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Posterior Perichondrioadipodermal flap: A Versatile Option for Revision Otoplasty.
1From the Plastic Reconstructive and Aesthetic Surgery Department, Jimer Hospital, Bursa, Turkey.
Annals of Plastic Surgery
|June 25, 2019
Summary
Revision otoplasty addresses late complications like asymmetry and suture extrusion. A posterior perichondrioadipodermal flap technique shows promise for revision ear surgery, particularly after cartilage-sparing primary procedures.
Area of Science:
- Plastic Surgery
- Otolaryngology
Background:
- Complications from otoplasty (ear surgery) can be early or late, with late issues often requiring revision surgery.
- Unsatisfactory cosmetic results are a primary driver for patients seeking secondary otoplasty procedures.
Purpose of the Study:
- To evaluate the effectiveness of the posterior perichondrioadipodermal flap technique for revision otoplasty.
- To identify common complications necessitating revision ear surgery.
Main Methods:
- A cohort of 32 patients (18 male, 14 female) aged 24-70 underwent revision otoplasty between 2015-2018.
- Patients were assessed for deformity types including suture extrusion, asymmetry, recurrence, and pain, as well as primary otoplasty techniques used.
Main Results:
- The main long-term complications observed were suture extrusion (12 cases), asymmetry (8 cases), recurrence (10 cases), and pain/sensitivity (2 cases).
- Some patients presented with multiple complications, such as suture extrusion and asymmetry.
Conclusions:
- The posterior perichondrioadipodermal flap is presented as a safe and simple method for revision otoplasty.
- The technique's efficacy is well-supported for cases following cartilage-sparing primary otoplasty, but its use after cartilage-sculpting techniques requires further investigation.
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