Comparison of two incisionless otoplasty techniques for prominent ears in children

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dc.contributor.authorHaytoglu, Suheyl
dc.contributor.authorHaytoglu, Tahir Gokhan
dc.contributor.authorMuluk, Nuray Bayar
dc.contributor.authorKuran, Gokhan
dc.contributor.authorArikan, Osman Kursat
dc.date.accessioned2020-06-25T18:13:26Z
dc.date.available2020-06-25T18:13:26Z
dc.date.issued2015
dc.departmentKırıkkale Üniversitesi
dc.descriptionKuran, Gokhan/0000-0002-0709-1887
dc.description.abstractObjectives: In the present study, we applied two incisionless suture techniques for otoplasty: Haytoglu et al.'s modification of incisionless otoplasty technique and Fritsch's incisionless otoplasty technique for correction of prominent ears. Methods: In this prospective study, 60 patients with prominent ears were included in the study. In Group 1, 55 ears of 30 patients (25 bilateral and 5 unilateral) were operated with Haytoglu et al.'s modification of incisionless otoplasty technique. In Group 2,57 ears of 30 patients (27 bilateral and 3 unilateral) were operated with Fritsch's incisionless otoplasty technique. For comparison of two methods, auriculocephalic distances were measured at three levels which were level 1 (the most superior point of the auricle), level 2 (the midpoint of the auricle) and level 3 (level of the lobule) pre-operatively (preop); and measurements were repeated at the end of the surgery (PO0-day, 1st month (PO1-Mo) and 6th month (PO6-Mo) after the surgery, in both groups. Patient satisfaction was evaluated using a visual analog scale (VAS). Moreover, Global Aesthetic Improvement Scale (GAIS) was rated by an independent, non-participating plastic surgeon at 6 months after the surgery. Results: Operation time was 15.9 +/- 5.6 min in Group 1 (Haytoglu et al.'s) and 19 +/- 4.7 min in Group 2 (Fritsch). Hematoma, infection, bleeding, keloid scar formation, sharp edges or irregularities of the cartilage were not observed in any group. Suture extrusion was detected in 14.03% of Group 1 and 16.1% of Group 2. No statistically significant difference was observed between auriculocephalic distances at levels 1-3 of groups at. pO(0-day) preop, PO1-Mo and PO6-Mo separately. Similarly, difference in auriculocephalic distances (preop values-PO6-mo values) was not detected as statistically significant in Groups 1 and 2 at three levels. In both techniques, No statistically significant difference was observed in patient satisfaction at 6th months after the operation which was measured using Visual Analogue Scale (VAS) on 0 to 100 scales. According to GALS, the patients were rated as 92.9% "improved" and 7.1% "no change" in Group 1; as 94.6% "improved" and 5.4% "no change" in Group 2. Conclusions: Due to the similar results, Haytoglu et al.'s and Fritsch's incisionless otoplasty techniques are good options in the treatment of prominent ears, especially in pediatric patients with isolated inadequate development of antihelical ridge, and with soft auricular cartilage. (C) 2015 Elsevier Ireland Ltd. All rights reserved.en_US
dc.identifier.citationclosedAccessen_US
dc.identifier.doi10.1016/j.ijporl.2015.01.014
dc.identifier.endpage510en_US
dc.identifier.issn0165-5876
dc.identifier.issn1872-8464
dc.identifier.issue4en_US
dc.identifier.pmid25650142
dc.identifier.scopus2-s2.0-84924041948
dc.identifier.scopusqualityQ2
dc.identifier.startpage504en_US
dc.identifier.urihttps://doi.org/10.1016/j.ijporl.2015.01.014
dc.identifier.urihttps://hdl.handle.net/20.500.12587/6194
dc.identifier.volume79en_US
dc.identifier.wosWOS:000351808600011
dc.identifier.wosqualityQ3
dc.indekslendigikaynakWeb of Science
dc.indekslendigikaynakScopus
dc.indekslendigikaynakPubMed
dc.language.isoen
dc.publisherElsevier Ireland Ltden_US
dc.relation.ispartofInternational Journal Of Pediatric Otorhinolaryngology
dc.relation.publicationcategoryMakale - Uluslararası Hakemli Dergi - Kurum Öğretim Elemanıen_US
dc.rightsinfo:eu-repo/semantics/closedAccessen_US
dc.subjectIncisionless otoplastyen_US
dc.subjectProminent earsen_US
dc.subjectVisual analogue scale (VAS)en_US
dc.subjectGlobal aesthetic improvement scale (GAIS)en_US
dc.subjectAuriculocephalicen_US
dc.titleComparison of two incisionless otoplasty techniques for prominent ears in childrenen_US
dc.typeArticle

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