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CC BY 4.0 · Arch Plast Surg 2023; 50(04): 393-397
DOI: 10.1055/a-2073-4083
Pediatric/Craniomaxillofacial/Head & Neck
Case Report

Correction of Mild-to-Moderate Constricted Ear Abnormality Using Mustardé Suture, Cartilage Onlay Graft, and Transposition Flap: A Case Report

Ha Jong Nam 
1   Department of Plastic and Reconstructive Surgery, Soonchunhyang University Gumi Hospital, Gumi, Republic of Korea
,
Syeo Young Wee 
1   Department of Plastic and Reconstructive Surgery, Soonchunhyang University Gumi Hospital, Gumi, Republic of Korea
› Author Affiliations Funding This work was supported by the Soonchunhyang University Research Fund (grant number: 2023 0030).
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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

ears prominent and constricted - external ear cartilage - surgical flaps

Patient Consent

The patient provided written informed consent for the publication and use of her images.


Authors' Contributions

Conceptualization: S.Y.W. Methodology: S.Y.W. Project administration: S.Y.W. Visualization: H.J.N. Writing original draft: H.J.N. Writing, review, and editing: S.Y.W. Supervision: S.Y.W.


Ethical Approval

This study was approved by the institutional review board (IRB) and the grant number is 2023–05.




Publication History

Received: 31 January 2023

Accepted: 06 April 2023

Accepted Manuscript online:
13 April 2023

Article published online:
02 August 2023

© 2023. The Author(s). This is an open access article published by Thieme under the terms of the Creative Commons Attribution License, permitting unrestricted use, distribution, and reproduction so long as the original work is properly cited. (https://creativecommons.org/licenses/by/4.0/)

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