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

ABSTRACT:
BACKGROUND:
Protruding ear is generally the result of a malformed antihelix, hypertrophied/malpositioned concha or in most cases a combination of all these conditions.
METHODS:
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.
RESULTS:
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.
CONCLUSION:
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.