Inventi Impact - Surgery
(Formerly Inventi Rapid/Impact: Cosmetic Surgery)


  • Inventi:hcs/80/14
    Phui Yee Wong, Tereze Laing, Catherine Milroy

    Introduction. Literature on ideal management of accessory auricles is limited. Traditionally, accessory auricles are managed by paediatricians with suture ligation at the base of the accessory auricle to induce ischaemic necrosis (Mehmi et al, 2007). This method can be associated with complications and poor cosmesis thus leading to the vogue of surgical excision ( Frieden et al, 1995; Sebben, 1989). We present our experience in managing these lesions in children with the application of a titanium clip in a onestop outpatient setting. Methods. Data was collected retrospectively through review of patient records and telephone questionnaire identifying outcomes fromthe parents’ perspective. Results.Of 42 patients, 24 (57.1%) responded. Eleven (26.2%) underwent surgical excision, 6 (14.3%) had no intervention, and 1 (2.4%) was not contactable. All parents were happy with the outcome and would recommend this management to other parents. Twenty-three (96%) had no complications apart froma tiny residual nubbin, which was considered cosmetically acceptable. One child had a residual nubbin that grew in size requiring surgical excision at later stage. Conclusion. Management of accessory auricles by the application of a titanium clip in one-stop outpatient setting is safe, simple, quick, and well tolerated with no need for admission, anaesthesia, or followup due to the low complication rate.

    How to Cite this Article
    CC Compliant Citation: Phui Yee Wong, Tereze Laing, and Catherine Milroy, “One-Stop Outpatient Management of Accessory Auricle in Children with Titanium Clip,” Plastic Surgery International, vol. 2014, Article ID 780394, 4 pages, 2014. doi:10.1155/2014/780394. Copyright © 2014 Phui Yee Wong et al. This is an open access article distributed under the Creative Commons Attribution License (http://creativecommons.org/licenses/by/3.0/), which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited.
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