PROMINENT EAR CORRECTION BY TWO PARALLEL INTERRUPTED FULL THICKNESS CARTILAGE INCISION LINES
AbstractPROMINENT 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.
1. Maslanskas K. ,Astranskas T.Comparison of Otoplasty out comes using different types of suture materials.Int.Surg.2010; 95:88-93. 2. Janis J.E., Rohrich R.J. Otoplasty. Plast. Reconstr.Surg.2005;115:60-72. 3. Adamson P.A.,Strecker H.D. Otoplasty techniques.Facial Plast.Surg.1995;11:284-300. 4. Ernani Coelho Alencar. Brazilian Journal of plastic surgery. Artigo original-Ano 2015-vol.30.Numero 3. 5. Ozturan O., DogunR. Percutaneous adjustable closed otoplasty for prominent ear deformity. J.Craniofacial Surg. 2013;24:398-404. 6. Strychowsky JE., Moitri M. Incisionless otoplasty: A retrospective review and out comes analysis. Int.J.Pediatr.Otorhinolaryngol. 2013;77:1123-7. 7. Mustarde JC. The correction of prominent ears using simple mattress sutures. Br. J. Plast. Surg. 1963. Apr;16:170- 178. 8. Calder JC. Naasan A. Morbidity of otoplasty: Areview of 562 consecutive cases. Br.J.Plast.Surg. 1994;47(3):170- 174. 9. Ferreira LM. Deformidades auricularis. In: Manual Cirugia Plastica. Sao Paulo:Athenen;1995;p.223-228. 10. Aygit AC. Molding the ears after anterior scoring and concha repositioning. Combined approach for protruding ear correction. Aesthtic Plast. Surg.2003 Jan-Feb;27(1);77-81. 11. Yugueros P, Friedland JA. Otoplsty. The experience of 100 consecutive patients. Plast.Reconstr.Surg. 2001;108:1045-1053. 12. Francisco DE Olivera. Correction of prom. ears by cartilage non incision technique, definition of the antihelix with Mustarde sutures and fixation of the ear cartilage at the mastoid. Rev.Bras.Cir.Plast.2011;26(4):602-607. 13. Erkan Yuce, Ali Can Gunenc. Surgical treatment of prominent ear: 5 year clinical experience in 108 patients.; Turkish journal of plastic surgery.2017;25(1):12-9. 14. Mallen RW. Otoplasty. Can.J. Otolaryngol.1974;3: 74. 15. Adamson JE, Horton CE. The growth pattern of the external ear. Plast. Reconstr. Surg.1965;36:466-470. 16. Wodak E.On the position and shape of the human auricle. Arch.Klin.Exp.Ohren Nasen. Kehl kopfheilkd.1967;188:331-335. 17. S.L.A.Jeffery. Complications following correction of prominent ears: An audit review of 122 cases. Department of plastic surgery, The Queen Victoria Hospital, East Grinstead,UK. 28 Sep. 1998. 18. Kakrinn Anesti. Otoplasty Morbidity. Modern Plastic Surgery.2013,3:28-33. 19. Felipe Yargas Borges. Complications of Otoplasty Surgeries. Artigo Original-Anno 2016-Vol. 31-Numero 2 . 20. Aki etal Coplicoes em Otoplastia: revisuo de 508 casos. Rev.Bras.Cir.Plast. 2006;21(3):140-144. 21. C.Bermneller. Quality of life and patient satisfaction after otoplasty. Europian Arch.of Otolaryngol.Nov.2012,Vol.269,Issue 11,PP. 2423-2431. 22. Murat Songu. Otoplasty in children younger than 5 years of age. Otolaryngology. Vol.74;Issue 3,March 2010 pp.292-296.
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