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  6. A New Guiding Suturing Technique For Reshaping Of The Antihelix In Patients With Prominent Ears

A New Guiding Suturing Technique for Reshaping of the Antihelix in Patients with Prominent Ears

Ayman Altramsy1, Asmaa Ali Dahy2, Amany Attalah Gad2

  • 1Department of Plastic and Reconstructive Surgery, Faculty of Medicine For Girls, Al-Azhar University, Gameat Al Azhar, Nasr City, Cairo, Egypt. Ayman.Altramsy@azhar.edu.eg.

Aesthetic Plastic Surgery
|November 22, 2024

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View abstract on PubMed

Summary
This summary is machine-generated.

Guiding sutures simplify prominent ear correction surgery, leading to high patient satisfaction and a low complication rate. This technique offers a shorter operative and recovery time for otoplasty.

Area of Science:

  • Plastic Surgery
  • Otolaryngology
  • Congenital Anomalies

Background:

  • Prominent ears are the most common head and neck congenital anomaly.
  • Understanding prominent ear definitions is crucial for effective treatment.
  • This study introduces guiding sutures as a preliminary step for antihelix correction.

Purpose of the Study:

  • To evaluate the efficacy of guiding sutures in prominent ear correction.
  • To assess surgical outcomes and patient/surgeon satisfaction.
  • To analyze the impact on health-related quality of life.

Main Methods:

  • Retrospective study of 60 patients with prominent ears (Jan 2021-Feb 2023).
  • Inclusion of patients undergoing guiding sutures followed by Mustardé-based otoplasty.
  • Evaluation of surgical outcomes, operative time, and satisfaction levels.
Keywords:
Guiding suturesMustardéOtoplastyProminent ears

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Main Results:

  • Mean operative time was 49±22 minutes.
  • High patient satisfaction (91.66%) with final ear appearance.
  • Low complication rate: 5 cases of suture extrusion, no asymmetry or recurrence.

Conclusions:

  • Guiding sutures facilitate antihelix reshaping, reducing operative time.
  • Stable reshaping leads to shorter recovery and a low complication rate.
  • Local anesthesia cases showed improved operative time and pain control.