I'd like to know the process of creating an antihelical fold in otoplasty. What does the actual procedure involve and can it be done without the use of permanent sutures? I recently had my permanent sutures removed from just using the stitch method (no cartilage removal) as it was causing too many infections. My GP told me it was because it was a foreign body. As soon as I had them removed I have experienced no issues except now my ears stick out again.
Answer: Otoplasty/EarFold/Prominent ear correction Many thanks for your question. It is possible to create an antihelical fold without permanent sutures by using EarFold a small gold plated implant composed of memory metal that can be inserted with small incisions at the front of the ear under local anaesthetic (awake). This sits in front of the cartilage and holds it in place. Alternatively, after a period of settling a more traditional permanent suture technique can be performed once more. The decision as to which procedure would achieve the best result for you would require an in person assessment with a surgeon fully qualified and experienced in both techniques.
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Answer: Otoplasty/EarFold/Prominent ear correction Many thanks for your question. It is possible to create an antihelical fold without permanent sutures by using EarFold a small gold plated implant composed of memory metal that can be inserted with small incisions at the front of the ear under local anaesthetic (awake). This sits in front of the cartilage and holds it in place. Alternatively, after a period of settling a more traditional permanent suture technique can be performed once more. The decision as to which procedure would achieve the best result for you would require an in person assessment with a surgeon fully qualified and experienced in both techniques.
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Answer: Permanent suture in otoplasty There is a couple of ways to weaken the cartilage, making the chances of the ear sticking back out and it involves use of an instrument called "otobrader" which is a small metal rod with a barb. You can also do an open technique and make small cuts on the side to bend the cartilage and weaken it, the technique is called "scoring". Permanent sutures though lessen the risk of recurrence.
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Answer: Permanent suture in otoplasty There is a couple of ways to weaken the cartilage, making the chances of the ear sticking back out and it involves use of an instrument called "otobrader" which is a small metal rod with a barb. You can also do an open technique and make small cuts on the side to bend the cartilage and weaken it, the technique is called "scoring". Permanent sutures though lessen the risk of recurrence.
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April 23, 2018
Answer: Permanent sutures in otoplasty The antihelical fold is typically created by abrading the anterior surface of the cartilage and then folding the cartilage by placing sutures on the posterior surface of the cartilage. Acute or chronic low grade infections can occur (and are more likely if the suture is braided versus monofilament) leading to extrusion and or the need for removal to clear the infection. I would recommend that you allow 6 months to a year to pass then consider reoperation. Permanent sutures will be required in order to form and hold the fold. Hope this helps.
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April 23, 2018
Answer: Permanent sutures in otoplasty The antihelical fold is typically created by abrading the anterior surface of the cartilage and then folding the cartilage by placing sutures on the posterior surface of the cartilage. Acute or chronic low grade infections can occur (and are more likely if the suture is braided versus monofilament) leading to extrusion and or the need for removal to clear the infection. I would recommend that you allow 6 months to a year to pass then consider reoperation. Permanent sutures will be required in order to form and hold the fold. Hope this helps.
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April 7, 2018
Answer: Is it possible to create an antihelical fold without the use of permanent sutures in otoplasty?
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April 7, 2018
Answer: Is it possible to create an antihelical fold without the use of permanent sutures in otoplasty?
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April 6, 2018
Answer: Otoplasty techniques Otoplasty is a surgical technique used to correct prominent and/or asymmetric ears. Multiple techniques are used depending upon the goals of surgery. There isn't just one technique that addresses each issue. Permanent sutures are essential in order to be able to create a lasting result. There are several different types of sutures that can be used, however. Perhaps you had a reaction to that particular suture. Seek consultation with a board certified plastic surgeon who is experienced with external ear surgery. Ask him/her about which sutures they use and make sure you know which sutures were used in your previous surgery. Good Luck!
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April 6, 2018
Answer: Otoplasty techniques Otoplasty is a surgical technique used to correct prominent and/or asymmetric ears. Multiple techniques are used depending upon the goals of surgery. There isn't just one technique that addresses each issue. Permanent sutures are essential in order to be able to create a lasting result. There are several different types of sutures that can be used, however. Perhaps you had a reaction to that particular suture. Seek consultation with a board certified plastic surgeon who is experienced with external ear surgery. Ask him/her about which sutures they use and make sure you know which sutures were used in your previous surgery. Good Luck!
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