{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,2,24]],"date-time":"2026-02-24T11:02:51Z","timestamp":1771930971944,"version":"3.50.1"},"reference-count":5,"publisher":"Wiley","issue":"3","license":[{"start":{"date-parts":[[2018,2,7]],"date-time":"2018-02-07T00:00:00Z","timestamp":1517961600000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/onlinelibrary.wiley.com\/termsAndConditions#vor"}],"content-domain":{"domain":["onlinelibrary.wiley.com"],"crossmark-restriction":true},"short-container-title":["ANZ Journal of Surgery"],"published-print":{"date-parts":[[2019,3]]},"abstract":"<jats:sec><jats:title>Background<\/jats:title><jats:p>The plethora of surgical procedures for prominent ear correction reflects lack of satisfaction with outcomes achieved. This paper describes a cartilage\u2010cutting otoplasty procedure and reports an audit of its outcomes.<\/jats:p><\/jats:sec><jats:sec><jats:title>Methods<\/jats:title><jats:p>Discharge coding was used to retrospectively identify patients who had undergone the otoplasty of interest at Middlemore Hospital, Auckland, during the 5\u2009years from March 2010 to the end of February 2015. Hospital records were accessed. Demographic, procedure and patient satisfaction data were recorded and analysed (PASW\/SPSS Statistics 18.0). Chi\u2010square test and <jats:italic>t<\/jats:italic>\u2010test were used to assess associations, with significance accepted at two\u2010sided <jats:italic>P<\/jats:italic> &lt;\u20090.05.<\/jats:p><\/jats:sec><jats:sec><jats:title>Results<\/jats:title><jats:p>Sixty\u2010four patients underwent the specified otoplasty (54.7% females: mean age 9.5\u2009years (standard deviation, SD: 4.2; range: 4\u201320)), of whom 93.8% had bilateral procedures with mean surgical time of 61\u2009min (SD: 14; range: 34\u201394). This was significantly shorter (<jats:italic>P<\/jats:italic> &lt;\u20090.001) than for bilateral surgeries by all other techniques and surgeons in the review period. None of the 117 procedures of interest subsequently had suture extrusion or revision surgery. Mean time from surgery to satisfaction determination was 993\u2009days (SD: 521; range: 111\u20131850) for 43 (67.2%) patients. 23.3% believed that there had been aesthetically insignificant partial recurrence of prominence, typically of one ear only. This was insufficient for all but one patient to consider repeat otoplasty. Surgery outcome was rated \u2018very satisfactory\u2019 and \u2018satisfactory\u2019 by 90.7% and 9.3% of patients\/parents, respectively. All would recommend the surgery to others.<\/jats:p><\/jats:sec><jats:sec><jats:title>Conclusion<\/jats:title><jats:p>With infrequent complications and recurrence requiring revision, and without long\u2010term reliance on sutures, the otoplasty reported is time\u2010efficient, safe and generates high patient satisfaction.<\/jats:p><\/jats:sec>","DOI":"10.1111\/ans.14401","type":"journal-article","created":{"date-parts":[[2018,2,8]],"date-time":"2018-02-08T00:32:42Z","timestamp":1518049962000},"update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":1,"title":["Audit of 117 otoplasties for prominent ear by one surgeon using a cartilage\u2010cutting procedure"],"prefix":"10.1111","volume":"89","author":[{"ORCID":"https:\/\/orcid.org\/0000-0002-7032-2713","authenticated-orcid":false,"given":"Tess","family":"Brian","sequence":"first","affiliation":[{"name":"Auckland Regional Centre for Plastic Reconstructive and Hand Surgery Middlemore Hospital  Auckland New Zealand"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0000-0003-4743-9777","authenticated-orcid":false,"given":"Paul T.","family":"Cheng","sequence":"additional","affiliation":[{"name":"Auckland Regional Centre for Plastic Reconstructive and Hand Surgery Middlemore Hospital  Auckland New Zealand"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Stanley S.","family":"Loo","sequence":"additional","affiliation":[{"name":"Auckland Regional Centre for Plastic Reconstructive and Hand Surgery Middlemore Hospital  Auckland New Zealand"}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"311","published-online":{"date-parts":[[2018,2,7]]},"reference":[{"key":"e_1_2_7_2_1","doi-asserted-by":"publisher","DOI":"10.1097\/01.PRS.0000156218.93855.C9"},{"key":"e_1_2_7_3_1","first-page":"Doc04","article-title":"Otoplasty\u2014techniques, characteristics and risks","volume":"6","author":"Naumann A","year":"2007","journal-title":"GMS Curr. Top Otorhinolaryngol. Head Neck Surg."},{"key":"e_1_2_7_4_1","doi-asserted-by":"publisher","DOI":"10.1007\/978-3-642-35431-1_57"},{"key":"e_1_2_7_5_1","doi-asserted-by":"publisher","DOI":"10.1007\/s00405-014-2989-3"},{"key":"e_1_2_7_6_1","doi-asserted-by":"publisher","DOI":"10.1097\/00006534-200111000-00005"}],"container-title":["ANZ Journal of Surgery"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/api.wiley.com\/onlinelibrary\/tdm\/v1\/articles\/10.1111%2Fans.14401","content-type":"application\/pdf","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/onlinelibrary.wiley.com\/doi\/pdf\/10.1111\/ans.14401","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2023,9,14]],"date-time":"2023-09-14T12:32:46Z","timestamp":1694694766000},"score":1,"resource":{"primary":{"URL":"https:\/\/onlinelibrary.wiley.com\/doi\/10.1111\/ans.14401"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2018,2,7]]},"references-count":5,"journal-issue":{"issue":"3","published-print":{"date-parts":[[2019,3]]}},"alternative-id":["10.1111\/ans.14401"],"URL":"https:\/\/doi.org\/10.1111\/ans.14401","archive":["Portico"],"relation":{},"ISSN":["1445-1433","1445-2197"],"issn-type":[{"value":"1445-1433","type":"print"},{"value":"1445-2197","type":"electronic"}],"subject":[],"published":{"date-parts":[[2018,2,7]]},"assertion":[{"value":"2017-02-14","order":0,"name":"received","label":"Received","group":{"name":"publication_history","label":"Publication History"}},{"value":"2017-12-18","order":1,"name":"accepted","label":"Accepted","group":{"name":"publication_history","label":"Publication History"}},{"value":"2018-02-07","order":2,"name":"published","label":"Published","group":{"name":"publication_history","label":"Publication History"}}]}}