Three Points Suturing to Avoid Recurrence in Ear Setback: Prospective Study

Salama, Sherien Metwally; Kamel, Ibrahim; Gadallah, Ahmed

doi:10.21608/ejprs.2024.385107

Three Points Suturing to Avoid Recurrence in Ear Setback: Prospective Study

Document Type : Original Article

Authors

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

10.21608/ejprs.2024.385107

Abstract

Background: Auricular deformities, specifically prominent
ears, are frequent. Although the physiologic consequences are
negligible, the aesthetic and psychological effects on the patient
can be substantial. Otoplasty, or correction of prominent
ears, is one of most performed surgeries in plastic surgery both
in children and adults. Until nowadays, there have been more
than 150 techniques described, but all with certain percentage
of recurrence which varies from just a few up to 24.4%.
Objective: In this study, we will evaluate the efficacy of
new suture technique for otoplasty in the form of weakening
of the cartilage by parallel partial cartilage incisions along the
length of the antithetical fold associated with permanent sutures
(three points suturing of the antihelix to mastoid fascia
with or without concha reduction accordingly) to decrease the
incidence of recurrence and to leave the ear with an “unoperated”
soft, natural contours with high patient satisfaction and
good aesthetic results.
Patients, Methods, and Results: In this prospective study,
patients will be followed up objectively and subjectively over
6 months as regard effectiveness, longevity, complications,
recurrence, satisfaction rate with the final aesthetic results Patients
in concern in this study; all patients had bilateral prominent
ears, age varied between 6 and 40 years with no history
of previous repair.
Conclusion: Using three-point fixation as the main technique
in otoplasty improves aesthetic outcomes in adults. This
technique decreased the incidence of recurrence, corrected the
protrusion and maintains it and improves the symmetry.

Keywords

Main Subjects

Congenital anomalies

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