Altramsy Ayman, Dahy Asmaa Ali, Gad Amany Attalah, Abu-Elsoud Ahmed, Khattab Rania Fouad, Nafeh Ahmed Mamdouh, Azzam Rasheda, Elameen Ali Mohamed
Department of Plastic and Reconstructive Surgery, Faculty of Medicine For Girls, Al-Azhar University, Gameat Al Azhar, Nasr City, Cairo, Egypt.
Department of Plastic and Reconstructive Surgery, Faculty of Medicine (Assiut branch), Al-Azhar University, Cairo, Egypt.
Aesthetic Plast Surg. 2025 Feb;49(4):1054-1064. doi: 10.1007/s00266-024-04478-0. Epub 2024 Nov 22.
Prominent ears are the most common congenital anomaly of the head and neck. A complete understanding of the definition of prominent ears is necessary. The present retrospective study described guiding sutures to hold the antihelix in a temporary corrected position before placing the permanent Mustardé sutures.
This study was performed between January 2021 and February 2023. All patients with prominent ear deformities subjected to guiding sutures and Mustardé-based otoplasty were included. The surgical-related outcomes and surgeons' satisfaction were evaluated. The patients' satisfaction and health-related quality of life were reported.
The current study included 60 patients with prominent ear deformities. There were 34 (56.66%) males and 26 (43.33%) females with a mean age of 12.2±7.8 years. The mean total operative time was 49±22 minutes. Five (8.33%) patients had suture extrusion, and no case of asymmetry, recurrence, or skin necrosis was documented. There were 55 (91.66%) patients satisfied with the final appearance of their ears, and five (8.33%) patients were not satisfied. The mean general health subscale was 57.1±6.9, and the mean physical health subscale was 8.7±1.5.
The guiding sutures allowed easy accessibility for reshaping the antihelix in patients with prominent ears. These sutures allowed a relatively shorter operative time, and stable reshaping of the antihelix allowed for a shorter recovery time. This was associated with a low complication rate with no asymmetry, recurrence, or revision surgery. Patients operated on under local anesthesia achieved shorter operative time and better pain control.
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招风耳是头颈部最常见的先天性畸形。全面了解招风耳的定义很有必要。本回顾性研究描述了在放置永久性Mustardé缝线之前，使用引导缝线将对耳轮临时固定在矫正位置的方法。
本研究于2021年1月至2023年2月进行。纳入所有接受引导缝线和Mustardé法耳整形术的招风耳畸形患者。评估手术相关结果和外科医生的满意度。报告患者的满意度和与健康相关的生活质量。
本研究纳入60例招风耳畸形患者。其中男性34例（56.66%），女性26例（43.33%），平均年龄12.2±7.8岁。平均总手术时间为49±22分钟。5例（8.33%）患者出现缝线挤出，未记录到不对称、复发或皮肤坏死病例。55例（91.66%）患者对耳部的最终外观满意，5例（8.33%）患者不满意。一般健康子量表的平均分为57.1±6.9，身体健康子量表的平均分为8.7±1.5。
引导缝线便于对招风耳患者的对耳轮进行重塑。这些缝线使手术时间相对较短，对耳轮的稳定重塑使恢复时间缩短。这与低并发症发生率相关，无不对称、复发或翻修手术。在局部麻醉下接受手术的患者手术时间更短，疼痛控制更好。
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