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Refinements In Otoplasty Technique For Bat Ears

Author: Ahmed Abdul-Kareem M.Norris
Journal: Iraqi Academic Scientific Journal المجلة العراقية للاختصاصات الطبية ISSN: 16088360 Year: 2006 Volume: 5 Issue: 1 Pages: 18-24
Publisher: The Iraqi Borad for Medical Specialization المجلس العراقي للاختصاصات الطبية


ABSTRACT:BACKGROUND:Protruding ear is generally the result of a malformed antihelix, hypertrophied/malpositioned concha or in most cases a combination of all these conditions.METHODS:Otoplasty is a common plastic surgical procedure performed to correct protruding ears. A description is presented of a posterior approach in prone position under GA with few modifications. Open anterior cartilage scoring with toothed forceps, conchoscaphal Mustarde suturing, conchamastoid suturing, or a combination were used to correct the deformity. The follow-up periods ranged from 6 – 8 months. . Postoperative evaluation was done by another doctor.RESULTS:There were no early complications. There was one late complication requiring revision surgery. All patients achieved satisfactory results, as determined by questioning of both patients and parents 6 months postoperatively.CONCLUSION:Prone position under general anesthesia was found to be safe and efficacious procedure .The use of toothed forceps seems to be a good alternative when specific cartilage scorers are not available. Using needles for marking the site of Mustarde sutures appear to be more practical than marking with methylene blue.

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