Otolaryngology and Head & Neck, Facial Plastic, Ministry of Health & King Saud University.
King Abdulaziz University Hospital (KAUH).
J Craniofac Surg. 2022 Sep 1;33(6):1813-1815. doi: 10.1097/SCS.0000000000008455. Epub 2022 Jan 10.
Prominent ears are considered the most common congenital external ear deformity among Caucasians. Affecting approximately 5% of the population, it runs in families and exhibits equal sex incidence. This study aimed to determine the complication rate from otoplasty in a tertiary facial plastic surgery center. This retrospective cross-sectional study included all patients with prominent ears deformities who underwent otoplasty at King Abdul-Aziz University Hospital between January 2019 and June 2021. The records of 116 patients who underwent otoplasty during the study period were examined and only 44 matched the inclusion and exclusion criteria. The total of 85 operated ears from 44 patients were included. Of these, 17 were pediatric patients and 25 were male patients. Forty-one patients underwent bilateral otoplasty and 3 underwent unilateral otoplasty. Complications occurred in 17/85 (20%) patients and the complications included recurrence 4 (4.70%), hypertrophic scar 3 (3.52%), keloid 2 (2.35), granuloma 2 (2.35%), infection 2 (2.35%), discomfort 1 (1.17%), wound dehiscence 1 (1.17%), hematoma 1 (1.17%), and retracted ear 1 (1.17%). The overall patient satisfaction was 38/44 (86.36%). Our study is first study conducted in middle east about otoplasty complications. It showed that the complications from otoplasty surgery varied from severe to mild, with acceptable overall satisfactory results. The most common complication was recurrence. Fortunately, serious complications, such as wound dehiscence and hematoma, were rare. However, our study's small sample size remains a major limitation.
招风耳被认为是白种人群体中最常见的先天性外耳畸形。它影响大约 5%的人口，具有家族遗传性，且男女发病率相等。本研究旨在确定在一家三级面部整形手术中心进行耳成形术的并发症发生率。这项回顾性的横断面研究包括了在 2019 年 1 月至 2021 年 6 月期间在阿卜杜勒-阿齐兹国王大学医院接受耳成形术的所有患有招风耳畸形的患者。检查了在此期间接受耳成形术的 116 名患者的记录，只有 44 名符合纳入和排除标准。共纳入 44 名患者的 85 只手术耳。其中 17 例为儿科患者，25 例为男性患者。41 例患者行双侧耳成形术，3 例患者行单侧耳成形术。85 只耳中有 17 只（20%）出现并发症，包括复发 4 例（4.70%）、肥厚性瘢痕 3 例（3.52%）、瘢痕疙瘩 2 例（2.35%）、肉芽组织 2 例（2.35%）、感染 2 例（2.35%）、不适 1 例（1.17%）、伤口裂开 1 例（1.17%）、血肿 1 例（1.17%）、回缩耳 1 例（1.17%）。44 名患者中，有 38 名（86.36%）对手术结果总体满意。本研究是中东地区首次进行的关于耳成形术并发症的研究。结果表明，耳成形术的并发症从严重到轻微不等，总体满意度可接受。最常见的并发症是复发。幸运的是，严重的并发症，如伤口裂开和血肿，很少见。然而，本研究的样本量小仍然是一个主要的局限性。
