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An Unexpected Otoplasty Complication: Temporal Nerve Paresis
Gurkan Kayabasoglu1, Alpen Nacar
1Department of Otorhinolaryngology, Faculty of Medicine, Sakarya University, Adnan Menderes Cad. No 145, Adapazarı, Sakarya, 54100, Turkey, kayabasoglu@yahoo.com.
Insights
Otoplasty, a common surgery for prominent ears in children, can lead to complications. This report details the first known case of facial nerve palsy following this ear correction procedure.
Area of Science:
- Plastic Surgery
- Pediatric Surgery
- Otolaryngology
Background:
- Otoplasty is the most frequent aesthetic surgical procedure for correcting prominent ears in children.
- While generally successful in improving psychological well-being, otoplasty carries potential surgical risks.
Observation:
- Common otoplasty complications include hematomas, infection, necrosis, ear canal stenosis, suture extrusion, and scarring.
- This case report documents an unusual complication not previously associated with otoplasty.
Findings:
- Facial nerve palsy is identified as a rare complication following otoplasty.
- This represents the first documented instance of facial nerve palsy after ear correction surgery.
Implications:
- Highlights the need for increased awareness of potential neurological complications after otoplasty.
- Informs surgical planning and patient counseling regarding the full spectrum of otoplasty risks.
- Suggests further investigation into the mechanisms and incidence of facial nerve palsy post-otoplasty.
Abstract:
Otoplasty, for prominent ear correction, is the most common aesthetic surgery procedure done in children. While the outcome often has a positive impact on the psychological state of the patient, the procedure itself does have associated complications that must be considered. Common complications include hematomas, infection, necrosis, outer ear canal stenosis, extrusion of sutures, insufficient correction, overcorrection, keloids, and hypertrophic scars. This is the first case report of facial nerve palsy as a complication following otoplasty.

