Otoplasty Techniques

Adamson, Peter A.; Strecker, Harvey

doi:10.1055/s-2008-1064545

Cited by 102 publications

(88 citation statements)

References 5 publications

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“…Kepçe kulak deformitesi otozomal dominant kalıtım gösterirken, toplumun %5 kadarını etkilemektedir (6,7). Çalışmamızda erkekleri kızlardan daha çok etkileyen kepçe operasyonlar sorgulanmamıştır.…”

Section: Discussionunclassified

Çocuklarda Kulak Burun Boğaz Muayene Sonuçları ve Etkileyen Faktörler: Okul Tabanlı-Kesitsel Çalışma

Tekïn

Kara

Uludağ

et al. 2016

Aile Hekimliği Ve Palyatif Bakım

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ÖZETGiriş: Çalışmada okul çağı popülasyonunda kulak burun ve boğaz muayenesi yaparak sık görülen patolojileri ve bu durumlarla ilişkili faktörleri saptamak amaçlanmaktadır. Yöntem: Kesitsel desendeki çalışma Eylül-Aralık.2013 tarihleri arasında Çanakkale il merkezindeki ilk ve ortaokullarda yapıldı. Öğrencilerin ve ailelerinin hastalık öykülerini ve alışkanlıklarını sorgulayan anket uygulandı. Kulak, burun ve boğaz muayeneleri yapılarak, öğrencilerin muayene formlarına not edildi. Bulgular: Çalışmaya toplam 1938 öğrenci alındı. Öğrencilerin 1369 (%70,6)'u ilkokul, 569 (%29,4)'ü ortaokulda eğitim görmekteydi. Öğrencilerin yaş ortalaması 8,6 ± 2,3 idi. Çalışmada sırasıyla tonsiller hipertrofi %25,2, kepçe kulak %14,8, otitis media %3,3, anterior nazal deviasyon %10,4 sıklıkta gözlendi. Kepçe kulak erkek öğrencilerde daha fazlaydı (p<0,001). Öğrencilerin cinsiyet ve okul seviyeleri ile kulak, burun ve boğaz patolojisinden en az birinin bulunma durumu arasında anlamlı farklılık yoktu (p>0,05). Sonuç: Okul çocuklarında sırasıyla tonsiller hipertrofi, anterior nazal deviasyon ve otitis media en sık saptanmıştır. Öğrencilerin ve ailelerinin tıbbi öykü özellikleri ile ailelerin tıbbi öykü ve alışkanlıkları, kulak, burun ve boğaz patolojisinin varlığı için risk faktörü değildi. Anahtar kelimeler: Okul Çağı Popülasyonu, Tonsil, Nazal Septum, Otitis Media, Sıklık ABSTRACT Introduction: In this study, we aimed to determine the most common pathologies by examining the ear, nose and throat (ENT) of school-aged population and the relation with the associated factors. Methods: A cross-sectional study was conducted between September-December 2013 at the primary and secondary schools in the city center of Çanakkale. A questionnaire was applied with the students' and parents' disease history and their habits. Ear, nose and throat examination was performed and noted to the examination form. Results: A total of 1938 students were enrolled in the study. 1369 students (70.6%) were in primary schools, 569 (29.4%) were in secondary schools. Mean age of the students was 8.6 ± 2.3 years. The prevalence of tonsillar hypertrophy was 25.2%, prominent ear 14.8%, otitis media 3.3%, anterior nasal deviation 10.4% respectively. Prominent ear were found more frequent in male children than female children (p<0,001). There were no significant differences between children according to gender and the level of classes with having at least one ear-nose-throat pathology (p>0.05). Conclusion: Tonsillar hypertrophy, anterior nasal deviation, and otitis media were the most common pathologies in the school aged children respectively. The students' and the parents' medical histories and the parents' habits were not risk factors for having at least one ear-nose-throat pathology.

