Hostname: page-component-78c5997874-xbtfd Total loading time: 0 Render date: 2024-11-16T07:27:49.715Z Has data issue: false hasContentIssue false
  • English
  • Français

Should the duration of head bandaging be reduced after pinnaplasty? A systematic review

Published online by Cambridge University Press:  13 October 2014

A E L McMurran ,
I Khan ,
S Mohamad ,
M Shakeel  and
H Kubba
A E L McMurran*
Affiliation:
North Glasgow Otolaryngology Department, Gartnavel General Hospital, Glasgow, Scotland, UK
I Khan
Affiliation:
North Glasgow Otolaryngology Department, Gartnavel General Hospital, Glasgow, Scotland, UK
S Mohamad
Affiliation:
Department of Otolaryngology, Royal Hospital for Sick Children, Glasgow, Scotland, UK
M Shakeel
Affiliation:
Department of Otolaryngology, Ninewells Hospital, Dundee, Scotland, UK
H Kubba
Affiliation:
Department of Otolaryngology, Royal Hospital for Sick Children, Glasgow, Scotland, UK
*
Address for correspondence: Miss A E L McMurran, North Glasgow Otolaryngology Department, Gartnavel General Hospital, Glasgow G12 0YN, Scotland, UK Fax: +44 (0)1412111671 E-mail: [email protected]
Get access Rights & Permissions [Opens in a new window]

Abstract

Background:

It is common practice to use head bandages for 7–10 days following pinnaplasty. However, head bandages are often troublesome for patients and can lead to serious complications.

Method:

A systematic review was performed to evaluate the use of head bandages after pinnaplasty. A search of Medline, Embase (Ovid) and CINAHL (EBSCO collections), the Cochrane Library, Pubmed (US National Library of Medicine) and Google Scholar identified 34 related articles. Of these, 14 were deemed relevant and 2 randomised controlled trials, 1 cohort study, 3 case series and 1 literature review met the inclusion criteria.

Results:

The two randomised controlled trials show no statistically significant difference in complications when a head bandage was used for the standard 7–10 days, for 24 hours or not at all. The three case series show that using a head bandage for 24 hours or not at all are safe alternatives. The review article recommended that when head bandages are applied after pinnaplasty it should be for the shortest duration possible.

Conclusion:

Based on the available evidence, not using a head bandage at all or using one for a maximum of 24 hours following pinnaplasty is recommended.

Keywords

Ear, ExternalEar CartilageEsthetic SurgeryBandagesPinna, Ear
Type
Review Articles
Information
The Journal of Laryngology & Otology , Volume 128 , Issue 11 , November 2014 , pp. 948 - 951
Copyright
Copyright © JLO (1984) Limited 2014 

Access options

Get access to the full version of this content by using one of the access options below. (Log in options will check for institutional or personal access. Content may require purchase if you do not have access.)

Footnotes

A version of this systematic review was presented at the ENT Scotland Winter Meeting, 29 November 2013, Stirling, Scotland, UK. The literature search and review was updated prior to submission.

References

1Simo, R, Jones, NS. Head bandaging after otoplasty—how we do it. J Laryngol Otol 1994;108:410–12CrossRefGoogle Scholar
2Hill, J, Allan, W, Malhan, D, Williams, ED. Pressure exerted by head bandages used in otological surgery. J Laryngol Otol 1993;107:1110–12Google Scholar
3Demir, Y, Haktanir, N, Yilmaz, MD. Dangers of a tight head dressing. Aesthetic Plast Surg 2004;28:256CrossRefGoogle ScholarPubMed
4Tang, CJ, Ponsky, DC. Seal it and reveal it: postoperative otoplasty care using a silicone-based occlusive dressing. Otolaryngol Head Neck Surg 2010;142:621–23Google Scholar
5Bandey, SA, Atkins, J, Neil, WF. Silastic foam dressing in pinnaplasty. J Laryngol Otol 1986;100:201–2Google Scholar
6Vetter, M, Foehn, M, Wedler, V. A new postoperative otoplasty dressing technique using cyanoacrylate tissue adhesives. Aesthetic Plast Surg 2010;34:212–13Google Scholar
7McIntire, MR, Morgan, RF, Kenney, JG, Edgerton, MT. Postoperative protection for the external ear. Ann Plast Surg 1983;11:261–2CrossRefGoogle ScholarPubMed
8Moher, D, Liberati, A, Tetzlaff, J, Altman, DG. The PRISMA Group (2009). Preferred Reporting Items for Systematic Reviews and Meta-Analyses: The PRISMA Statement. BMJ 2009;339:2535Google ScholarPubMed
9Ramkumar, S, Narayanan, V, Laing, JHE. Twenty-four hours or 10 days? A prospective randomised controlled trial in children comparing head bandages following pinnaplasty. J Plast Reconstr Aesthet Surg 2006;59:969–74CrossRefGoogle ScholarPubMed
10Orabi, AA, Chintamani, BH, Timms, MS. Is a head bandage useful after otoplasty? A quasi-randomized controlled trial of complications and patient satisfaction. Ear Nose Throat J 2009;88:17–22Google Scholar
11Self, AC, Madani, H, Senior, N, Howes, S, Dheansa, BS. Ear dressings post pinnaplasty. J Plast Reconstr Aesthet Surg 2010;63:555CrossRefGoogle Scholar
12Bartley, J. How long should ears be bandaged after otoplasty? J Laryngol Otol 1998;112:531–2CrossRefGoogle ScholarPubMed
13Powell, BW. The value of head dressings in the postoperative management of the prominent ear. Br J Plast Surg 1989;42:692–4CrossRefGoogle ScholarPubMed
14Wong, MC, Sylaidis, P. Head dressings for pinnaplasty: a tradition not supported by evidence. Br J Plast Surg 1999;52:588–90Google Scholar
15Norris, JM, Mabvuure, NT, Cumberworth, A, Watts, SJ. Are head bandages required post-pinnaplasty? Int J Surg 2012;10:330–3CrossRefGoogle ScholarPubMed