Prominent Ear Correction With Anterior Rasping

Purpose: Prominent ear deformity is usually characterized by antihelical fold deficiency, concha hypertrophy and earlobe deformity. Materials and Methods: Between 2000 and 2018, 375 otoplasty patients aged 6 to 58 who underwent surgery in our clinic were included in this study. Among these 375 cases, 25 were unilateral and 350 were bilateral. As surgical techniques anterior rasping, concha-mastoid sutures and concha-scaphoid sutures were used. The average cephaloauricular angle, the upper pole-mastoid distance and the distance between the middle 1/3 of the ear and mastoid was measured preoperatively and postoperatively. Postoperative measurements were made on the 15th day, 3rd month and the 6th month after the surgery. The approximate follow-up period ranged from 6 months to 18 years. Results: Concha-mastoid sutures can be used not only to reduce the concha but also to adjust the proportion between the width and height of the ear. Attenuation of the cartilage by rasping provides homogeneous thinning of the cartilage and prevents deformation. In all age groups, relapse and angle changes were observed in the first 6 months. After 6 months, there were no cases of recurrence or angle changes.