Our Experience With the Correction of Prominent Ear Deformity

Abstract

The ear has a unique architecture of cartilage and skin. The incidence of the prominent ear is about 5%. Surgical correction of the prominent or protruding ear can be carried out either by anterior or posterior approach. We created antihelical fold of cartilage by utilizing a posterior incision to score the anterior cartilage of the lateral scapha with a knife. Sutures were often used to uphold the produced fold. The additional procedure of conchal reduction and concho-mastoid suture was done when required. The objective of our research is to evaluate the patient’s and surgeon’s satisfaction with our technique of prominent ear correction and identify any complication if it occurs post-operatively. This is a retrospective study over a period of eight years (2011-2018) which includes all patients presented to Liaquat National Hospital with prominent ear. A total of 47 patients were included. Patients with a previous history of otoplasty were excluded. Patients were followed up for at least six months postoperatively. The outcome was assessed via Visual Analogue Score by a patient, surgeon, and a third observer (assessor). The average score by the surgeon was 7.9, by the patient it was 8.4 and by the assessor it was 8.1. The average pre-operative concho-mastoid distance was 2.2 cm which decreases to 1.4 cm post-operatively. Correction of the prominent ear by this technique is safe and easy. We did not experience any major complication, giving reproducible and good aesthetic results.

A Retrospective Analysis of Pinnaplasty Outcomes: The Welsh Experience

“…In our dataset, no statistical significance was found in complication rates when comparing those <10 and over >10 years old. 16% of our patients have a positive family history, which is similar to other previously documented studies 15 . Co-morbidities were reported in approximately 25% of This article is protected by copyright.…”

“…24 However, these differences in complication rates are comparably small and fall within the accepted range across the wider literature. 2,3,5,6,[8][9][10]15 We found no difference between 3-0 Ethibond and the alternative 4-0 sutures employed by our department (4-0 Ethibond, Monocryl, or PDS) in overall complication rates or suture extrusion, contrary to some previously published research. 25 This study does suffer from certain limitations.…”

“…Although our rates of hematoma and wound infection were lower than those presented by the systemic review, our cases had higher suture-related problems and abnormal scarring 24 . However, these differences in complication rates are comparably small and fall within the accepted range across the wider literature 2,3,5,6,[8][9][10]15 . We found no difference between 3-0 Ethibond and the alternative 4-0 sutures employed by our department (4-0 Ethibond, Monocryl or PDS) in overall complication rates or suture extrusion, contrary to some previously published research 25 .…”

“…Sixteen percent of our patients have a positive family history, which is similar to other previously documented studies. 15 Comorbidities were reported in 25% of our cases, with all but one case nonsyndromic. Asthma and ENT-related conditions were the most common conditions reported.…”

Survey, Morpho-microscopic Characterization of Paddy Straw Mushroom (Volvariella volvacea) from Different Locations of Chhattisgarh, India

“…A number of test tubes were filled with actively growing mycelium from the edges and culture medium that was approximately 5 mm in size. These test tubes were then infected at 30-32°C for a week [10]. This pure culture served as the spawn preparation's inoculum.…”