Keywords : conchal excision

The Outcome of Combined Conchal Excision, Concho-Scaphal Sutures and Concho-Mastoid Sutures Techniques for Treatment of Prominent Ears

Iraqi Postgraduate Medical Journal, 2015, Volume 14, Issue 4, Pages 480-486

Prominent ear is one of the most common congenital deformities of the head and neck region. It can affect the aesthetics and psychosocial aspects of patients. There are over 170 techniques described in the literatures, but many do not adequately address the specific problem and can prove unstable. Technique selection in otoplasty should be done only after careful analysis of the abnormal anatomy responsible for the protruding ear deformity.
To evaluate the outcome of combined conchal excision, concho-scaphal sutures, and concho-mastoid sutures techniques for treatment of prominent ear.
A retrospective study was performed on 38 patients, from February 2009 to September 2014. All patients who had prominent ear were included in this study, except those who had constricted ear and secondary otoplasty. A combined method of conchal excision, concho-scaphal suture, and concho-mastoid suture technique was used for correction of prominent ear. The follow-up period was 6 –19 months (mean, 14 months). Data were entered and analyzed using the statistical package for social sciences SPSS version (18).
In 38 patients who underwent otoplasty for prominent ear (24 were males and 14 were female), this technique of combined method used for all patients who had underdevelopment of antihelix and conchal hypertrophy. This technique allowed for correction of prominent ears to achieve a natural appearance. It achieved good to excellent symmetry in 95% of the patients and a low rate of complications. There were no major complication like skin necrosis or infection, but one patient develops small hematoma, another patient develops suture granuloma and extrusion and one patient had mild telephone deformity.
This Technique is simple, versatile and applicable to all age groups, as well as its easy, safe and less recurrence rate with fewer complications and excellent long-term aesthetic outcomes.