Benefits of medially based perichondrio-adipo-dermal flap in cartilage sparing prominent ear surgery

Mandour, Yasser Mohammed; Abdelmofeed, Ayman M.

doi:10.1016/j.otorri.2021.09.003

Cited by 2 publications

(1 citation statement)

References 17 publications

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“…On the other hand, cartilage sparing techniques had a greater acceptance and became more popular. Yet, these techniques still show a recurrence rate owing to the cartilage memory and suture drawbacks like pinpricking, extrusion or fatigue 6 The aim of the study was to apply a new modification in remodeling of antihelix through cartilage fenestration to overcome the cartilage memory, with usage of distal based post-auricular facial flap in combined approach otoplasty.…”

Section: Introductionmentioning

confidence: 99%

Remodeling of Antihelix in Combined Approach Otoplasty

2024

The Egyptian Journal of Hospital Medicine

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Background: Prominent ear deformity represents one of the common congenital anomalies in general population with an incidence of approximately 5%. Surgical correction of prominent ears has passed through many modifications along the years. However, there is still no ideal technique and still there will be an evolution for new techniques and refinements. Aim: is to apply a new modification in remodeling of antihelix through cartilage fenestration to overcome the cartilage memory, with usage of distal based post-auricular facial flap in combined approach otoplasty. Patients and Methods: This retrospective study was done in Ain Shams University Hospitals during the period from December 2021 to April 2023 on patients with prominent ear. Patients underwent combined approach otoplasty with cartilage fenestration and coverage by distal based post-auricular facial flap. Results: Eighteen patients were included in this study, ten females and eight males, no bleeding or hematoma was found in any of the patients in the lateral surface of ear as there was no anterior dissection or anterior cartilage scoring. Patients' satisfaction was assessed by satisfaction score, where twelve patients (66.7%) were very satisfied, and four patients (22.2%) were satisfied, and one patient (0.05%) was neither satisfied or dissatisfied and one patient (0.05%) was dissatisfied. Conclusion: remodeling of the antihelix through cartilage fenestration and coverage by distal based post-auricular facial flap represents a reliable method for prominent ear otoplasty with no anterior cartilage dissection, no anterior cartilage scoring, minimal or no complications and high patient's satisfaction outcome.

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Section: Introductionmentioning

confidence: 99%

Remodeling of Antihelix in Combined Approach Otoplasty

2024

The Egyptian Journal of Hospital Medicine

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Double Triangular Cartilage Excision in Otoplasty Revisited

Gualdi,

Cambiaso-Daniel,

Negrini

et al. 2024

Facial Plast Surg

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Background Prominent ears negatively impact the psychological and social health of individuals. Despite the availability of different surgical correction methods for this congenital condition, many of these techniques might result in significant risks of complications and the condition often reappears. Herein, we present log-term outcomes of our suture-free method that employs various strategies to reduce these risks and prevent recurrences. Methods We analyzed the results of patients who had a bilateral double triangular cartilage excision otoplasty as an outpatient procedure. This previously described technique is designed to correct prominent ears by precisely removing sections of cartilage to reshape the ear mechanically without the need for sutures through the cartilage. We documented any complications after surgery and gathered feedback from patients over an extended follow-up period. Results A total of 146 patients (292 ears) met the inclusion criteria. The mean age was 23.2 ± 5.3 years. The mean follow-up period was 22 months. Complications were as follows: 3 ears (1.02%) showed superficial skin tissue necrosis at the front of the ear and 17 ears (5.8%) needed further surgery due to unsatisfactory ear rotation. Additionally, 2.73% experienced wound dehiscence, 0.68% had hematomas, 1.02% had external ear infections that were treated with local and systemic antibiotics, 4.1% developed hypertrophic scars, and 8.2% experienced temporary paresthesias. Patients reported being satisfied with the final outcomes at follow-up. Conclusion Double triangular cartilage excision otoplasty is a safe procedure with few complications, low recurrence rates, and good patients' satisfaction at long-term follow-up. This sutureless technique should be included as an alternative to the existing surgical techniques and added to the skill set of surgeons. Level of Evidence IV.

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Benefits of medially based perichondrio-adipo-dermal flap in cartilage sparing prominent ear surgery

Cited by 2 publications

References 17 publications

Remodeling of Antihelix in Combined Approach Otoplasty

Remodeling of Antihelix in Combined Approach Otoplasty

Double Triangular Cartilage Excision in Otoplasty Revisited

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