Efficacy of Using Perichondrioadipodermal Flap With Combined Techniques in Prominent Ear Correction

Area of Science:

• Plastic Surgery
• Otoplasty Techniques
• Congenital Ear Deformities

Background:

• Prominent ear deformity affects approximately 5% of the population.
• Causes include antihelix insufficiency, concha overprojection, or ear lobule issues.
• Surgical interventions target specific anatomical structures to correct the deformity.

Purpose of the Study:

• To evaluate the postoperative outcomes of a combined suture otoplasty and perichondrioadipodermal flap technique for prominent ear surgery.
• To analyze the effectiveness of this combined approach in reducing complications and improving aesthetic results.
• To compare the results with existing literature on prominent ear correction.

Main Methods:

• Retrospective evaluation of 49 patients undergoing prominent ear surgery between 2010 and 2015.
• Preoperative and postoperative analysis of anatomical features including concha-scaphoid angle and helix-mastoid distance.
• Photographic documentation at multiple postoperative intervals to assess outcomes.

Main Results:

• A statistically significant reduction in helix-mastoid bone distance was observed postoperatively (mean 26.77 mm to 16.26 mm, P < 0.05).
• The study included 97% bilateral and 7% unilateral otoplasties across a patient age range of 6 to 37 years.
• No major surgical complications or need for revision surgery were detailed in the results section.

Conclusions:

• The combined suture otoplasty and perichondrioadipodermal flap technique offers a safe and effective method for prominent ear correction.
• This approach helps protect cartilage support, potentially reducing complication rates like asymmetry and recurrence.
• Satisfying aesthetic results can be achieved with this combined surgical strategy.