Keywords : and conchal reduction

Refinements In Otoplasty Technique For Bat Ears

Ahmed Abdul-Kareem M.Norris

Iraqi Postgraduate Medical Journal, 2006, Volume 5, Issue 1, Pages 18-24

Protruding ear is generally the result of a malformed antihelix, hypertrophied/malpositioned concha or in most cases a combination of all these conditions.
Otoplasty is a common plastic surgical procedure performed to correct protruding ears. A description is presented of a posterior approach in prone position under GA with few modifications. Open anterior cartilage scoring with toothed forceps, conchoscaphal Mustarde suturing, conchamastoid suturing, or a combination were used to correct the deformity. The follow-up periods ranged from 6 – 8 months. . Postoperative evaluation was done by another doctor.
There were no early complications. There was one late complication requiring revision surgery. All patients achieved satisfactory results, as determined by questioning of both patients and parents 6 months postoperatively.
Prone position under general anesthesia was found to be safe and efficacious procedure .The use of toothed forceps seems to be a good alternative when specific cartilage scorers are not available. Using needles for marking the site of Mustarde sutures appear to be more practical than marking with methylene blue.