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Section: Discussionunclassified

Çocuklarda Kulak Burun Boğaz Muayene Sonuçları ve Etkileyen Faktörler: Okul Tabanlı-Kesitsel Çalışma

Tekïn

Kara

Uludağ

et al. 2016

Aile Hekimliği Ve Palyatif Bakım

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“…More than 200 techniques have been suggested for the surgical correction of prominent ear [1]. No consensus exists regarding the best technique, and novel techniques and modifications therefore continue to be developed.…”

Section: Discussionmentioning

confidence: 99%

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…”

mentioning

confidence: 99%

A Modified Closed Cartilage-Preserving Otoplasty Technique for Prominent Ear Correction

Choi

Burm

Lee

2016

Arch Aesthetic Plast Surg

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INTRODUCTIONProminent ear is a relatively common deformity of the external ear, with an incidence of approximately 5% in Caucasians [1]. The main anatomical features of prominent ear are protrusion of the upper half of the helix with a wide conchoscaphal angle that results from failure of the antihelix to fold properly, in conjunction with a wide conchomastoid angle, deep conchal bowl, or absence of the helical roll [2]. Prominent ear may cause psychological stress, emotional trauma, and behavioral disorders, particularly in children [3]. The anatomical goal of prominent ear correction is to produce a smooth, round, and well-defined antihelical fold, a conchoscaphal angle of 90°, and conchal reduction or reduction of the conchomastoid angle [4]. A range of techniques have been developed to achieve these goals. Otoplastic techniques are divided into three broad categories: cartilage-cutting techniques, cartilage-sparing techniques, and incisionless techniques. Cartilage-sparing techniques have been Background In the surgical correction of prominent ear, a technique known as percutaneous adjustable closed otoplasty (PACO), which does not involve skin incision, undermining, or cartilage manipulation, has been developed to resolve problems including hematoma, infection, contour deformities, prolonged use of a compressive dressing, and hospitalization. We modified this procedure to make it more practical and accessible and to achieve better results. In this article, we introduce our modifications and demonstrate the clinical applicability of the modified procedure to patients with hardened auricular cartilage. Methods Two adult patients with prominent upper ears underwent closed otoplasty in an outpatient setting. Based on the anatomical features of the patients, three lines for traction sutures were designed on the scapha and counter scapha. Tab incisions were made at all predetermined puncture sites. Three antihelix-forming sutures (4-0 nylon) were put in place via percutaneous punctures. The sutures were performed from the counter scapha to the postauricular sulcus subcutaneously, using an 18-mm empty curved needle. The sutures were scraped over the mastoid bone such that they were anchored to the mastoid periosteum. After determining an adequate auriculocephalic distance, the sutures were tied at the postauricular sulcus. A slight overcorrection was made to compensate for post-surgical relapse. Results We observed no complications such as hematoma, infection, contour deformities, epithelial inclusion cyst formation, suture extrusion, or dimples on the scapha. At a long-term follow-up examination, the patients had well-defined antihelical folds and were satisfied with the aesthetic results of the procedure. Conclusions We propose our technique as a reliable treatment option for the correction of prominent ear.

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“…They are characterized by autosomal dominant inheritance and commonly caused by two developmental defects: underdevelopment of the antihelical fold and overdevelopment of the conchal wall [1]. The ear is a complex structure of cartilage and skin with many intricate involutions and folds.…”

Section: Introductionmentioning

confidence: 99%

“…Prominent ears are present in approximately 5% of the Caucasian population [1]. They are characterized by autosomal dominant inheritance and commonly caused by two developmental defects: underdevelopment of the antihelical fold and overdevelopment of the conchal wall [1].…”

Section: Introductionmentioning

confidence: 99%

Correction of prominent ears: techniques and complications

Choi

2017

J Cosmet Med

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Prominent ears are present in approximately 5% of the Caucasian population. It is characterized by autosomal dominant inheritance and commonly caused by 2 developmental defects: underdevelopment of the antihelical fold and overdevelopment of the conchal wall. A thorough preoperative evaluation includes examination of ear symmetry, size, shape, and projection. Mustarde first described a technique for creating an antihelical fold by utilizing permanent conchoscaphal mattress sutures. Furnas popularized a technique of conchal setback using permanent cochomastoidal suturing.

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Otoplasty Techniques

Cited by 102 publications

References 5 publications

Çocuklarda Kulak Burun Boğaz Muayene Sonuçları ve Etkileyen Faktörler: Okul Tabanlı-Kesitsel Çalışma

Çocuklarda Kulak Burun Boğaz Muayene Sonuçları ve Etkileyen Faktörler: Okul Tabanlı-Kesitsel Çalışma

A Modified Closed Cartilage-Preserving Otoplasty Technique for Prominent Ear Correction

Correction of prominent ears: techniques and complications

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