ABSTRACT
Introducción. En el protocolo de tratamiento de los pacientes conotoplastias de Mustardé incluimos la colocación de cintas elásticas durante 2 meses (el primer mes debe llevarse permanentemente y el segundo mes solo para dormir) para proteger la corrección obtenida y evitar traumatismos. Material y métodos. Describimos los casos de 3 enfermos sometidos a otoplastia de Mustardé que presentaron escaras en el borde anterior del antehelix, secundarias a compresión del vendaje de sujeción. Resultados. En un enfermo intervenido en la oreja derecha aparecieron escaras en la oreja no intervenida, lo que demuestra que las lesiones fueron secundarias al vendaje y no a la intervención. En dos pacientes, las escaras evolucionaron a la formación de cicatrices nodulares hipertróficas que se corrigieron lentamente con apósitos siliconados, corticoides tópicos y cremas hidratantes en uno y debieron ser resecadas en otro. Conclusiones. Es imprescindible explicar detenidamente a los padres la misión y características de las cintas elásticas, así como revisar frecuentemente su colocación, para evitar una complicación que, sin estropear el resultado final de la otoplastia, reduce la satisfacción del paciente y prolonga el tiempo de recuperación (AU)
Introduction. In the treatment protocol for patients with Mustardéotoplasties we use tennis head sweatbands for 2 months (to be worn all the time in the first month and only at night in the second month) to protect the correction obtained and to avoid traumatisms. Material and methods. We describe the cases of 3 patients who underwent Mustardé otoplasty and presented sloughs in the anterior edge of the ante helix that are secondary to the pressure of the compression bandage. Results. One patient operated for unilateral malformation suffered bilateral scars (in the operated ear and in the healthy one). This prove that the scars are secondary to the dressings not to surgery. In two patients the sloughs evolved into the formation of nodular hypertrophic scars, which were slowly corrected with silicone dressings and externally applied corticosteroids and moisturising creams in one patient and had to be resected in the other. Conclusions. It is important to give a detailed explanation to the parents about the mission and characteristics of the sweatbands, and also about the need to frequently check their correct placing. This isto avoid a complication that, without spoiling the final result of the otoplasty, reduces patient satisfaction and extends the recovery period (AU)
Subject(s)
Humans , Male , Female , Child , Plastic Surgery Procedures/methods , Ear Auricle/surgery , Compression Bandages/adverse effects , Pressure Ulcer/prevention & control , Ear Auricle/abnormalitiesABSTRACT
INTRODUCTION: In the treatment protocol for patients with Mustardé otoplasties we use tennis head sweatbands for 2 months (to be worn all the time in the first month and only at night in the second month) to protect the correction obtained and to avoid traumatisms. MATERIAL AND METHODS: We describe the cases of 3 patients who underwent Mustardé otoplasty and presented sloughs in the anterior edge of the antehelix that are secondary to the pressure of the compression bandage. RESULTS: One patient operated for unilateral malformation suffered bilateral scars (in the operated ear and in the healthy one). This prove that the scars are secondary to the dressings not to surgery. In two patients the sloughs evolved into the formation of nodular hypertrophic scars, which were slowly corrected with silicone dressings and externally applied corticosteroids and moisturising creams in one patient and had to be resected in the other. CONCLUSIONS: It is important to give a detailed explanation to the parents about the mission and characteristics of the sweatbands, and also about the need to frequently check their correct placing. This is to avoid a complication that, without spoiling the final result of the otoplasty, reduces patient satisfaction and extends the recovery period.
