Analyzing the Egyptian Prominent Ear Deformity

Objectives: No standard otoplasty technique, so critical analysis of the anatomy of prominent ears is crucial to tailor the otoplasty technique accordingly. Patients and Methods: A prospective study was conducted within a period of 3 years (2011-2013), 30 patients presenting with 57 prominent ears had their deformity analyzed before undergoing their otoplasty at the Plastic Surgery Department of Kasr El-Ainy Hospital, Cairo University. Results: The average was 14 years. 19 males and 11 females. 3 patients had unilateral bat ears with total of 57 ears. All were primary cases. Prominent ears where present in all patients presenting, hypoplastic antihelix in 55 ears, 100% (57 ears) had deep hypertrophic concha, prominent lobule was present 38% (22 ears). Conclusion: Hypertophic (deep choncha) deformity is common in all patients presenting with prominent ears despite most of literature concentrating on the antihelix as the commonest deformity. However comobined antihelix and concha was the reason for almost all the deformities. Lobule prominence is relatively high and not to be missed during examination and operative plan.