[Evaluation of the results of surgical treatment for protruding ears]. / Ocena wyników operacyjnego leczenia odstajacych malzowin usznych.

INTRODUCTION: Protruding ears are the most common congenital deformity of external ear. Defect usually occurs bilaterally and it may be asymmetric. Popular term for prominent ears concur to psychological problems, especially for children. The optimal time for prominent ears correction fells between 10-14-years-old. There is a lot of techniques for surgical treatment of patients with prominent ears. AIM: Clinical evaluation of postoperative results in patients afflicted with prominent ears. MATERIAL AND METHODS: A retrospective review of 61 females and 15 males aged from 11 to 39, who underwent surgical corrections of protruding ears by Mustarde method. At the Department of Plastic, Reconstructive and Aesthetic Surgery, Medical University of Lodz, between 2005-2010 was conducted. We estimated early and distant postoperative results in studied group. RESULTS: Aesthetic results of surgery were good and very good in patients (97.4%). Postoperatively wound bleeding was observed in 2 cases (2.6%) and in 1 case (1.3%) wound infection occurred. Long-lasting complications like keloids occurred in 2 patients (2.6%). CONCLUSIONS: 1. Surgical correction of protruding ears does not burden with any significant complications. 2. Surgery treatment by Mustarde method gives satisfactory aesthetic results. 3. We confirmed favourable influence of corrected ears on patent's mental status. 4. Severity of protruding ears, coexisting anomaly of external ears together with age of the patient determine individual surgical treatment.

[New modification of Reynwald macroglossia reduction]. / Modyfikacja wlasna metody Reynwalda operacji redukcyjnych przerosnietego jezyka.

INTRODUCTION: Macroglossia usually occurs as isolated malformation, however it can coexist with some of the hereditary defect. Enlargement of the tongue can cause cosmetic and functional difficulties. AIM: The aim of this paper was to analyzed patients with macroglossia operated with own modified Reynwald method. It was based on analysis of surgical treatment and rehabilitation of patients with: Down syndrome, oral-facial-digital syndrome and cerebral palsy, treated at the Department of Plastic, Reconstructive and Aesthetic Surgery, Medical University of Lodz. MATERIAL AND METHODS: 63 patients (32 females and 31 males) with Down syndrome (60), oral-facial-digital syndrome (2) and cerebral palsy (1) were operated at the Department of Plastic, Reconstructive and Aesthetic Surgery, Medical University of Lodz, because of hypertrophy of the tongue. 42 patients were operated with partial resection of macroglossia, 2 of them with additional correction of the tongue border and 21 patients with own modified Reynwald method. RESULTS: Postoperative treatment was non-complicated in all the patients. Early and long-lasting postoperative results were regard as satisfactory, and lead to improvement of basic physiological functions. CONCLUSIONS: 1. 3­6 years are the optimal age to partial macroglossia reduction. 2. Analyze of surgical macroglossia treatment showed effectiveness of methods based on partial resection of tongue. Surgical treatment with own modified Reynwald method lead to increase of number of satisfied postoperative results. 3. Partial resection of macroglossia influence on patients look, integration and environment acceptance; in children with deep retardation it simplify nursing.