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Korean Society of Plastic and Reconstructive Surgeons, Archives of Plastic Surgery, 02(42), p. 223-225, 2015

DOI: 10.5999/aps.2015.42.2.223

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The Three-Bite Technique: A Novel Method of Dog Ear Correction

Journal article published in 2015 by Omar Jaber, Marta Vischio, Angela Faga, Giovanni Nicoletti ORCID
This paper is made freely available by the publisher.
This paper is made freely available by the publisher.

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Question mark in circle
Preprint: policy unknown
Question mark in circle
Postprint: policy unknown
Question mark in circle
Published version: policy unknown
Data provided by SHERPA/RoMEO

Abstract

The closure of any circular or asymmetric wound can result in puckering or an excess of tissue known as a 'dog ear'. Understanding the mechanism of dog ear formation is a fundamental requirement necessary to facilitate an appropriate treatment. Many solutions have been reported in the literature, but in all cases, the correction entails the extension of the scar and the sacrifice of the dermal plexus. Here, we propose a novel technique of dog ear correction by using a three-bite suture that sequentially pierces the deep fascial plane and each dog ear's margin, thus allowing for flattening the dog ear by anchoring the over-projecting tissue to the deep plane. The three-bite technique proved to be a fast, easy, and versatile method of immediate dog ear correction without extending the scar, while maintaining a full and complete local skin blood supply.