Facial Plast Surg 2024; 40(04): 499-504
DOI: 10.1055/a-2150-8632
Original Research

A Retrospective Analysis of Pinnaplasty Outcomes: The Welsh Experience

Murtaza Kadhum
1   Welsh Centre for Burns and Plastic Surgery, Morriston Hospital, Swansea, United Kingdom
,
Samuel Atherton
1   Welsh Centre for Burns and Plastic Surgery, Morriston Hospital, Swansea, United Kingdom
,
Ali Jawad
1   Welsh Centre for Burns and Plastic Surgery, Morriston Hospital, Swansea, United Kingdom
,
Nick Wilson-Jones
1   Welsh Centre for Burns and Plastic Surgery, Morriston Hospital, Swansea, United Kingdom
,
Muhammad Umair Javed
1   Welsh Centre for Burns and Plastic Surgery, Morriston Hospital, Swansea, United Kingdom
› Institutsangaben

Abstract

Prominent ears (PEs) are the most frequent congenital external ear deformity, occurring in ∼5% of the population. Although the deformity does not usually cause functional difficulties, it can significantly affect the patient's psychological and social health. The authors aim to present the Welsh experience of pinnaplasty, reviewing our outcomes and complications. A retrospective cross-sectional study was performed of all patients undergoing pinnaplasty in Morriston Hospital, Swansea, Wales. We represent the tertiary plastic surgery referral unit across Wales. We included all patients undergoing pinnaplasty between 2015 and 2022 inclusive. We excluded patients undergoing revision procedures or those who had no follow-up. Over the 7-year period, 236 pinnaplasties were performed and 203 were included in the analysis. Ninety-six percent of cases were performed using a cartilage-sparing approach, which represents the mainstay in our unit. The mean follow-up length for our cases was 12 months. Revision procedures were required in 4% of cases. Three hematomas (1.5%) and one (0.5%) wound dehiscence due to infection were recorded and required a return to the operating room. Suture extrusion was noted in 5% of cases (10 patients); 4.5% (9) cases were affected by either hypertrophic or keloid scarring. Across the United Kingdom, cosmetic procedures have come under scrutiny, namely, because of a difficult economic climate. In the era of tight fiscal control in health care, it is pertinent to analyze the outcomes and performance metrics of our operations regularly, thus aiding in the development of an established evidence base to advocate for our respective patients.

Data Availability

All data used in this systematic review are available on request including the search results.




Publikationsverlauf

Accepted Manuscript online:
08. August 2023

Artikel online veröffentlicht:
14. September 2023

© 2023. Thieme. All rights reserved.

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333 Seventh Avenue, 18th Floor, New York, NY 10001, USA

