Otoplasty: Combined techniques

ABSTRACT

Protruding ears is the most common congenital deformity in the head and neck region. There are over 170 techniques described in the literatures. The surgeon should be able to select the best features of the most useful technique for correction of the deformity to provide excellent results. This work present combined techniques, which consists of skin excision of post auricular redundant skin, scoring of the anterior surface of the auricular cartilage, correction of antihelix by Mustarde's sutures, concha- mastoid sutures which correct the excessively deep concha and finally correction of prominent ear lobule. 29 patients with prominent ears were included in this study, [20 patients with bilateral prominent and 9 patients with unilateral prominent ears]. They were 20 males and 9 females. Their ages range from 3-18 years with an average of 7 years. Patients were followed up from 6 months to two years with an average 14 months. There were no infection, hematoma, skin necrosis one case of keloid formation at the site of post auricular incision. Adequate symmetry was achieved in all patients. Our procedure is simple, versatile and applicable to all age groups, as well as it is easy, safe and less time consuming with fewer complications