Keywords : Prominent ear
Basrah Journal of Surgery,
2019, Volume 25, Issue 1, Pages 32-36
PROMINENT EAR CORRECTION BY TWO PARALLEL INTERRUPTED FULL THICKNESS CARTILAGE INCISION LINES Mohammed Breesam Hatif@, Arwa Kasim* and Jabir R Hameed# @ MB,ChB, FICMS, Consultant Plastic & Reconstructive Surgeon, Al-Wasity Plastic and Reconstructive Surgery Teaching Hospital, Baghdad. * MB,ChB, FICMS, Plastic & Reconstructive Surgeon, Al-Karama General Teaching Hospital in Baghdad. # MB,ChB, FICMS, Consultant Plastic and Reconstructive Surgeon, Al-Sadir Teaching Hospital, Basrah, IRAQ. Abstract Prominent ear is the most common congenital ear deformity affecting 5% of children in western world and has profound psychological effects on the bearer. The most common causes of protruded external ear are: an under developed or flat antihelix, an over developed deep concha, or combination of both of these features. The aim of this study is to evaluate clinical outcome of otoplasty in prominent ears by two parallel interrupted full thickness cartilage incisions. from February 2015 to November 2018, a prospective study accomplished on 40 patients (74 ears), they were 32 males and 8 females. The condition was bilateral in 34 patients and unilateral in 6 patients. Surgery was done by a modification of combined methods of Mustarde and Furnas with partial resection of conchal cartilage . The preoperative helical rim, temporo-mastoid surface distance was 28-40 millimeters (mean 34.6 mm) and 10-15 mm postoperatively (mean 12.1 mm). The preoperative cephalo-auricular angle was 50-90 degrees (mean 75.4 degrees), and was kept at 20-25 degrees (mean 22.5 degrees) postoperatively. Good esthetic and satisfaction results were noted by the patients, their families, and the surgical staff. No complication had occurred and no one needed surgical revision. In conclusion, the procedure was found to be simple, easily applied with good esthetic and satisfaction results.