Two Laterally Based Flap Otoplasty for Protruding Ear Correction.

Area of Science:

• Plastic Surgery
• Otolaryngology
• Aesthetic Surgery

Background:

• The postauricular fascial flap technique is effective for ear protrusion but has limitations in correcting conchal hypertrophy.
• Existing methods may not adequately address combined deformities like conchal hypertrophy and anti-helical effacement.

Purpose of the Study:

• To describe and evaluate a new surgical technique designed to overcome conchal hypertrophy in protruding ear repair.
• To assess the efficacy of this novel approach in patients with both conchal hypertrophy and anti-helical effacement.

Main Methods:

• A new otoplasty technique involving a posterior perichondrio-adipo-dermal flap and a perichondreal flap was developed.
• The technique was applied to 12 patients (8 male, 4 female) aged 18-30 with protruding ears, conchal hypertrophy, and anti-helical effacement between May 2017 and May 2018.

Main Results:

• No early postoperative complications such as skin necrosis, suture extrusion, hematoma, or infection were observed in the 12 patients.
• One patient experienced late postoperative asymmetry requiring unilateral revision otoplasty, indicating a high success rate.

Conclusions:

• The described technique, utilizing a posterior perichondrio-adipo-dermal flap and a perichondreal flap, is practical and efficient.
• This novel approach is highly advantageous for correcting protruding ears with combined conchal hypertrophy and anti-helical effacement.