Abstract
BackgroundBat ear deformity is a common presentation among the ENT patients (22.5%). Many surgical procedures have been described to manage such a problem. A thorough study of the anatomical anomalies contributing to such deformity is required by any plastic surgeon in handling this anomaly.ResultsModified anterior scoring (Chong-Chet) was done on 45 bat ear deformities in 31 patients. Good surgical results were obtained in 97.7% of patients, and the surgical time ranged from 60 t0 90 min. Postoperative pain and infection were minimal and effectively managed.ConclusionsThe modified Chong-Chet anterior scoring is a reliable and effective surgical tool for managing bat ear deformity done through one postauricular incision. This technique could be used in young as well as adult patients because it renders the auricular cartilage easier to manipulate.
Highlights
Bat ear deformity is a common presentation among the ENT patients (22.5%)
Surgical correction of a prominent ear deformity requires a thorough understanding of the anatomical composition of the auricle
With the patient in the supine position with the head tilted to the opposite side, the auricle was tilted to the back touching the prominence of the mastoid bone, and marking of the position and thickness of the antihelical fold was done with a marking pen (Fig. 3), using a 25-g needle, piercing the auricular cartilage, soaking the tip of the needle in a methylene blue solution, and retrieving the needle so the exact line of demarcation is imprinted on the auricular cartilage
Summary
Bat ear deformity is a common presentation among the ENT patients (22.5%). Many surgical procedures have been described to manage such a problem. Results: Modified anterior scoring (Chong-Chet) was done on 45 bat ear deformities in 31 patients. Conclusions: The modified Chong-Chet anterior scoring is a reliable and effective surgical tool for managing bat ear deformity done through one postauricular incision. This technique could be used in young as well as adult patients because it renders the auricular cartilage easier to manipulate. Surgical correction of a prominent ear deformity requires a thorough understanding of the anatomical composition of the auricle. This structure is composed of a fibroelastic cartilage enveloped in its perichondrium. Elements of lesser importance are antitragus, triangular fossa, concha cymba, and cavum [2]
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