Percutaneous adjustable closed otoplasty for prominent ear deformity

Area of Science:

• Plastic Surgery
• Otolaryngology

Background:

• Prominent ear deformities affect aesthetics and self-esteem.
• Traditional otoplasty techniques can involve longer operating times and more complex postoperative care.

Purpose of the Study:

• To evaluate the efficacy of percutaneous adjustable closed otoplasty (PACO) for prominent ears.
• To assess technical efficiency, recurrence rates, complications, and patient satisfaction with PACO.

Main Methods:

• PACO was performed on 28 ears in 15 patients with prominent ear deformities.
• Auriculocephalic distances were measured preoperatively and at multiple postoperative follow-up points.
• Patient satisfaction was assessed using visual analog scales and Glasgow Benefit Inventories.

Main Results:

• Mean operative time was 19.4 ± 5.7 minutes.
• Low complication rates and high patient satisfaction were reported.
• Significant increases in auriculocephalic distances were observed post-procedure, indicating effective correction.

Conclusions:

• PACO is an efficient and effective surgical option for prominent ear deformities, particularly those with soft cartilage.
• The procedure offers advantages such as shorter surgery duration, immediate results, and high patient satisfaction.
• PACO demonstrates low recurrence and complication rates, with potential for reversibility and adaptability for various ear anatomies.