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A Different Approach for Protruding Earlobe Correction-Modified Fish-tail Technique

Doç. Dr. İlker Uyar
Doç. Dr. İlker Uyar
17 Temmuz 2024201 görüntülenme
Randevu Al
Background: Protruding ears are the most common auricular abnormalities seen in children (1). Protruding ears are a condition that has social and psychological consequences due to its physical appearance and one of the main causes of peer bullying at young ages (2). While various surgical methods exist to address prominent ears, the options for correcting the lobule are relatively scarce. In this study, we are aimed to present the modified fish-tail technique that we have developed and to compare it with other techniques in the literature. Methods: The patients were selected from the cases that underwent otoplasty for prominent ear correction in our clinic between 2020 and 2022. A total of 21 cases that required protruded lobule correction during otoplasty were included in our study. Keloid and hypertrophic scar formation, wound dehiscence, hematoma, infection and recurrence in the lobule were evaluated. The patients were followed up for at least 1 year for early and late complications. Results: Each patient in the study underwent bilateral prominent ear correction, including bilateral modified fish-tail technique. All cases were followed for at least 12 months. There was no wound dehiscence, infection, recurrence in lobule prominence or hematoma during the follow-up period. No hypertrophic scar or keloid was observed in any case. Conclusions: Our method stands out for its ability to achieve both adjustable vertical height and effective lobule correction with a reduced need for skin excision. We recommend the modified fish-tail technique as an alternative technique for prominent lobule surgery.
A Different Approach for Protruding Earlobe Correction-Modified Fish-tail Technique
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Protruding Ears and the Importance of Lobule Correction

Protruding ears represent the most common auricular abnormalities observed in the pediatric population. Beyond the physical appearance, this condition often leads to significant social and psychological consequences, serving as a primary trigger for peer bullying at young ages. While modern medicine offers various surgical interventions for prominent ears, specialized options for correcting the lobule remain relatively limited.

Study Objective and the Modified Fish-Tail Technique

This clinical study aims to present the modified fish-tail technique, an innovative approach developed to address lobule prominence. By evaluating its efficacy and safety, we compare this method with existing techniques in the medical literature to provide a comprehensive surgical alternative. The focus remains on achieving aesthetic harmony while minimizing surgical risks.

Methodology and Patient Selection Criteria

The study cohort was selected from patients who underwent otoplasty for prominent ear correction at our clinic between 2020 and 2022. A total of 21 cases requiring specific protruded lobule correction were included in the research. To ensure long-term reliability, patients were followed for a minimum of one year to monitor for both early and late-stage complications.

Clinical Evaluation Parameters

During the follow-up period, the following post-operative complications were strictly evaluated:

  • Keloid and hypertrophic scar formation
  • Wound dehiscence
  • Hematoma and infection
  • Recurrence of lobule prominence

Clinical Results and Post-Operative Outcomes

Each participant in the study received bilateral prominent ear correction utilizing the bilateral modified fish-tail technique. The results observed during the minimum 12-month follow-up period demonstrate the high success rate of the procedure.

Complication TypeObserved Incidence
Wound DehiscenceNone
InfectionNone
HematomaNone
Recurrence in LobuleNone
Hypertrophic Scar / KeloidNone

Conclusion: A New Standard in Lobule Surgery

The modified fish-tail technique stands out in the field of otoplasty due to its unique advantages. It provides an adjustable vertical height and ensures effective lobule correction while significantly reducing the necessity for extensive skin excision. Based on our clinical findings, we recommend this method as a highly effective alternative technique for prominent lobule surgery.

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Doç. Dr. İlker Uyar

Doç. Dr. İlker Uyar

Mersin Üniversitesi Tıp Fakültesi'nde başladığı tıp eğitimini 2012 yılında başarıyla tamamlayarak Tıp Doktoru unvanı almıştır. İhtisasını ise,Necmettin Erbakan Üniversitesi Tıp Fakültesi'nde tamamlayarak 2018 yılında Plastik, Estetik ve Rekonstrüktif Cerrahi Uzmanı olmuştur. 

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