Comparative Study for Complications of Otoplasty between Patients under Ten Years and above Ten Years Old

Abstract

Ahmed Miri saadoon, Ali Abd-Almer Jwad and Riyadh K. Madloum.

The term prominent ears refer to ears that stick out enough to appear abnormal. Ears can be considered prominent if they stand out more than 2 cm from the side of the mastoid. The normal external ear is separated by less than 2 cm from, and forms an angle of less than 25 degree with, the side of the head. To correct prominent ears, the anatomical abnormality is determined. The three main common causes of prominent ears are under development of antihelical fold, conchal hypertrophy and protruding earlobe. Patient and Methods: Twenty patients with congenital prominent ears presented to the department of plastic surgery at Diwaniya teaching hospital and private clinic between January ,2015 to May ,2018. Patients were studied clinically and evaluated preoperatively according to:- (1) Age: we divided the patients into two age groups ( under ten years and above ten years ). (2) Sex (3) Whether the ear deformity was unilateral or bilateral. (4) If the cause of prominent was antihelix, conchal, earlobe problems or combinations of theses causes. Results: The total number of patients involved in this study was 20 patients , 14 patients (70%) were male and 6 patients (30%) were female with male to female ratio was 2.3:1 .Ten patients were below ten years with median age was seven years and the other ten patients were above ten years with median age was twenty one years. Otoplasty was bilateral in all patients The procedure was performed under general anesthesia in all patients under ten years old and in five patients above ten years (50%).The cause of deformity was loss of definition of antihelix in ten patients(50%) and the management was according to the age , the children under ten years of age were managed by suturing technique ( Mustarde ) for correction of antihelix deformity and in patients above ten years were managed by combination of incision , scoring and suture techniques. Four patients (20%), the cause of deformity was conchal hypertrophy and corrected by conchal reduction.