 
  • References

  • 1 Adamson PA, Strecker HD. Otoplasty techniques. Facial Plast Surg 1995; 11 (04) 284-300
  • 2 AlAwadh I, Alassiry H, Bogari A, Alabduljabbar Z, AlDosari B. Complication rates from otoplasty at a tertiary facial plastic surgery center: a retrospective analysis. J Craniofac Surg 2022; 33 (06) 1813-1815
  • 3 Binet A, El Ezzi O, De Buys Roessingh A. A retrospective analysis of complications and surgical outcome of 1380 ears: experience review of paediatric otoplasty. Int J Pediatr Otorhinolaryngol 2020; 138: 110302
  • 4 Braun T, Hainzinger T, Stelter K, Krause E, Berghaus A, Hempel JM. Health-related quality of life, patient benefit, and clinical outcome after otoplasty using suture techniques in 62 children and adults. Plast Reconstr Surg 2010; 126 (06) 2115-2124
  • 5 Hope N, Smith CP, Cullen JR, McCluney N. A retrospective study of patient outcomes and satisfaction following pinnaplasty. Patient Relat Outcome Meas 2016; 7: 49-53
  • 6 Boroditsky ML, Van Slyke AC, Arneja JS. Outcomes and complications of the Mustardé otoplasty: a “Good-Fast-Cheap” technique for the prominent ear deformity. Plast Reconstr Surg Glob Open 2020; 8 (09) e3103-e3103
  • 7 Dieffenbach J. De Operatieve Chirurgie. 1846. Accessed April 9, 2023, at: https://books.google.com/books?hl=en&lr=&id=BVlkAAAAcAAJ&oi=fnd&pg=PR15&ots=YqunNVDZGQ&sig=ejsxWhl-TDVYnwA27xHYmX0Bsyk
  • 8 Edafe O, Argyriou K, Thevasagayam MS. Outcomes and complications of incisionless otoplasty - a retrospective observational study and a review of the literature. Int J Pediatr Otorhinolaryngol 2020; 137: 110246
  • 9 Ferzli G, Sukato D, Araslanova R, Romo Iii T. Cartilage-sparing otoplasty. Facial Plast Surg Aesthet Med 2020; 22 (05) 378-385
  • 10 McGarry KM, Khadim MF, McBride M. et al. Otoplasty: the Belfast experience. A 10-year review of 2333 ear outcomes. Plast Reconstr Surg 2023; 151 (03) 388e-397e
  • 11 Mullens CL, Nathan SL, Kozak GM, Fischer JP, Greco GA, Ueno CM. Patient advocacy in plastic surgery: an underutilized tool. Plast Reconstr Surg Glob Open 2019; 7 (05) e2207
  • 12 Smittenberg MN, Marsman M, Veeger NJGM, Moues CM. Comparison of cartilage-scoring and cartilage-sparing otoplasty: a retrospective analysis of complications and aesthetic outcome of 1060 ears. Plast Reconstr Surg 2018; 141 (04) 500e-506e
  • 13 Mandal A, Bahia H, Ahmad T, Stewart KJ. Comparison of cartilage scoring and cartilage sparing otoplasty–a study of 203 cases. J Plast Reconstr Aesthet Surg 2006; 59 (11) 1170-1176
  • 14 Ali K, Meaike JD, Maricevich RS, Olshinka A. The protruding ear: cosmetic and reconstruction. Semin Plast Surg 2017; 31 (03) 152-160
  • 15 Iqbal FM, Hussain T, Afzal Y, Beg MSA. Our experience with the correction of prominent ear deformity. Cureus 2021; 13 (11) e19772
  • 16 Uimonen M, Kuitunen I, Paloneva J, Launonen AP, Ponkilainen V, Mattila VM. The impact of the COVID-19 pandemic on waiting times for elective surgery patients: a multicenter study. PLoS One 2021; 16 (07) e0253875
  • 17 Søreide K, Hallet J, Matthews JB. et al. Immediate and long-term impact of the COVID-19 pandemic on delivery of surgical services. Br J Surg 2020; 107 (10) 1250-1261
  • 18 Gasteiger L, Abram J, Klein S. et al. Impact of COVID-19 on elective, emergency and oncological surgery during the first and the second wave in a tertiary university hospital : have we learned the lessons?. Wien Klin Wochenschr 2022; 134 (23-24): 868-874
  • 19 Ward JA, Pope-Jones S, Murison M, Wilson-Jones N. Pinnaplasty: who makes the cut?. J Plast Reconstr Aesthet Surg 2020; 73 (04) 783-808
  • 20 Jones ES, Gibson JAG, Dobbs TD, Whitaker IS. The psychological, social and educational impact of prominent ears: a systematic review. J Plast Reconstr Aesthet Surg 2020; 73 (12) 2111-2120
  • 21 NHS Vale of York Clinical Commissioning Group - Pinnaplasty/Otoplasty. Accessed April 10, 2023, at: https://www.valeofyorkccg.nhs.uk/rss/home/procedures-not-routinely-commissioned/pinnaplasty-otoplasty/
  • 22 BAPRAS, ENT UK, RCS. Commissioning Guide: Pinnaplasty. 2013
  • 23 Foroughi Z, Ebrahimi P, Aryankhesal A, Maleki M, Yazdani S. Hospitals during economic crisis: a systematic review based on resilience system capacities framework. BMC Health Serv Res 2022; 22 (01) 977
  • 24 Sadhra SS, Motahariasl S, Hardwicke JT. Complications after prominent ear correction: a systematic review of the literature. J Plast Reconstr Aesthet Surg 2017; 70 (08) 1083-1090
  • 25 Maslauskas K, Astrauskas T, Viksraitis S, Samsanavidius D. Comparison of otoplasty outcomes using different types of suture materials. Int Surg 2010; 95 (01) 88-93