Rasping First Technique in Otoplasty

Abdelhalim, Mohamed; Elshahat, Ahmed

doi:10.21608/ejprs.2024.352133

Rasping First Technique in Otoplasty

Document Type : Original Article

Authors

The Department of Plastic, Burn and Maxillofacial Surgery, Faculty of Medicine, Ain Shams University

10.21608/ejprs.2024.352133

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.

Keywords

Main Subjects

Congenital anomalies

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