Posterior Auricular Muscle Flap as an Adjunct To Otoplasty |
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Authors: | Ilker Yazici Fulya Findikçio?lu Selahattin Özmen Nurettin Noyan Reha Yavuzer |
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Institution: | (1) Plastic Reconstructive and Aesthetic Surgery Department, Kirikkale University Medical Faculty, Kirikkale, Turkey;(2) Plastic Reconstructive and Aesthetic Surgery Department, Gazi University Medical Faculty, Ankara, Turkey;(3) Plastic Surgery Department, Gata Haydarpasa Hospital, Istanbul, Turkey |
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Abstract: | Prominent ear deformity is a common congenital ear deformity. Prominent ear deformity includes components such as valgus of
concha, failure of scaphal folding, conchal hypertrophy, and prominent lobule. The deformity and the elastic properties of
the ear cartilage determine the method of surgical correction in each case. Concha-mastoid suture, conchal excision, and posterior
auricular muscle excision are different treatment options for mild to severe cases of conchal hypertrophy and valgus deformity.
In this article we present a method of conchal excision, combined with a posterior auricular muscle flap, to repair severe
conchal hypertrophy or valgus deformity. Six patients (11 ears) were operated on using this method. The results obtained were
satisfactory. Postoperative results at 6 months were satisfactory in all patients. The smoothness and the natural appearance
of the conchal bowls were notable in all patients. In contrast to the early methods of utilizing the posterior auricular muscle
by transposing to the scapha or excising, its usage as a muscle flap for conchal hypertrophy and valgus deformity may be a
promising option for the future. |
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Keywords: | Posterior auricular muscle Conchal reduction Otoplasty |
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