The prominent helix is typically caused by a failure of the antihelical fold to form. This can cause the ear to stick out further from the mastoid (back of ear) then desired. Far and away, the most common technique to correct this is the Mustarde suture. This is where the surgeon attempts to recreate the antihelical fold by placing sutures parallel to the helical rim. By placing a series of sutures here the antihelical fold can be created.
What type of suture does Dr. Shah recommend?
Dr. Shah only recommends the use of permanent sutures which are braided. Non permanent sutures are not as effective in long term maintenance of the ear and can lead to earlier relapses. Non braided sutures have too much memory and can create unintended cuts through the delicate cartilage of the ear.
Is scoring of the fold essential?
Scoring of the ear is done on a case by case basis depending on an individual’s anatomy.
What are the risks of permanent suture placement?
Any permanent suture may be rejected by the body or extrude.