Otoplasty techniques in children: a comparative study of outcomes

Background Numerous otoplasty techniques have been described in the literature to correct prominent ears; however, few have focused on the complication rates. We reviewed our experience aiming to assess peri‐operative care requirements and complication rates. Method We conducted a retrospective revi...

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Bibliographic Details
Published in:ANZ journal of surgery 2018-10, Vol.88 (10), p.1071-1075
Main Authors: Punj, Puvesh, Chong, Hsu Phie, Cundy, Thomas P., Lodge, Michelle, Woods, Roger
Format: Article
Language:English
Subjects:
Analgesia
Bleeding
Children
Chongchet
Comparative studies
complication
Complications
Demographics
Extrusion
Maxillofacial surgery
Mustarde
Opioids
otoplasty
Pain perception
Patients
prominauris
revision
Scars
Surgery
Surgical outcomes
Wound infection
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Summary:Background Numerous otoplasty techniques have been described in the literature to correct prominent ears; however, few have focused on the complication rates. We reviewed our experience aiming to assess peri‐operative care requirements and complication rates. Method We conducted a retrospective review of 207 otoplasty procedures performed in 119 patients over a 5‐year period (2009–2014) at the Women's and Children's Hospital, Adelaide. Information pertaining to demographic details, length of stay, otoplasty technique and complications (early and late) were obtained. Results In the study period, 97% of the 119 patients had an overnight stay. There was an early complication of 2.2% (return to theatre for bleeding) in the modified Chongchet technique and 0.9% (wound infection) in the Mustarde technique. Late complications included suture extrusion (1.9%) with the Mustarde technique and hypertrophic scarring (2.2%) in the modified Chongchet technique. The recurrence rate requiring revision following modified Chongchet technique was 10% and Mustarde technique was 2.9%. The Mustarde otoplasty technique was associated with a slightly lower antiemetic requirement than the Chongchet technique (3.2 versus 14.3%, P = 0.032). Both techniques had comparable opioid analgesic requirement of 30–35% post‐operatively (P = 0.248). Conclusion Our results are comparable to the huge variation in available literature. We note the higher revision rate following modified Chongchet technique. Both techniques had a low and acceptable rate of post‐operative analgesia and antiemetic requirement. We are considering either otoplasty technique as a day surgery procedure within our unit with the provision of adequate patient support as a safe and economical advance.
ISSN:1445-1433
1445-2197
DOI:10.1111/ans.14386