Ibrahim Mohamed, M. (2023). Outcome of Reconstructive Surgery of the Auricular Defects Among Sudanese Population (January 2021 to January 2022). The Egyptian Journal of Plastic and Reconstructive Surgery, 47(3), 213-220. doi: 10.21608/ejprs.2023.309722
Momen M Ibrahim Mohamed. "Outcome of Reconstructive Surgery of the Auricular Defects Among Sudanese Population (January 2021 to January 2022)". The Egyptian Journal of Plastic and Reconstructive Surgery, 47, 3, 2023, 213-220. doi: 10.21608/ejprs.2023.309722
Ibrahim Mohamed, M. (2023). 'Outcome of Reconstructive Surgery of the Auricular Defects Among Sudanese Population (January 2021 to January 2022)', The Egyptian Journal of Plastic and Reconstructive Surgery, 47(3), pp. 213-220. doi: 10.21608/ejprs.2023.309722
Ibrahim Mohamed, M. Outcome of Reconstructive Surgery of the Auricular Defects Among Sudanese Population (January 2021 to January 2022). The Egyptian Journal of Plastic and Reconstructive Surgery, 2023; 47(3): 213-220. doi: 10.21608/ejprs.2023.309722
Outcome of Reconstructive Surgery of the Auricular Defects Among Sudanese Population (January 2021 to January 2022)
Bachelor of Medicine and Surgery, National University, Khartoum, Sudan
Abstract
Background: Auricular deformity is a major problem and topic of interest since ancient history. The methods of repair have similar basis, but modifications through centuries led to improve the outcome and avoid recorded complications. The shape and variation of auricle size made reconstruction of auricle a challenging process, and meticulous planning and delicate surgery must be provided to redecorate the distrusted auricle. Objective: To assess the outcome of auricular defect reconstruction in Sudanese patients. Patients and Methods: Cross-Sectional, Multi-centric study (Soba University Hospital, Khartoum North teaching hospital and Association specialized hospital), Khartoum, Sudan. Eighty patients who underwent auricular reconstruction during the period from 2021 to 2022 were included. All patients of auricle defects of different age groups of various aetiologies were included, while those who have congenital deformities and victims of burn have been excluded. Defects have been classified according to the part involved to: upper, middle and lower thirds. Results: Out of eighty patients 57.5% were females, and 42.5% were males. The etiology of auricular deformity in majority 55% was trauma, 36.3% was keloid, 3.8% was malignancy, and only 2.5% was due to piercing. According to site of deformity, right ear was involved in 46.3% of patients, left ear in u43.8%, and 10% were bilateral. Surgery in 35% of patients were immediate, while in 65% were delayed. Primary repair was used in 40%, followed by intralesional excision in 36.3% and local 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: Acquired auricular defects are a major problem, disrupting the aesthetic component of the face of substantial number of population. Also we conclude that the results of our study are consistent with those reported in the literature. In future local and national studies should be performed, and accordingly protocols and guidelines should be instituted, so that this problem can be managed properly.
Berghaus A. and Nicoló M.S.: “Milestones in the History of Ear Reconstruction. Facial Plast Surg., Dec. pp. 31 (6): 563-6, 2015. 2- Thomas H.: Jovic “Auricular reconstruction: A sociocultural, surgical and scientific perspective. “ Journal of Plastic, Reconstructive &Aesthetic Surgery, August pp. 1424-1433, 2020. 3- Berghaus and Alexander: “Surgical Concepts for Reconstruction of the Auricle History and Current State of the Art” Arch. Otolaryngol. Head Neck Surg., pp. 112 (4): 388-397, 1986. 4- Templer J.: Injuries of external ear, Otolaryngol. Clin. North Am., pp. 1003-18. Oct 1990. 5- Kolodzynski and Michali N.: “Mechanisms of ear trauma and reconstructive techniques in 105 consecutive patients”., European Archives of Oto-Rhino-Laryngology, pp. Vol. 4 (2):723-7, Feb. 2017. 6- Shameem Ahamed S.V., et al.: “Pinna Injuries: Our Experience”, JMSCR Vol. 05, Issue 03, Page 18782- 18786, March 2017. 7- Ravikumar Gopalakrishnan: Role of post auricular flaps in acquired partial external auricular defects”: International Journal of Surgery Science, Vol. 4 (2): 242-244, 2020. 8- Karthik Shamanna, et al.: “Management of auricular keloid using scar based skin flap”, Research in Otolaryngology, Vol. 6 (3): 40-43, 2017. 9- Adeyemo W.L.: “Experience with prosthetic reconstruction of ear defects at LUTH, Lagos, Nigeria” 238-42.), Niger Postgrad Med. J., Vol. 15. (4): Dec. 2008. 10. ErdogĖan Özgür, et al.: “Skin Cancers of the Auricle: A Retrospective Analysis of 41 Patients”: Turk Arch Otorhinolaryngol., Vol. 58 (3): 169-173., Sep 2020. 11- Vuyk H.D.: “Auricular reconstruction after Moh's surgery, Face. 1 Kugler publications (Amsterdam, New York), Vol. 5 (1): pp 9-12, 1997. 12- Beom-Jun Kim: “Immediate Reconstruction of Amputated Ear With Fascia Flap”. J. Craniofac. Surg., Vol. 31. (1): e10-e13 Jan/Feb. 2020. 13- Yupeng Song: “A surgical strategy and treatment outcome of acquired auricular defect”. Zhongguo Xiu Fu Chong Jian Wai Ke Za Zhi, Vol. 20 (4): 1204-2010): Oct 2017. 14- Iman Labib Salem: “Sectorial Reconstruction of Auricular Helical and Lobular Defects In a Single Stage: A Clinical Experience and Appraisal of Available Techniques”: Egypt, J. Plast. Reconstr. Surg., Vol. 28, No. 1, January: 9-14, 2004. 15- Harris P.A.: “ Reconstruction of acquired sub-total ear defects with autologous costal cartilage, Br. J. Plast. Surg, pp. 268-75. Jun. 1999. 16- Helal, Hesham Aly, et al.: “Reconstruction of post traumatic full- thickness defects of the upper one-third of the auricle”: Plast Surg (Oakv), 22(1): 22-25. Spring 2014. 17- Timothy M., et al.: “The staged retroauricular to auricular direct pedicle flap for helical ear reconstruction”. J. Am. Acad Dermatol., Vol. 37 (6) 975- 978. Dec. 1997. 18- Datao Li, et al.: “Surgical reconstruction of traumatic partial ear defects based on a noval classification of defect sizes and surrounding skin conditions”. 138: Plast. Reconstr. Surg., Vol. 2. 307-316. Aug. 2016.
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