Rasping First Technique in Otoplasty

Abstract

Background: There have been more than 200 techniquespublished for the treatment of prominent ears, demonstratingthat there is not a single, used method that most surgeons use.Due to the psychosocial issues, it generates, prominent eardeformity is one of the aesthetic issues that should be reconstructed.An optimal otoplasty operation should produce goodmaintained aesthetic results with no recurrence.Objective: The aim of this study is to evaluate patient satisfactionafter otoplasty using the rasping as the first step inotoplasty.Patients and Methods: This is an interventional clinicaltrial including forty individuals with prominent ears. All patientswere operated on at El Dmerdash Hospital according toour study’s inclusion and exclusion criteria using rasping ofcartilage as the first step in our technique.Results: Using anterior rasping as first step in otoplastyachieve a high patients’ satisfaction rate postoperatively andfacilitate the surgical steps. most of our patients were satisfiedwith the ear in general and, (90%) were satisfied with right earand (92.5%) were satisfied with left ear. Patients were satisfiedwith ear fitting with face as (95 %) with right ear and (90%)regarding left ear with Significant improvement in post operativesymmetry p < 0.001.Conclusion: Using rasping as first step in otoplasty improvesaesthetic outcomes in adults. Anterior rasping decreasesblood loss shortens operative time and decreases the incidenceof recurrence through weakening of cartilage memory. adequateweakening of cartilage through anterior rasping correctedthe protrusion, improved the symmetry, and maintained it.