Three points suturing to avoid recurrence in ear setback: Prospective Study

Abstract

Background: Auricular deformities, specifically prominent ears, are frequent. Although the physiologic consequences are negligible, the aesthetic and psychological effects on the patient can be substantial. Otoplasty, or correction of prominent ears, is one of most performed surgeries in plastic surgery both in children and adults. Until nowadays, there have been more than 150 techniques described, but all with certain percentage of recurrence which varies from just a few up to 24.4%Aim of the Work: In this study, we will evaluate the efficacy of new suture technique for otoplasty in the form of weakening of the cartilage by parallel partial cartilage incisions along the length of the antihelical fold associated with permanent sutures (three points suturing of the antihelix to mastoid fascia with or without concha reduction accordingly) to decrease the incidence of recurrence and to leave the ear with an “unoperated” soft, natural contours with high patient satisfaction and good aesthetic results.Patients, Methods, and results: In this prospective study, patients will be followed up objectively and subjectively over 6 months as regard effectiveness, longevity, complications, recurrence, satisfaction rate with the final aesthetic results Patients in concern in this study; all patients had bilateral prominent ears, age varied between 6 and 40 years with no history of previous repair.Conclusion: Using three-point fixation as the main technique in otoplasty improves aesthetic outcomes in adults. This technique decreased the incidence of recurrence, corrected the protrusion, improved the symmetry, and maintained it