Complications after prominent ear correction: a systematic review of the literature.
Abstract
Background There is great diversity in reported post-operative outcomes for otoplasty, with the incidence of haematoma or infection ranging from 0% to 15.6% and 0%-10%, respectively. With such variability, it is difficult to determine an overall 'average' incidence of common post-operative complications.Methods A systematic review of the most relevant medical databases was conducted for studies available in English published between January 1, 2000, and December 31, 2015. Using the dataset, pooled estimates for the incidence of the primary and secondary outcomes were calculated for all included studies. The primary outcome was haematoma and/or bleeding incidence, and the secondary outcomes included infection, skin/wound healing problems, suture-related problems, scarring, pain and itching, and revision surgeries/recurrence. Comparable sub-group analysis of studies was also performed using calculated pooled proportions.Results After screening, 28 articles involving 3493 patients were included in the study. Pooled proportions revealed that haematoma and/or bleeding incidence was 2.5% (95% CI: 1.4-3.8%), infection 0.8% (95% CI: 0.4-1.3%), skin/wound healing problems 3% (95% CI: 1.4-5.1%), suture-related problems 1.8% (95% CI: 0.8-3.2%), scarring 1.6% (95% CI: 0.8-2.6%), pain and itching 13% (95% CI: 5.4-23.1%) and revision surgeries/recurrence 5% (95% CI: 2.9-7.7%).Conclusions By pooling proportions of reported complications, the results of this study could be useful in the personal audit of practice and will be a point of reference for comparing novel surgical techniques in the future.
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Sadhra et al. predates the publication of several studies included in the current review.
“Moreover, Sadhra et al. predates the publication of several studies included in the current review.”
From Otoplasty for prominent ear: A systematic review of surgical techniques (2026) · cites this paper as [41]
The complication rate for cartilage-sparing techniques is in the range of 0.4%-24%, with a revision rate of approximately 13.6%.
“The complication rate for cartilage-sparing techniques is in the range of 0.4%–24%, with a revision rate of approximately 13.6%.2,9,10”
From Outcomes and Complications of the Mustardé Otoplasty: A “Good–Fast–Cheap” Technique for the Prominent Ear Deformity (2020) · cites this paper as [9]
The most common complications after otoplasty are hematoma, issues relating to skin viability and wound healing, suture extrusion, cartilage irregularity, and relapse or recurrence.
“The most common complications after otoplasty are hematoma, issues relating to skin viability and wound healing, suture extrusion, cartilage irregularity, and relapse or recurrence. 15”
The significant heterogeneity estimated for recurrence rates and rates of hematomas among different studies is probably attributed to wide variations in otoplasty techniques.
“The significant heterogeneity estimated for recurrence rates and rates of hematomas among the different studies is probably attributed to the wide variations in otoplasty techniques, which can remarkably affect postoperative outcomes.38”
From Complications of Cartilage Sparing Otoplasty: A Systematic Review and Meta-Analysis (2024) · cites this paper as [38]
Many studies and prior meta-analyses confirmed otoplasty's safety.
“Many studies and prior meta-analyses confirmed otoplasty’s safety, though incisionless techniques had higher blistering (22.6%) and suture extrusion (21.9%).104–108”
From Otoplasty Surgical Techniques and Clinical Outcomes: A Practical Review (2026) · cites this paper as [104]
Incisionless techniques had higher blistering, at 22.6%.
“Many studies and prior meta-analyses confirmed otoplasty’s safety, though incisionless techniques had higher blistering (22.6%) and suture extrusion (21.9%).104–108”
From Otoplasty Surgical Techniques and Clinical Outcomes: A Practical Review (2026) · cites this paper as [104]
Incisionless techniques had higher suture extrusion, at 21.9%.
“Many studies and prior meta-analyses confirmed otoplasty’s safety, though incisionless techniques had higher blistering (22.6%) and suture extrusion (21.9%).104–108”
From Otoplasty Surgical Techniques and Clinical Outcomes: A Practical Review (2026) · cites this paper as [104]
Sadhra et al. evaluated the average incidence of complications following otoplasty and identified exclusive sutures as the method associated with the highest rates of recurrence and reoperation.
“Sadhra et al.41 evaluated the average incidence of complications following otoplasty and identified the exclusive use of sutures as the method associated with the highest rates of recurrence and reoperation.41”
From Otoplasty for prominent ear: A systematic review of surgical techniques (2026) · cites this paper as [41]
Sadhra et al.'s analysis was limited to suture-only, cartilage-scoring, and suture + cartilage-scoring hybrid techniques.
“Unlike the present review, their analysis was limited to suture-only, cartilage-scoring, and suture + cartilage-scoring hybrid techniques.”
From Otoplasty for prominent ear: A systematic review of surgical techniques (2026) · cites this paper as [41]
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- Authors
- Sadhra, S. S., Motahariasl, S., & Hardwicke, J. T.
- Affiliations
- University of Birmingham (GB)
- University Hospital Coventry (GB)
- Corresponding author
- Hardwicke, J.T.
- Venue
- Journal of Plastic, Reconstructive & Aesthetic Surgery
- Publisher
- Elsevier BV
- Published
- 2017-08
- Volume
- 70
- Issue
- 8
- Pages
- 1083-1090
- ISSN
- 1748-6815 (ISSN-L)
- OpenAlex
- W2615676316
- Cited by
- 40
- References
- 51
- Citations by year
- 2026: 4 · 2025: 2 · 2024: 8 · 2023: 6 · 2022: 6 · 2021: 2 · 2020: 6 · 2019: 2 · 2017: 4
- FWCI
- 0.70
- Type
- journal article
- Language
- en
- Open access
- closed
- Locations
- Journal of Plastic Reconstructive & Aesthetic Surgery (publishedVersion)
- PubMed (publishedVersion)
- Warwick Research Archive Portal (University of Warwick) (submittedVersion)
- Topics
- Health Sciences › Medicine › Surgery › Reconstructive Facial Surgery Techniques
- Health Sciences › Medicine › Surgery › Nasal Surgery and Airway Studies
- Health Sciences › Medicine › Genetics › Congenital Ear and Nasal Anomalies
- Keywords
- otoplasty, postoperative complications, hematoma, surgical site infection, suture complications, scar formation, reoperation, recurrence
- MeSH terms
- Cicatrix, Ear, Hematoma, Humans, Pain, Pruritus, Reoperation, Surgical Wound Infection, Sutures, Wound Healing, Plastic Surgery Procedures, Dermatologic Surgical Procedures
About these checks
Registry, retraction, Cites and statistics results are computed, not judged, with one exception: a printed reference that no index lists is read once by a model before it counts as a citation error. Claims are extracted by a model and kept only when their quote appears verbatim in the text; each cited source is then checked, with a model’s help, for whether it says what the claim relies on. Those verdicts can be wrong — read the claim’s quote and the cited source before relying on one.
Statistics and arithmetic are recomputed, not judged.
Confidence bands are shown only for fields calibrated on our annotated test set. None is calibrated yet, so no band is shown.
What counts as a claim ›How we measure confidence ›How we check this ›
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