Modified bilateral fasciaperichondrial flap for prominent ear correction

dc.authoridKaratan, Berrak/0000-0003-3921-5087
dc.authoridMuderris, Togay/0000-0003-4014-8176
dc.authoridaysel, abdulhalim/0000-0001-8584-308X
dc.authoridERGUN, UGURTAN/0000-0003-4381-9131
dc.authorwosidKaratan, Berrak/AAD-2449-2020
dc.contributor.authorAysel, Abdulhalim
dc.contributor.authorKaratan, Berrak
dc.contributor.authorErgun, Ugurtan
dc.contributor.authorMuderris, Togay
dc.date.accessioned2024-03-09T18:48:18Z
dc.date.available2024-03-09T18:48:18Z
dc.date.issued2023
dc.departmentİzmir Bakırçay Üniversitesien_US
dc.description.abstractObjective: Various techniques have been described in the literature for prominent ear correc-tion. These cartilage-preserving or cartilage-shaping techniques have their own advantages and disadvantages. We aim to achieve aesthetic and stable results with low complication rates using combinations of these methods. Herein, we present our results of prominent ear surgery with a modified bilateral fasciaperichondrial flap in combination with concha-mastoid and concha-scaphal sutures.Methods: Patients whose surgeries included a modified bilateral fasciaperichondrial flap for prominent ear deformities were included in the study. Patients' demographic data, pre-and postoperative Concha-Mastoid Angle (CMA) and upper-middle Helix-Mastoid Distances (HMD), follow-up time, complications, secondary operations, and postoperative Visual Analogue Scale (VAS) results were evaluated. With a postauricular fish-mouth incision, the bilateral fasciaperi-chondrial flap was planned into two: proximal-and distal-based. They were then elevated from the cartilage subperichondrially on the proximal side and supraperichondrially on the distal side. Concha-scaphal sutures were used to form an antihelical rim along with concha-mastoid sutures to reduce the concha-mastoid angle. Conchal cartilage resection was done if needed. Then, the bilateral fasciaperichondrial flaps were sutured together to cover the concha-mastoid and concha-scaphal sutures.Results: Between May 2017 and May 2021, 32 ears of 17 patients were operated on due to promi-nent ear deformity. No hematoma or infection was observed in any patient, and there were no instances of recurrence, suture exposure, hypertrophic scars, or keloids. The satisfaction level of all patients was 8.2 +/- 0.9 points on average according to the VAS. In the anthropomet-ric measurements, a statistically significant difference was found between preoperative and postoperative sixth month CMA and HMD values.Conclusion: A combination of suture techniques and a modified bilateral fasciaperichondrial flap may be used in prominent ear cases, with low recurrence rates and high patient satisfaction. Level of evidence: III.(c) 2022 Associacao Brasileira de Otorrinolaringologia e Cirurgia C ' ervico-Facial. Published by Elsevier Editora Ltda. This is an open access article under the CC BY license (http:// creativecommons.org/licenses/by/4.0/).en_US
dc.identifier.doi10.1016/j.bjorl.2022.01.008
dc.identifier.endpage158en_US
dc.identifier.issn1808-8694
dc.identifier.issn1808-8686
dc.identifier.issue1en_US
dc.identifier.pmid35279411en_US
dc.identifier.scopus2-s2.0-85126105566en_US
dc.identifier.scopusqualityQ2en_US
dc.identifier.startpage152en_US
dc.identifier.urihttps://doi.org/10.1016/j.bjorl.2022.01.008
dc.identifier.urihttps://hdl.handle.net/20.500.14034/1286
dc.identifier.volume89en_US
dc.identifier.wosWOS:000964132900001en_US
dc.identifier.wosqualityN/Aen_US
dc.indekslendigikaynakWeb of Scienceen_US
dc.indekslendigikaynakScopusen_US
dc.indekslendigikaynakPubMeden_US
dc.language.isoenen_US
dc.publisherAssoc Brasileira Otorrinolaringologia & Cirurgia Cervicofacialen_US
dc.relation.ispartofBrazilian Journal of Otorhinolaryngologyen_US
dc.relation.publicationcategoryMakale - Uluslararası Hakemli Dergi - Kurum Öğretim Elemanıen_US
dc.rightsinfo:eu-repo/semantics/openAccessen_US
dc.subjectOtoplasty; Prominent Ear; Surgical Techniquesen_US
dc.titleModified bilateral fasciaperichondrial flap for prominent ear correctionen_US
dc.typeArticleen_US

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