Objective: To compare otoplasty with post-auricular fascial
flap and otoplasty without the flap as regard deformities set
back and hide if suture extrusion.
Background: Prominent ear is considered as a frequent
hereditary deformity affecting 5% of the population. It may
cause psychological problems at any age. Modern prominent
ear surgery attempts to return the ears to their normal position
with soft margin outlines and attempts to perform a uniform
correction without the interference of surgical evidence.
Method: This study will include 31 patients presented
with congenital prominent ear deformity in The Plastic Surgery
Department, Faculty of Medicine, Menoufia University in the
period from February 2018 up to February 2020. All studied
patients were subjected to take a full history, systemic examination,
and local examination of the ear. The patients were
classified into 2 groups. Group A (15 patients) underwent
otoplasty with postauricular fascial flap, while group B (16
patients), otoplasty without postauricular fascial flap.
Results: There was no statistically significant difference
detected between patients underwent otoplasty with or without
the post-auricular fascial flap as regard duration of surgery,
and complications.
Conclusion: The otoplasty with post-auricular fascial flap < br />yields excellent patient and parent satisfaction with a natural
harmonious look and minimal complication especially those
related to sutures demonstrating its efficacy in preventing
these complications, but with no difference with otoplasty
without post-auricular fascial flap.