A new strategy for otoplasty

Shokrollahi, Kayvan; Cooper, M.A.C.S.; Hiew, L.Y.

doi:10.1016/j.bjps.2008.03.018

Cited by 35 publications

(16 citation statements)

References 8 publications

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“…Stal and Spira 25 report some degree of reprotrusion in all cases, most noticeably in the upper pole. Ears whose main deformity is conchal protrusion will not be corrected by techniques designed to re-create the antihelix.…”

Section: Late Complicationsmentioning

confidence: 86%

29 Otoplasty

2016

Facial Plastic and Reconstructive Surgery

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Section: Late Complicationsmentioning

confidence: 86%

29 Otoplasty

2016

Facial Plastic and Reconstructive Surgery

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“…Another important advantage of the fascial flap technique that may reduce recurrences is that it forms an additional barrier that may prevent the suturing materials from being exposed. 16,17 However, all the techniques described for the suture-assisted otoplasty work either in children or in the existence of a pliable cartilage. 18 Although the scoring performed on the anterior surface of the cartilage to form an antihelical fold was described by Davis and Gibson in 1958 (discussed in Bhatti and Donovan 19 ), it was popularized by Stenstrom 20 and Chongchet.…”

Section: Discussionmentioning

confidence: 98%

“…However, in Mustarde's posterior suturing technique where no cartilage incision is performed, there is a high (up to 24%) rate of recurrence. 15 The suturing techniques can be modified to reduce this high recurrence rate, and the most challenging among these modifications is the method requiring a distal 16 In this technique, based on sharing the tension with the cartilages, a fascial flap is prepared from above the cartilage, subsequent to the meticulous de-epithelization of the skin area in the posterior aspect of the ear. Another important advantage of the fascial flap technique that may reduce recurrences is that it forms an additional barrier that may prevent the suturing materials from being exposed.…”

Section: Discussionmentioning

confidence: 99%

Creating a Neoconchal Complex Using the Adjustable Conchal Sliding Technique in Prominent Ear Correction

Yazar

Basat

Bi̇çer

et al. 2012

Journal of Craniofacial Surgery

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An oversized aural concha plays a significant role in prominent ear deformities and should be taken into consideration during preoperative examination. In the current study, we present a procedure known as the conchal sliding technique as an alternative to more disruptive methods. Twenty-four patients (9 females and 15 males; 47 ears in total) underwent a conchal sliding procedure between 2006 and 2010. During the surgery, a wide subperichondrial dissection is performed after a posterior elliptical incision. After the concha is exposed as a hemisphere, it is split along its long axis to reveal the medial and lateral cartilage segments. These segments are gently scrolled upon each other. Transposition of the lateral segment posteriorly to the medial segment replaces the whole ear toward the posterior direction. Three mattress sutures (4Y0 polypropylene) reliably secure the repositioned and setback conchal bowl. If needed, an antihelix can be formed using neoconchal-scaphal mattress sutures. Median follow-up period was 24.3 months (range, 6Y48 mo). A unilateral hematoma developed in 1 patient and an anterior step deformity occurred in another. No recurrence, infection, necrosis of the skin, distortion of the auditory canal, or formation of keloid was observed in any of the patients. The median cephaloauricular angle was measured as 46 degrees before the surgery and 26 degrees after the surgery, whereas the distance between the helix and the mastoid was 23 mm before the surgery and 11 mm after the surgery. All the patients were satisfied with the results. This technique provides stable and natural results by creating a safe neoconchal complex. It may be a safe and reliable solution to an oversized aural concha, enabling natural-looking and positive cosmetic results.A prominent ear is characterized by an increase in the cephaloauricular angle, and it is a common deformity of the auricle with an incidence rate of 5%. 1,2 It can arise from a lack of development of the antihelical fold or from a wide and protruded conchal bowl. McDowell's 3 basic goals should be considered in the correction of a prominent ear deformity: (1) All upper third ear protrusion must be corrected.(2) The helix should be seen beyond the antihelix.(3) A smooth antihelical fold should be created. (4) The postauricular sulcus should not be distorted. (5) The distance from the helix to the mastoid should be 10 to 12 mm in the upper third of the helix. Furthermore, the normal auriculomastoid angle is often stated to be about 30 degrees 4 at the level of the upper insertion point of the ear.Various techniques have been described since the first published otoplasty by Dieffenbach. 2 Unfortunately, most techniques described in the literature focus solely on the creation of the antihelical fold. 5,6 However, an oversized aural concha plays a significant role in prominent ear and should be considered during the preoperative period to avoid relapses and undesirable outcomes. In this study, we aimed to present a conchal sliding technique that presents as a ...

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“…Importantly, newer concepts in otoplasty-in particular, the use of postauricular fascial flaps, and also patient positioning-have altered the decision-making process with regard to incision placement so that the surgeon can access the fascia and base its pedicle appropriately. [7][8][9][10] The visibility of pinnaplasty scars is commonly overlooked for 2 reasons. First, the primary concern of the surgeon is to achieve a natural and durable correction of the prominent ear.…”

Section: Discussionmentioning

confidence: 99%