Ear Deformities: Social and Psychological Implications

Macgregor, Frances Cooke

doi:10.1016/s0094-1298(20)32138-6

Cited by 84 publications

(33 citation statements)

References 2 publications

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“…However, evidence of marked social isolation and acute distress preoperatively may be poor selection criteria. Clinical studies (Becker, 1949;McGregor, 1978;Bradbury et al, 1992) and our own observations confirm that prominent ears may indeed be considered as an aesthetic handicap. From a psychosocial perspective, otoplasty may be a satisfactory solution in the majority of cases (Bradbury et al, 1992).…”

Section: Psychologysupporting

confidence: 74%

Cartilage-sparing otoplasty: a review with long-term results

Vuyk¹

1997

J. Laryngol. Otol.

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Prominent ears are the most frequent congenital deformity in the head and neck region. Anatomy of normal and prominent ears as well as the psychological aspects of prominent ears are reviewed. Two types of surgical technique are described with emphasis on the cartilage-sparing technique.A sound pre-operative analysis, focusing on all partsof the deformity, and surgical techniques which are gradually applied to these deformities should result in pleasing, permanent changes for the vast majority of patients. In our opinion, a combination of cartilage-sparing techniques augmented with cartilage-weakeningprocedures give predictable long-term results with a natural appearing ear and concomitant few, easily treated complications.

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Section: Psychologysupporting

confidence: 74%

Cartilage-sparing otoplasty: a review with long-term results

Vuyk¹

1997

J. Laryngol. Otol.

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“…Though some deformities may self-resolve, for those that do not, there is an associated psychological and emotional stigma associated with deformed ears that can remain through adulthood. 16,19 It is logical, given the scientific findings that cartilage is more pliable immediately after birth, that splinting be applied as early as possible. 20 However, it is important to note that even with delayed application of the device, we were able to achieve full correction, which has implications for those infants whose ear deformities were not initially recognized.…”

Section: Discussionmentioning

confidence: 99%

A Simplified Nonsurgical Method for the Correction of Neonatal Deformational Auricular Anomalies

Chang

Bartlett

2016

Clin Pediatr (Phila)

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Despite reported success of early nonsurgical splinting of congenital ear deformities, the technique has not been widely utilized due to difficulty with application and positional maintenance of these devices. Delay in treatment can result in unnecessary surgery for the child later in life. In response to this need, we developed a simplified system consisting of Velcro, conformers, and polysiloxane gel that can be applied in 3 steps. Before and after photos after application of the device were graded by a plastic surgeon independent of the study. A total of 33 ear deformities were treated. In all, 92.3% of ears achieved significant improvement and normalization of their ears after therapy. This device allows for a more straightforward and individualized application than current products available. Our hope is that practitioners involved early in the infant's care will utilize this technology resulting in improved outcomes and avoiding unnecessary surgery.

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“…The indication for surgical correction ranges from cosmetic reasons to severe psychosocial issues. 2 Otoplasty has a long history and is performed by many surgical specialties. A multitude of techniques have been described and are implemented in daily practice.…”

Section: Introductionmentioning

confidence: 99%

Physical Effects of Hydrodissection as Rationale in Otoplasty: An Experimental Anatomical Study

et al. 2016

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A multitude of operative techniques to correct prominent ears are performed routinely. The propagated techniques have one common beginning: the injection of diluted adrenaline mixed with local anesthetics. The suggested benefits of this injection are vasoconstriction, anesthesia, and hydrostatic dissection of the surgical plane. Despite its routine use and the proposed surgical effects, the concrete anatomo-histological layer, in which the diluted adrenaline and local anesthetics are injected, has never been investigated. The aim of this study is to evaluate the concrete anatomo-morphological layer of injection and assess for possible hydrostatic dissection, which may have a clinical benefit in otoplasty. Retroauricular injection with the drawing ink was performed in 26 Thiel-conserved concha followed by a histological analysis. A juxta-perichondral (n = 11) or partially intraperichondral (n = 10) injection was observed in most cases. In 3 specimens, we observed ink deposition above the perichondrium and in 2 cases a subperichondral deposition. In 3 cases, ink was observed intravascularly. The mean distance of the dissected plane to the cartilage was 349 µm. The mean thickness of the perichondrium was assessed to be 444 µm. This experimental anatomical study reliably determines the level of injection in otoplasty as juxta-perichondral or partially intraperichondral. Optimal surgical dissection, resection as well as suture placement can be considerably facilitated by a juxta-perichondral deposition of vasoactive substances and the associated volume expansion. The results of our study provide empirical rationale toward a more evidence-based action for an important step in most of the propagated techniques in otoplastic surgery.

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Ear Deformities: Social and Psychological Implications

Cited by 84 publications

References 2 publications

Cartilage-sparing otoplasty: a review with long-term results

Cartilage-sparing otoplasty: a review with long-term results

A Simplified Nonsurgical Method for the Correction of Neonatal Deformational Auricular Anomalies

Physical Effects of Hydrodissection as Rationale in Otoplasty: An Experimental Anatomical Study

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