A new way for antihelixplasty in prominent ear surgery modified postauricular fascial flap
Annals of Plastic Surgery, cilt.76, sa.6, ss.615-621, 2016 (SCI-Expanded, Scopus)
- Yayın Türü: Makale / Tam Makale
- Cilt numarası: 76 Sayı: 6
- Basım Tarihi: 2016
- Doi Numarası: 10.1097/sap.0000000000000309
- Dergi Adı: Annals of Plastic Surgery
- Derginin Tarandığı İndeksler: Science Citation Index Expanded (SCI-EXPANDED), Scopus
- Sayfa Sayıları: ss.615-621
- Anahtar Kelimeler: Antihelix, Flap, Otoplasty, Prominent ear
- Trakya Üniversitesi Adresli: Evet
Özet
Background: Otoplasty procedures aim to reduce the concha-mastoid angle and recreate the antihelical fold. Here, we explained the modified postauricular fascial f lap, described as a new way for recreating the antihelical fold, and reported the results of patients on whom this flap was used. Materials and Methods: The defined technique was used on 24 patients (10 females and 14 males; age, 6Y27 years; mean, 16.7 years) between June 2009 and July 2012, a total of 48 procedures in total (bilateral). Follow-up ranged from 1 to 3 years (mean, 1.5 years). At the preoperative and postoperative time points (1 and 12 months after surgery), all patients were measured for upper and middle helix-head distance and were photographed. The records were analyzed statistically using t test and analysis of variance. Results: The procedure resulted in ears that were natural in appearance without any significant visible evidence of surgery. The operations resulted in no complications except 1 patient who developed a small skin ulcer on the left ear because of band pressure. When we compared the preoperative and postoperative upper and middle helix-head distance, there was a high significance statistically. Conclusions: To introduce modified postauricular fascial f lap, we used a simple and safe procedure to recreate an antihelical fold. This procedure led to several benefits, including a natural-in-appearance antihelical fold, prevention of suture extrusion and granuloma, as well as minimized risk for recurrence due to neochondrogenesis. This method may be used as a standard procedure for treating prominent ears surgically.