OUTCOME AND EVALUATION OF PROTRUDING EAR CORRECTION BY ADIPO PERICHONDRIAL FLAP TECHNUIQE

Document Type : Original Article

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Department of Otorhinolaryngology, Faculty of Medicine, Zagazig University, Zagazig, Egypt

Abstract

Background:Protruding ear is one of the most common facial and external ear abnormalities and the incidence is 5% of normal deliveries. Protruding ear anatomically characterized by absence of antihelical fold or big conchal bowel or both defects.In general,there are two different main categories for correction of prominent ear;cartilage cutting and cartilage sparing - suturing such as Mustarde’s mattress sutures or Furnas’ concha-mastoid sutures and sculpting introduced by Chongchet and Stenstrom.Methods: 14 patients with a total of 24 ears (20 unilateral and 4 bilateral);6 of which were females and 8 were males, all had prominent ear correction by the same surgeon at Zagazig University Hospital in Egypt by same technique. General anesthesia was applied to all patients and a tight bandage was applied for 72 hours post-operatively, then they were bandaged for 8 days.The skin sutures were removed after ten days of surgery and night bandage was applied for 5 more days.Results:We followed up our patients for 6-12 months after surgery with mean of 9 months.The operation time was 90 minutes in 1st formal case then it became 70 minutes in other cases.There were no suture extrusion, sinus formation, sharp edges of the antihelix, tissue necrosis,hematoma or recurrent protrusion. Conclusion:From our point of view,the technique is safe, simple, and easy applicable, less traumatic and it avoids the common complication of other otoplasty techniques because there is no cartilage excision.This technique gives us a smooth rounded antihelix without sharp edges; giving satisfaction to patients and their relatives and semi natural looking antihelix.

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Zagazig University Medical Journal
Volume 28, Issue 6
November 2022
Pages 1519-1524

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