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Discovering Middle Ear Anatomy by Transcanal Endoscopic Ear Surgery: A Dissection Manual
Published on: January 11, 2018
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Two-Flap Otoplasty: A New Technique for Protruding Ear Correction
1From the Plastic Reconstructive and Aesthetic Surgery Department, Jimer Hospital, Bursa, Turkey.
Annals of Plastic Surgery
|May 29, 2019
Summary
Corrective prominent ear surgery using a novel flap technique significantly reduces complications and recurrence. This method offers a reliable primary otoplasty for prominent ear deformities, improving patient outcomes.
Area of Science:
- Plastic Surgery
- Otolaryngology
- Congenital Deformities
Background:
- Prominent ear deformity affects 5% of the population, causing significant psychological distress in children.
- Corrective prominent ear surgery is frequently performed to address these concerns.
Purpose of the Study:
- To evaluate a novel surgical technique for prominent ear correction using opposing flap vectors.
- To assess the efficacy and complication rates of this primary otoplasty method.
Main Methods:
- Elevation of laterally based perichondrioadipodermal and medially based adipoperichondrial flaps.
- Fixation of flaps to mastoid periosteum and posterior helical skin, respectively.
- Preoperative and 6-month postoperative measurements of helix-mastoid distances and concha-mastoid angles.
Main Results:
- No skin necrosis, suture extrusion, hematoma, or infection observed in 22 patients.
- One case of unilateral recurrence required revision surgery.
- Effective correction of prominent ear deformities with favorable aesthetic outcomes.
Conclusions:
- The described flap elevation and repositioning technique is a safe and effective primary otoplasty method.
- This approach minimizes postoperative complications and recurrence rates for prominent ear deformities.
- Offers a reliable alternative to existing protruding ear correction methods.
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