SpringerLink
Log in

A Study on Morphometric Changes of the Pinna Following Ear Surgery

  • Original Article
  • Published:
Indian Journal of Otolaryngology and Head & Neck Surgery Aims and scope Submit manuscript

Abstract

Morphometry of pinna may change following ear surgeries. This study gives information about postoperative changes following ear surgeries. This study aims to measure the variation of ear morphology following surgery and to correlate the type of surgery with post-operative variations. Eighty patients with Chronic Otitis Media(COM) undergoing surgery by post aural approach were grouped into Modified Radical Mastoidectomy (MRM), Cortical Mastoidectomy + Tympanoplasty (CM + TM) and Tympanoplasty groups(TM). The MRM, CM + TM and TM groups had 14, 46 and 20 participants respectively. Various morphometric measurements were taken pre and post operatively. In all groups, the mean Concho-Mastoid Angle (CMA) was increased post operatively, with increase of 11.1 degrees in MRM (p value-0.002), 8.9 degrees in CM + TM (p value-0.000) and 4.8 degrees (p value- 0.657) in TM group. Similarly, the Cepahlo-auricular distances (D1 and D2) showed statistically significant changes in MRM and CM + TM groups (p value < 0.05). Mean CMA of MRM group compared with other groups did not show any statistically significant difference. However, when the CMA of CM + TM group was compared with TM group showed significant difference of 14.53 degree (p value 0.002). Similarly, the D1 and D2 showed statistically significant changes between the CM + TM and TM groups (p value 0.005 and 0.000 respectively). Prominence of pinna following ear surgery is a not a myth. It happens mostly in cases requiring drilling of the mastoid, rather than Tympanoplasty alone. This needs to be explained to the patient beforehand to prevent any confusion post operatively.

This is a preview of subscription content, log in via an institution to check access.

Access this article

Log in via an institution

Subscribe and save

Springer+ Basic
EUR 32.99 /Month
  • Get 10 units per month
  • Download Article/Chapter or Ebook
  • 1 Unit = 1 Article or 1 Chapter
  • Cancel anytime
Subscribe now

Buy Now

Price includes VAT (Canada)

Instant access to the full article PDF.

Institutional subscriptions

Fig. 1
Fig. 2
Fig. 3
Fig. 4
Fig. 5
Fig. 6

Similar content being viewed by others

References

  1. Alexander K, Stott D, Sivakumar B, Kang N (2011) A morphometric study of the human ear. J Plast Reconstr Aesthet Surg 64(1):41–47

    Article  PubMed  Google Scholar 

  2. Da Silva FR, Sanchez M, Manzotti M, Baras F, Ono M, de Oliveirae Cruz G (2008) Comparing cephaloauricular and scaphaconchal angles in prominent ear patients and control subjects. Aesthetic Plast Surg. 32(4):620–3

    Article  Google Scholar 

  3. Brucker M, Patel J, Sullivan P (2003) A morphometric study of the external ear: age and sex-related differences. Plast Reconstr Surg 112(2):647–652

    Article  PubMed  Google Scholar 

  4. Glasscock M, Gulya A, Minor L, Poe D, Shambaugh G, Haynes DS, Wittkopf J (2010) Glasscock-shambaugh surgery of the ear, 7th edn. People’s Medical Publishing House, Shelton, Conn, p 501

    Google Scholar 

  5. Shekhar C, Bhavana K (2007) Aesthetics in ear surgery: a comparative study of different post auricular incisions and their cosmetic relevance. Indian J Otolaryngology Head Neck Surg 59(2):187–190

    Article  Google Scholar 

  6. El-Anwar MW, El-Aassar AS (2017) Effect of post auricular sulcus incision for myringoplasty on auricle protrusion: 5 years’ experience. Indian l Otol 23:71–73

    Article  Google Scholar 

  7. Ali MS (2009) Unilateral secondary (acquired) post mastoidectomy low-set ear: Postoperative complication with potential functional and cosmetic implications. J Otolaryngol Head Neck Surg 38:240–245

    PubMed  Google Scholar 

  8. Farkas LG (1978) Anthropometry of normal and anomalous ears. Clin Plast Surg 5(3):401–412

    Article  MathSciNet  CAS  PubMed  Google Scholar 

Download references

Funding

No funding was received for conducting this study.

Author information

Authors and Affiliations

  1. Department of ENT, KS Hegde Medical Academy, Deralakatte, Mangalore, India

    M. K. Goutham

  2. Vydehi Institute of Medical Sciences and Research Centre, Bangalore, India

    Vaishnavi Shetty

Authors
  1. M. K. Goutham
    View author publications

    You can also search for this author in PubMed Google Scholar

  2. Vaishnavi Shetty
    View author publications

    You can also search for this author in PubMed Google Scholar

Corresponding author

Correspondence to M. K. Goutham.

Ethics declarations

Conflict of interest

The authors have no relevant financial or non-financial interests to disclose.

Additional information

Publisher's Note

Springer Nature remains neutral with regard to jurisdictional claims in published maps and institutional affiliations.

Rights and permissions

Springer Nature or its licensor (e.g. a society or other partner) holds exclusive rights to this article under a publishing agreement with the author(s) or other rightsholder(s); author self-archiving of the accepted manuscript version of this article is solely governed by the terms of such publishing agreement and applicable law.

Reprints and permissions

About this article

Check for updates. Verify currency and authenticity via CrossMark

Cite this article

Goutham, M.K., Shetty, V. A Study on Morphometric Changes of the Pinna Following Ear Surgery. Indian J Otolaryngol Head Neck Surg 76, 575–580 (2024). https://doi.org/10.1007/s12070-023-04214-1

Download citation

  • Received:

  • Accepted:

  • Published:

  • Issue Date:

  • DOI: https://doi.org/10.1007/s12070-023-04214-1

Keywords

Search

Navigation