The principle of ears pinning back is deepening or forming the so called antihelix fold, which is the second after the edge crease of the anterior side of the ear; should this crease be missing or insufficiently formed the ear sticks out; the Mustardé technique uses suturing to calibrate the antihelix crease formation and pin back the ears, by means of mattress sutures which are tied suspended creating a groove, which afterwards is filled up by blood and subsequently by fibrosis; such fibrosis will be the scar holding the antihelix and the ear in its proper position overtime, with or without the contribution of some anterior side of the cartilage gentle scoring to weaken it and prevent technical recurrence.
All the steps of the technique, including the removal of a posterior island of skin which is always in some excess, is carried out at the rear side of the ear, without any anterior visible incisions and preventing anterior deformities, hematoma, buckling, etc, which is a great advantage compared with incisional techniques, pure scoring methods and others, which are unsafe or unreliable, making the Mustardé principle the state of the art in ear pinning otoplasty.
Some additional maneuvers like earlobe pinning, concha bowl reduction, etc, might be associated to the antihelix fold formation.
DR. ALEJANDRO NOGUEIRA'S MUSTARDÉ ANTIHELICAL SUTURING CASES PHOTO GALLERY
BEFORE & AFTER
INTRAOPERATIVE & TECHNICAL
See more accessing Dr. Alejandro Nogueira's entire Mustardé antihelical suturing Before & After gallery of cases.
See more accessing Dr. Alejandro Nogueira's entire Mustardé antihelical suturing Intraoperative & Technical gallery of cases.
REVIEWS & RATINGS
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