Otoplasty with mustarde suture cartilage scratching and rasping

Abstract

In performing otoplasty, the best technique may be the one that is flexible, simple, and versatile. The author discusses the history of otoplasty and describes the technique of Mustarde’s suture cartilage scratching and rasping. The results are reported. Mustarde suture and cartilage softening has been the authors’ preferred method for correcting the protruding ear. Cartilage softening with scratching provides a softer and narrower antihelix fold. With the use of this technique, the anterior skin overlying the concha is left undisturbed. The authors’ use of braided polyester suture prevents loosening of the knots. Polyester is more pliable than nylon, and the color of the suture material is very important because the sutures are close to the skin; they may become visible in time.