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Aesthetic otoplasty (bat ear correction)
Published in John Dudley Langdon, Mohan Francis Patel, Robert Andrew Ord, Peter Brennan, Operative Oral and Maxillofacial Surgery, 2017
The need for a mastoid conchal stitch is now decided. It is best to place at least one of these and, if placed, it will involve dissecting the posterior auricular muscle free from its auricular attachment to create space for the conchal ret- ropositioning. The ear is held in its proposed position and the mastoid fascia marked to allow the holding stitches to get the best purchase and best direction of support. The holding stitches are used to pick up mastoid fascia (and periosteum). The attachment to the fascia should be tested by traction on the suture before the final position is accepted (Figure 84.15).
Posterior auricular muscle patch graft for exposed orbital implant
Published in Orbit, 2019
Catherine Y. Liu, Michael G. Sun, Scott Jones, Pete Setabutr
1% Lidocaine with 1:100,000 parts epinephrine was injected subcutaneously in the post auricular area near the site of incision (Figure 1) and on the helix of the external ear. The post auricular area was then exposed by placement of a 4-0 silk traction suture through the helix and rotated anteriorly to the cheek. An incision was made in the post auricular crease using a #15 blade. Dissection was continued subcutaneously where the posterior auricular muscle and fascia were identified. An appropriately sized patch graft was harvested using a #15 blade and scissors and set aside in sterile saline. Good hemostasis was achieved using electrocautery. The wound was then closed in layers using buried 4-0 vicryl sutures to re-approximate the remaining posterior auricular muscle and interrupted 4-0 vicryl to close the skin and subcutaneous tissue. Bacitracin ointment was applied to the post auricular donor site. Perioperative IV cefazolin was given.