The Role of Anterior Subperichondrial Rasping in Antihelixoplasty of Prominent Ears | ||||
| The Egyptian Journal of Plastic and Reconstructive Surgery | ||||
| Article 17, Volume 43, Issue 2, July 2019, Page 261-266 PDF (24.46 MB) | ||||
| Document Type: Original Article | ||||
| DOI: 10.21608/ejprs.2019.65087 | ||||
 View on SCiNiTO | ||||
| Authors | ||||
| Ahmed Hafiz* ; Ahmed Maher Sami | ||||
| The General Surgery Department, Plastic Surgery Unit, Faculty of Medicine, Cairo University | ||||
| Abstract | ||||
| The Role of Anterior Subperichondrial Rasping in Antihelixoplasty of Prominent EarsBackground: Prominent ears also known as Bat ears is a common ear deformity that can cause emotional problems to the individual involved. Various techniques have been described each with its advantages and disadvantages. Aim of Work: The aim of otoplasty is reducing the cephaloauricular angle to 15-20 degrees, emphasis on the antihelical fold with a smooth helical rim, concha reduction and lobulopexy. Each ear is analyzed individually regarding its problem areas and the appropriate surgical approach with least possible morbidity is used. Material and Methods: In this study, five patients were operated upon in Kasr Al-Aini Hospital between October 2015 to September 2016. The authors preferred technique for superior crus and antihelix formation was combined anterior subperichondrial rasping through an ventral incision with posterior transverse mattress 3/0 polyester (Ethibond) sutures on round body needle. Conclusion: This technique is easy, efficient with satisfactory outcome, could be done in most patients of various ages with minimal or absent complication rate. | ||||
| Keywords | ||||
| Subperichondrial – Rasping – Antihelixoplasty; – Prominent ears | ||||
| References | ||||
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Weerda H.: Classification of congenital deformities of the auricle. Facial Plastic Surgery, 5: 385-388, 1998. 2- Wodak E.: On the position and shape of the human auricle. Arch. Klin. Exp. Ohren. Nasen. Kehlkopfheilkd., 188: 331-335, 1967. 3- Farkas L.G.: Anthropometry of the normal and defective ear. Clin. Plast. Surg., 17: 213-218, 1990. 4- Siegert R., Krappen S., Kaesemann L. and Weerda H.: Computer assisted anthropometry of the auricle. Face, 6: 1-6, 1998. 5- Sheerin D., Macleod M. and Kusumakar V.: Psychological adjustment in children with port-wine stains and prominent ears. J. Am. Acad. Child Adolasc. Psychiatry, 34: 1637- 1647, 1995. 6- Gosain A.K. and Recinos R.F.: Otoplasty in children less than four years of age: Surgical technique. J. Craniofac. Surg., 13 (4): 505-509, 2002. 7- Converse J.M., Nigro A., Wilson F.A. and Johnson N.: A technique for surgical correction of lops ears. Plast. Reconstr. Surg., 15: 411, 1995. 8- Dieffenbach J.E.: Die Operative Chirurgie. Leipig: F. A. Brockhaus. 1845. 9- Ely Let: An operation for prominent auricles. Arch. Otolaryngol. 1881; 10: 97 reprinted in Plast. Reconstr. Surg., 42: 582, 1968. 10- Gersuny R.: Uber Einige Kosmetische Operationen. Wien Med. Wochenschr., 53: 2253, 1903. 11- Luckett W.H.: A new operation for prominent ears based on the anatomy of the deformity. Surg. Gynecol. Obstet., 10: 635, 1910. 12- Becker O.J.: Correction of protruding deformed ear. Br. J. Plas. Surg., 5: 187, 1952. 13- Gibson T. and Davis W.: The distortion of autogenous cartilage grafts: Its cause and prevention. Br. J. Plast. Surg., 10: 257, 1958. 14- Stenstrom S.J.: A natural technique for correction of congenitally prominent ears. Plas. Reconstr. Surg., 32: 509, 1963. 15- Mustarde J.C.: The correction of prominent ears using simple mattress sutures. Br. J. Plast. Surg., 16: 170, 1963. 16- Pitanguy I., et al.: The treatment of prominent ears: A 25- year survey of the island technique. Aesthetic. Plast. Surg., 11 (2): 87-93, 1987. 17- Weerda H.: Remarks about otoplasty and avulsion of the auricle. Laryngo-Rhino-Otol., 58 (3): 242-251, 1979 | ||||
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