Abdelhalim, M., Elshahat, A. (2024). Rasping First Technique in Otoplasty. The Egyptian Journal of Plastic and Reconstructive Surgery, 48(2), 121-127. doi: 10.21608/ejprs.2024.352133
Mohamed Abdelhalim; Ahmed Elshahat. "Rasping First Technique in Otoplasty". The Egyptian Journal of Plastic and Reconstructive Surgery, 48, 2, 2024, 121-127. doi: 10.21608/ejprs.2024.352133
Abdelhalim, M., Elshahat, A. (2024). 'Rasping First Technique in Otoplasty', The Egyptian Journal of Plastic and Reconstructive Surgery, 48(2), pp. 121-127. doi: 10.21608/ejprs.2024.352133
Abdelhalim, M., Elshahat, A. Rasping First Technique in Otoplasty. The Egyptian Journal of Plastic and Reconstructive Surgery, 2024; 48(2): 121-127. doi: 10.21608/ejprs.2024.352133
The Department of Plastic, Burn and Maxillofacial Surgery, Faculty of Medicine, Ain Shams University
Abstract
Background: There have been more than 200 techniques published for the treatment of prominent ears, demonstrating that there is not a single, used method that most surgeons use. Due to the psychosocial issues, it generates, prominent ear deformity is one of the aesthetic issues that should be reconstructed. An optimal otoplasty operation should produce good maintained aesthetic results with no recurrence. Objective: The aim of this study is to evaluate patient satisfaction after otoplasty using the rasping as the first step in otoplasty. Patients and Methods: This is an interventional clinical trial including forty individuals with prominent ears. All patients were operated on at El Dmerdash Hospital according to our study’s inclusion and exclusion criteria using rasping of cartilage as the first step in our technique. Results: Using anterior rasping as first step in otoplasty achieve a high patients’ satisfaction rate postoperatively and facilitate the surgical steps. most of our patients were satisfied with the ear in general and, (90%) were satisfied with right ear and (92.5%) were satisfied with left ear. Patients were satisfied with ear fitting with face as (95 %) with right ear and (90%) regarding left ear with Significant improvement in post operative symmetry p < 0.001. Conclusion: Using rasping as first step in otoplasty improves aesthetic outcomes in adults. Anterior rasping decreases blood loss shortens operative time and decreases the incidence of recurrence through weakening of cartilage memory. adequate weakening of cartilage through anterior rasping corrected the protrusion, improved the symmetry, and maintained it.
Bajaj Y., Rokade A. and De P.R.: Otoplasty: Experience with modification using a drill, and literature review. J. Laryngeal Otol., 121 (1): 61-64.9, 2007. 2- Gümüş N. and Yılmaz S.: Otoplasty with an unusual cartilage scoring approach. J. Plast Surg. Hand Surg., 50 (1): 19-24, 2016. 3- Janz B.A., Cole P., Hollier L.H. Jr. and Stal S.: Treatment of prominent and constricted ear anomalies. Plast Reconstructive Surgery, 124 (1 Suppl): 27e-37e, 2009. 4- Karmody C.S. and Annino D.J. Jr.: Embryology and anomalies of the external ear. Facial Plast Surg., 11 (4): 251-256, 1995. 5- Manstein C.H.: Congenital ear deformities (online); 2018. article/1288708-overview. Accessed September 5, 2018. 6- Fu Y.Y., Li C.L., Zhang J.L. and Zhang T.Y.: Autologous cartilage microtia reconstruction: Complications and risk factors. Int. J. Pediatric Otorhinolaryngology, 116: 1-6, 2019. 7- Cuccolo N.G., Zwierstra M.J., Ibrahim A.M.S., Peymani A., Afshar S. and Lin S.J.: Reconstruction of congenital microtia and anotia: Analysis of practitioner epidemiology and postoperative outcomes. Plast Reconstructive Surgery Glob Open, 7 (6): e2318, 2019. 8- Gibson T. and Davis W.B.: The distortion of autogenous cartilage grafts: Its cause and prevention. British Journal of Plastic Surgery, 10: 257-274, 1957. 9- Stenstrom S.J.: Cosmetic deformities of the ears. In Grabb. W. C. and Smith. J. W. (Eds) Plastic Surgery: A Concise Guide to Clinical Practice. 2nd Edition. Boston: Little. Brown & Co. pp 6033604, 1973. 10- Chongchet V.: A method of antihelix reconstruction. British Journal of Plastic Surgery, 16, 268, 1963. 11- Mustard J.C.: The correction of prominent ears using simple mattress sutures, 1963. 12- British Furnas, David W. M.D.: Correction of prominent ears by concha-mastoid sutures. Plastic and Reconstructive Surgery, 42 (3): p 189-194, September. Journal of Plastic Surgery, 16, 170, 1968. 13- Spira M., McCrea R., Gerow F.J. and Hardy S.B.: Correction of the principal deformities causing protruding ears. Plast Reconstructive Surgery, 44: 150, 1969. 14- Jeffery S.L.: Complications following correction of prominent ears: An audit review of 122 cases. Bu. J. Plast Surgery, 52: 588, 1999. 15- Mustarde J.C.: The correction of prominent ears by buried mattress sutures: A ten-year survey. Plast Reconstructive Surgery, 39: 382, 19б7 16- Spira M.: Otoplasty: What I do now A 30-year perspective. Plast Reconstructive Surgery, 104: 834, 1999. 17- Stenstrom S.J.: A ‘‘natural ‘‘technique for correction of congenitally prominent ears. Plast Reconstructive Surgery, 32: 509, 19б3. 18- Tan H.H.: Long-term survey of prominent ear surgery: A comparison of two methods. Bu. J. Plast Surgery, 39: 270, 1986. 19- Thomas S.S. and Fatah F.: Closed anterior scoring for prominent-ear correction revisited. Bu. J. Plast Surgery, 54: 581, 2001. 20- Adamson P.A. and Strecker H.D.: Otoplasty techniques. Fac. Plast Surgery, 11: 284,
View on SCiNiTO
Top