Otoplasty using an Anatomical Landmark

Author(s): Quratulain Fatima Masood


Background: A prominent ear is a congenital deformity that has cosmetic implications. Otoplasty is a surgical procedure with several approaches
discussed in the researched literature. Surgical correction of prominent ears has been conducted since the 19th century with many worthy techniques.
The ceaseless refinement of such techniques has led to the development of several procedures each with its own set of advantages and
disadvantages. We propose a technique that involves an incision along an anatomical landmark called Concho-helical groove, producing surgically
superior post-operative outcomes.
Materials and Methods: 15 patients at Royal Victoria Infirmary were operated on by the same plastic surgeon. Consent was taken for all patients
before and after the procedure for follow up of results. A Retrospective collection of Cases from January 2003 to December 2003 was done in
which the conch helical groove was used as an anatomical landmark. Post-surgical progress was followed for three months
Results: Post-operative outcomes were exceptional with no scar hypertrophy or revisions. Patient satisfaction was appreciable. Except for one
patient who developed a surgical wound infection there were no post-op complications recorded.
Conclusion: The approach described here offers consistent results with least scarring. The only limitation being that the identification of the
Concho-helical groove as described by the author might be challenging for the inexperienced eye.

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