Background: There have been more than 200 techniques published for the treatment of prominent ears, demonstrating that there is not a single, used method that most surgeons use. Due to the psychosocial issues, it generates, prominent ear deformity is one of the aesthetic issues that should be reconstructed. An optimal otoplasty operation should produce good maintained aesthetic results with no recurrence.Objective: The aim of this study is to evaluate patient satisfaction after otoplasty using the rasping as the first step in otoplasty.Patients and Methods: This is an interventional clinical trial including forty individuals with prominent ears. All patients were operated on at El Dmerdash Hospital according to our study's inclusion and exclusion criteria using rasping of cartilage as the first step in our technique.Results: Using anterior rasping as first step in otoplasty achieve a high patients' satisfaction rate postoperatively and facilitate the surgical steps. most of our patients were satisfied with the ear in general and, (90%) were satisfied with right ear and (92.5%) were satisfied with left ear. Patients were satisfied with ear fitting with face as (95 %) with right ear and (90%) regarding left ear with Significant improvement in post operative symmetry p<0.001.
Conclusion:Using rasping as first step in otoplasty improves aesthetic outcomes in adults. Anterior rasping decreases blood loss shortens operative time and decreases the incidence of recurrence through weakening of cartilage memory. adequate weakening of cartilage through anterior rasping corrected the protrusion, improved the symmetry, and maintained it.