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Complications of auricular correction.

Otto Staindl1, Vanessa Siedek

  • 1University Clinic for Ear, Nose and Throat Medicine and Head and Neck Surgery, Paracelsus Medizinische Privatuniversität, Salzburg, Austria.

GMS Current Topics in Otorhinolaryngology, Head and Neck Surgery
|November 11, 2011
PubMed
Summary

Auricular correction surgery carries significant risks, with up to 5% early and 20% late complications. Careful diagnosis and tailored surgical techniques are crucial for successful ear reconstruction outcomes.

Keywords:
auricular correctioncomplicationscorrective operations

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Area of Science:

  • Plastic Surgery
  • Otolaryngology
  • Medical Complications

Background:

  • The potential for complications following auricular correction surgery is frequently underestimated.
  • Both early and late complications can significantly impact patient outcomes and satisfaction.

Purpose of the Study:

  • To highlight the underestimated risks associated with auricular correction.
  • To identify common early and late complications and their contributing factors.
  • To emphasize the importance of individualized surgical planning and management.

Main Methods:

  • Review of early complications including hematoma, infection, fistulae, granulomae, allergic reactions, pressure ulcers, pain, and asymmetry.
  • Analysis of late complications such as recurrences, telephone ear, excessive edge formation, close fitting, auditory canal narrowing, keloids, and ear collapse.
  • Evaluation of patient versus surgeon perception of deformities.
  • Identification of incorrect diagnosis and inappropriate surgical procedures as primary causes of complications.

Main Results:

  • Early complications occur in approximately 5% of cases, while late complications affect around 20%.
  • Patients often have a less critical view of deformities compared to surgeons, particularly regarding ear positioning.
  • Incorrect diagnosis and suboptimal surgical technique are the predominant causes of complications.
  • Specific techniques, like unfixed full-thickness skin flaps, show success in managing late complications such as keloids.

Conclusions:

  • Auricular correction requires meticulous surgical planning, adapting procedures to individual ear morphology.
  • Effective bandaging, regular inspections, and timely revisions are vital for managing early complications.
  • While significant deformities can be challenging, appropriate techniques can improve outcomes for late complications.