Combined Mustardé and Furnas type otoplasty with minimal conchal cartilage excision

Objective: We aimed to evaluate the complication rate and satisfaction status of patients who underwent otoplasty with the combined Mustardé and Furnas sutures with minimal medial conchal cartilage excision. Materials and Methods: Forty-four ears of 22 patients, operated for prominent ear deformity were retrospectively included in the study. Patients were called for follow-up at various time intervals. At the sixth month, the patient and parents were asked to rate their satisfaction with the operation on a scale of 1-10 and noted. Results: The mean age of the patients was 8.09±2.72 years. The antihelix was created with Mustardé technique, minimal medial conchal excisions were performed, two conchamastoid sutures were placed with Furnas technique. The mean follow-up period was 23.86±11.97 months. Complications developed in 4 of 44 ears (9%). Major complication rate was 4.5%. Two patients (4.5%) had suture extrusion in one ear. None of the patients scored lower than 7 in the satisfaction questionnaire. Conclusion: Otoplasty with a combination of cartilage-sparing techniques has low complication, revision, and high satisfaction rates. Minimal medial conchal cartilage excision in addition to this technique is beneficial in reducing the conchamastoid tension and does not increase the risk of complications.