Post Auricular Fascial Flap in Otoplasty

Abstract

AbstractObjective: To compare otoplasty with post-auricular fascial flap and otoplasty without the flap as regard deformities set back and hide if suture extrusion.Background: Prominent ear is considered as a frequent hereditary deformity affecting 5% of the population. It may cause psychological problems at any age. Modern prominent ear surgery attempts to return the ears to their normal position with soft margin outlines and attempts to perform a uniform correction without the interference of surgical evidence.Method: This study will include 31 patients presented with congenital prominent ear deformity in the plastic surgery department, faculty of medicine, Menoufia University in the period from February 2018 up to February 2020. All studied patients were subjected to take a full history, systemic examination, and local examination of the ear. The patients were classified into 2 groups. Group A (15 patients) underwent otoplasty with postauricular fascial flap, while group B (16 patients), otoplasty without postauricular fascial flap.Results: There was no statistically significant difference detected between patients underwent otoplasty with or without the post-auricular fascial flap as regard duration of surgery, and complications.Conclusion: The otoplasty with post-auricular fascial flap yields excellent patient and parent satisfaction with a natural harmonious look and minimal complication especially those related to sutures demonstrating its efficacy in preventing these complications, but with no difference with otoplasty without post-auricular fascial flap.