Outcome of surgical reconstruction of acquired auricular defects | ||
| The Egyptian Journal of Plastic and Reconstructive Surgery | ||
| Articles in Press, Accepted Manuscript, Available Online from 21 February 2023 | ||
| Document Type: Research article | ||
| DOI: 10.21608/ejprs.2023.187938.1256 | ||
| Author | ||
| Momen Mahmoud Mohamed* | ||
| Plastic surgery, sudan medical specialised board | ||
| Abstract | ||
| Auricular deformity is a major problem and topic of interest since history. The methods of repair have similar base but modification through centuries is to improve outcome and avoiding recorded complication. Shape and variation of auricle size made reconstruction of auricle is challenging process, and meticulous planning and delicate surgery must be provided to redecorate distrusted auricle. Patients and Methods: Cross-Sectional, Multicenteric study (Soba University Hospital, Khartoum North teaching hospital and associated specialized hospital) – Khartoum – Sudan. 80 patients underwent auricular reconstruction during the period from 2021 up to 2022 were included. Data analyzed by using Statistical Package of Social and Science (SPSS) 22 software program, then data presented in table and figures. All patients of different age groups of auricle defects of various etiology are included, while those who have congenital deformity and victims of burn were excluded. Defects were be classified according to part involved to: upper, middle and lower thirds. Results: out of eighty patients 57.5% were female, and 42.5% were male. The etiology of auricular deformity in majority (55%) was trauma, in 36.3% was keloid, 3.8% was malignancy, and only 2.5% was due to piercing. According to site of deformity, in 46.3% of patients was right ear, 43.8% was left, and 10% was bilateral. Surgery in 35% of patients were primary, while in 65 was delayed. Primary repair were used in 40%, followed by intralesional excision in 36.3 and loco regional flap in 16.3 %.Visual satisfaction was excellent in 22.5%, acceptable in 42.5%, and poor in 5%. Majority of patients didn’t develop any complications. Conclusion: We conclude that acquired auricular defects are a major problem, disrupting the aesthetic component of face of substantial number of population. Also we conclude that the results in our study are consistent with those reported in literature. In future local and national studies should be performed, and accordingly protocols and guidelines should be instituted, so that problem can be managed properly. | ||
| Keywords | ||
| Acquired auricular defect; pinna deformities; ear reconstruction | ||
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