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Updated: Sep 29, 2025

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Comparison of Transcutaneous Fixation-Assisted Method with Classical Needle-Assisted Method in Prominent Ear Surgery.

Ilker Uyar1,2, Ersin Aksam3, Can Kopal4

  • 1Department of Plastic, Reconstructive and Aesthetic Surgery, Izmir Katip Celebi University Medical Faculty, İzmir, Turkey. ilkeruyar@windowslive.com.

Aesthetic Plastic Surgery
|March 25, 2022
PubMed
Summary

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The transcutaneous fixation-assisted method for prominent ear repair is faster than the classical needle-assisted technique. This new method offers quicker surgical times and immediate assessment of results for prominent ears.

Area of Science:

  • Plastic Surgery
  • Otolaryngology
  • Surgical Innovation

Background:

  • Prominent ear deformity, an autosomal dominant inherited condition, often requires surgical correction.
  • Various surgical techniques exist for prominent ear repair.
  • This study evaluates a novel transcutaneous fixation-assisted method against a classical needle-assisted approach.

Purpose of the Study:

  • To compare the efficacy and efficiency of a newly described transcutaneous fixation-assisted method with the conventional needle-assisted method for prominent ear repair.
  • To assess operative times and aesthetic outcomes in prominent ear surgery.

Main Methods:

  • A comparative study of 52 patients with bilateral prominent ear deformity undergoing surgery between January 2017 and January 2020.
  • Two groups: Group 1 (classical needle-assisted concha-scaphal sutures) and Group 2 (transcutaneous suturing for concha-scaphal sutures).
Keywords:
Ear correctionFixationOtoplastyProminent ear

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  • Operative duration, and pre-, intra-, and postoperative measurements at 1, 3, 6, and 12 months were analyzed.

    • Main Results:

    • No significant demographic differences between the 27 patients in Group 1 and 25 in Group 2.
    • Average operative time was significantly shorter in Group 2 (60.40 minutes) compared to Group 1 (80.37 minutes) (p<0.05).
    • No statistically significant differences in aesthetic outcomes were observed between the groups.

    Conclusions:

    • The transcutaneous fixation-assisted method offers a faster surgical approach for prominent ear repair compared to the classical needle-assisted method.
    • This technique allows for immediate evaluation of results during the operation.
    • The study suggests a more efficient surgical option for prominent ear correction.