is to normalize the shape and position of both ears with maximal symmetry. The operation is often performed on children; thus, the importance of dressing design has been emphasized in the literature as a factor determining successful outcome. We present an audited method for otoplasty dressing accompanied by an intraoperative photographic sequence. Proflavin-soaked wool is molded into the anatomical sulci anteriorly and a combination of Vaseline gauze and dressing gauze are held in position posteriorly by tying the continuous skin suture over them. Gauze is then placed over the pinna with a thick soft piece of cotton wool covering the whole area bilaterally. Finally, a length of stockinet is used to secure the dressings in place for 10 days, ensuring support, yet without undue pressure. An audit of the cases we have done so far demonstrated no complications relating to the dressing and satisfaction from patients and staff. We have found this otoplasty dressing technique to be simple, economical, and unobtrusive to the patients, while reproducible by junior staff if examination is required prematurely. Compromise of forehead or anterior pinna skin has not been encountered.
References
Aygit AC (2003) Molding the ears after anterior scoring and concha repositioning: a combined approach for protruding ear correction. Aesthetic Plast Surg 27(1):77–81
Bartley J (1998) How long should ears be bandaged after otoplasty. J Laryngol Otol 112(6):531–532
Bhatti AF, Chapman TW, Orlando A (2006) Practical tips for otoplasty. Plast Reconstr Surg 117(1):329–330
Gay EC Jr (1974) Auricular repositioning otoplasty. Laryngoscope 84(3):468–484
Krupp S, Asse N’Dri H (1991) Otoplasty without a conformer dressing. Ann Plast Surg 26(4):407–412
McIntire MR et al (1983) Postoperative protection for the external ear. Ann Plast Surg 11(3):261–262
Simo R, Jones NS (1994) Head bandaging following otoplasty—how we do it. J Laryngol Otol 108(5):410–412
Jemec BI, Jemec GB (2002) Braces for postoperative bandage after otoplasty. Aesthetic Plast Surg 26(2):156–158
Evans R (1993) Knot to be condemned. J Laryngol Otolol 107:33–34
Author information
Authors and Affiliations
Corresponding author
Rights and permissions
About this article
Cite this article
Samim, M.M., Mather, D. & Al-Ghazal, S. A new validated otoplasty dressing technique. Eur J Plast Surg 32, 119–121 (2009). https://doi.org/10.1007/s00238-009-0325-8
Received:
Accepted:
Published:
Issue Date:
DOI: https://doi.org/10.1007/s00238-009-0325-8