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www.ears-forum.com ECS Dr. Merck, Ear Correction System, Constance, Germany This forum aims at comparing Dr. Merck's stitch method with traditional methods as well as documenting experiences with both kinds of operations.
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Joined: 29 Nov 2005 Posts: 12
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Posted: 13.12.2005 17:38 Post subject: Traditional methods of otoplasty |
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This posting was last updated 6 September 2013 by Priv.Doz.Dr.med.W.Merck
For the old or traditional ways of otoplasty there are a few standard methods and countless modifications of them. All of them have in common that they are bloody operations creating large wounds. Most of the time, a strip of skin is removed and the cartilage is exposed and then reshaped or thinned out. Sometimes the cartilage is even removed partially. As a result, many serious complications are possible (e.g. destruction of cartilage, deformation on all levels), of which each patient has to be informed of before the operation. He or she has to sign an agreement.
The standard methods are:
1st method: Convers:
A long incision behind the ear
Free the back side of the cartilage and work it
Remove skin
Bandage for several weeks
General anaesthesia for children and frequently also for adults
Operation scars remain
Frequently permanent, unnatural, somewhat disfigured cartilage corners
and irregular depressions on the front side of the ear
Pain for many days or weeks after the operation
In most of the cases hospital stay of up to two weeks
2nd method: Stenström:
Long incision behind the ear
In contrast to Converse, the front side of the cartilage is also freed and
worked
Bandage for several weeks, up to 3 months
General anaesthesia for children and for adults
Operation scars remain
Frequent cartilage corners and irregular depressions on the front side of
the ear
Pain for a large number of days - up to two weeks
In most cases hospital stay of up to two weeks
3rd method: Pitanguy:
Long incision behind the ear
Removal of pieces of cartilage
General anaesthesia for children and frequently also for adults
Operation scars remain
In most cases the result is not satisfactory
4th method: Mustardé:
Long incision behind the ear
Removal of skin
Cartilage is not worked
Stitches are placed in the operation wound. They reshape the new
antihelix
Bandage for several weeks
In most of the cases hospital stay
Not applicable on thick cartilage
In most cases ears protrude again after a while |
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