Hostname: page-component-586b7cd67f-tf8b9 Total loading time: 0 Render date: 2024-11-22T20:20:22.386Z Has data issue: false hasContentIssue false
  • English
  • Français

The effect of post-auricular canal wall down mastoidectomy on the position of the auricle

Published online by Cambridge University Press:  18 February 2022

G Akgül Open the ORCID record for G Akgül [Opens in a new window] ,
N F Turgut Open the ORCID record for N F Turgut [Opens in a new window] ,
D Özdemir ,
A Unal  and
A Özgür
G Akgül
Affiliation:
Department of Otorhinolaryngology, University of Health Sciences Turkey – Samsun Health Practices and Research Center, Turkey
N F Turgut*
Affiliation:
Department of Otorhinolaryngology, University of Health Sciences Turkey – Samsun Health Practices and Research Center, Turkey
D Özdemir
Affiliation:
Department of Otorhinolaryngology, University of Health Sciences Turkey – Samsun Health Practices and Research Center, Turkey
A Unal
Affiliation:
Department of Otorhinolaryngology, University of Health Sciences Turkey – Samsun Health Practices and Research Center, Turkey
A Özgür
Affiliation:
Department of Otorhinolaryngology, Ondokuz Mayıs University, Samsun, Turkey
*
Author for correspondence: Dr Nesrettin Fatih Turgut, Department of Otorhinolaryngology, University of Health Sciences Turkey – Samsun Health Practices and Research Center, Kadıköy Mah. Park Sok. No: 199, PB: 55090, İlkadım, Samsun, Turkey E-mail: [email protected]
Get access Rights & Permissions [Opens in a new window]

Abstract

Objective

This study aimed to investigate the effect of surgical incision on the auricle position in patients undergoing canal wall down mastoidectomy to treat chronic otitis media.

Methods

Thirty-four patients who had undergone canal wall down mastoidectomy with a post-auricular incision approach were included in the study. Patients who had a previous auricle deformity, who underwent limited mastoidectomy surgery or mastoid obliteration, or who were younger than 18 years of age were excluded. The distances of the upper and middle parts of the auricle to the mastoid were measured.

Results

Measurements in the first post-operative year were found to be 13.15 ± 3.59 mm in the upper region and 16.29 ± 5.00 mm in the middle region. It was observed that the auricle was approaching the mastoid area in both regions.

Conclusion

In patients undergoing radical mastoidectomy, the distance between the auricle and the mastoid may decrease, leading to narrowing of the auriculo-cephalic angle.

Keywords

TympanoplastyComplete MastoidectomyMiddle Ear CholesteatomasEar Auricles
Type
Main Article
Information
The Journal of Laryngology & Otology , Volume 136 , Issue 12 , December 2022 , pp. 1237 - 1239
Copyright
Copyright © The Author(s), 2022. Published by Cambridge University Press on behalf of J.L.O. (1984) LIMITED

Access options

Get access to the full version of this content by using one of the access options below. (Log in options will check for institutional or personal access. Content may require purchase if you do not have access.)

Footnotes

Dr N F Turgut takes responsibility for the integrity of the content of the paper

References

Kim, JS, Lim, IG, Oh, JH, Kim, BG, Chang, KH. External auditory canal reconstruction and mastoid obliteration using modified Palva flap in canal wall down mastoidectomy with tympanoplasty. Ann Otol Rhinol Laryngol 2019;128:69–75CrossRefGoogle ScholarPubMed
Palva, T. Surgical treatment of chronic middle ear disease. II. Canal wall up and canal wall down procedures. Acta Otolaryngol 1987;104:487–94CrossRefGoogle ScholarPubMed
Khalil, HS, Windle-Taylor PC. Canal wall down mastoidectomy: a long term commitment to the outpatients? BMC Ear Nose Throat Disord 2003;3:1CrossRefGoogle Scholar
Ali, MS. Unilateral secondary (acquired) postmastoidectomy low-set ear: postoperative complication with potential functional and cosmetic implications. J Otolaryngol Head Neck Surg 2009;38:240–5Google ScholarPubMed
Roberson, JB Jr, Mason, TP, Stidham, KR. Mastoid obliteration: autogenous cranial bone pate reconstruction. Otol Neurotol 2003;24:132–40CrossRefGoogle ScholarPubMed
Mehta, RP, Harris, JP. Mastoid obliteration. Otolaryngol Clin North Am 2006;39:1129–42CrossRefGoogle ScholarPubMed
van Hövell Tot Westerflier, CV, van Wijk, MP, Kon, M. Surgical correction of the "sunken ear": an auricular positional change after canal wall down mastoidectomy. Otolaryngol Head Neck Surg 2016;154:1161–3CrossRefGoogle ScholarPubMed
Hong, P, Arseneault, T, Makki, F. A long-term analysis of auricular position in pediatric patients who underwent post-auricular approaches. Int J Pediatr Otorhinolaryngol 2014;78:471–3CrossRefGoogle ScholarPubMed
Guyuron, B, DeLuca, L. Ear projection and the posterior auricular muscle insertion. Plast Reconstr Surg 1997;100:457–60CrossRefGoogle ScholarPubMed
Smith, DW. Protruding auricle: a neuromuscular sign. Lancet 1978;1:747–9CrossRefGoogle Scholar
Akgül, G, Özgür, A, Yemiş, T, Özdemir, D, Ünal, A, Çelebi, M et al. Does postauricular incision cause auricula protrusion after tympanoplasty? J Craniofac Surg 2020;31:149–51CrossRefGoogle ScholarPubMed
Kim, YH. A prospective study on changes in auricular protrusion after chronic otitis media surgery with the postauricular approach. J Int Adv Otol 2020;16:253–8CrossRefGoogle ScholarPubMed
Okur, E, Kahveci, OK, Miman, MC, Yıldız, H, Ayçiçek, A, Altuntaş, A. Ear protrusion after tympanoplasty and the use of mastoid dressing. Kulak Burun Bogaz Ihtis Derg 2014;24:74–7CrossRefGoogle ScholarPubMed
Graham, ME, Bezuhly, M, Hong, P. A long-term morphometric analysis of auricular position post-otoplasty. J Plast Reconstr Aesthet Surg 2013;66:1482–6CrossRefGoogle ScholarPubMed