Small incision otoplasty for prominent ears

Ely, Jorge Fonseca

doi:10.1007/bf01576916

Cited by 19 publications

(6 citation statements)

References 13 publications

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“…Its use also avoids cartilaginous incisions which may produce sharp edges or cartilage fractures, the most common untoward effects when the cartilage is excised or split. 21,22 The described flap cannot be used in combination with closed 23,24 or anterior approach techniques 25 and in cases requiring treatment where its base is fixed. 6 Gibson and Davis 26 demonstrated the role of the perichondrium in distortion of cartilages, the principle of the approach described by Stenstrom.…”

Section: Discussionmentioning

confidence: 98%

The Use of a Retroauricular Fascioperichondrial Flap in the Recreation of the Antihelical Fold in Prominent Ear Surgery

Frascino

2009

Annals of Plastic Surgery

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The surgical treatments for prominent ears are on the basis of the approach over the basics of the deformity decrease the concha-mastoid angle and create a new antihelical fold. The author describes a new retroauricular flap to be used in the recreation of the antihelical fold and critically analyzes the cosmetic results and complications. A skin ellipse is outlined on the posterior surface of the ear. After hydrodissection with anesthetic solution in the outlined area, the skin is removed as thin as possible over the superior mid ear, preserving the underlying connective tissue and perichondrium. A triangular flap is created in the superior third of the raw area and elevated in the subperichondrial plane. The fixation of the flap posteriorly allows the medialization of the upper pole, resulting in a natural antihelical fold. One hundred sixty-one otoplasties were performed in 82 patients (3 unilateral), 53 women and 29 men. Mean age was 19.2 years and mean follow-up time was 3.4 years. Loss of correction at the upper pole led to secondary correction in 12 ears (7.45%). Suture extrusion was observed in 7 ears (4.34%). Hypertrophic scarring developed in 3 ears (1.86%). The accumulated risk of reoperation was of 10.85% in 9 years. The retroauricular fascioperichondrial flap combined with other techniques may be used as a standard procedure in the surgical treatment of prominent ears.

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Section: Discussionmentioning

confidence: 98%

The Use of a Retroauricular Fascioperichondrial Flap in the Recreation of the Antihelical Fold in Prominent Ear Surgery

Frascino

2009

Annals of Plastic Surgery

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“…In the first 108 cases, the elasticity of the cartilage was reduced using a rasp similar to that described by Weerda 3 and Ely. 11 All subsequent operations (194 ears) were performed using only the diamond-coated file, thus simplifying the surgical procedure. Neither operations using the rasp nor the diamond-coated file routinely required remodeling sutures.…”

Section: Resultsmentioning

confidence: 99%

“…In ears lacking a developed antihelix, this property can be exploited in efforts to create a new and better-defined antihelix. Initial studies of the scoring technique 3 outlined these elastic properties, while Staindl, 4 Robiony et al, 8 Ely, 11 Tolhurst, 12 Nolst Trenité, 13 A de la Fuente and Santamaria, 14 and Caouette-Laberge et al 15 have provided additional refinements. The elastic properties of rib cartilage were similarly described by Gibson and Davis.…”

Section: Specific Physiological Considerationsmentioning

confidence: 99%

“…The article provides a modification of the scoring technique that does not rely on the use of remodeling sutures of skin excision, [4][5][6][7][8][9][10] which is usually regarded as the standard technique. This procedure also builds on the significant contributions of Staindl, 4 Ely, 11 Tolhurst, 12 and Nolst Trenité. 13 The principal indication for the use of this particular technique in isolation is hypo-plasia or absence of an antihelical ridge in the presence of firm or soft auricular cartilage.…”

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confidence: 99%

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Antihelix Plasty Without Modeling Sutures

Raunig¹

2005

Archives of Facial Plastic Surgery

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any techniques have been described for the surgical correction of protruding ears. A novel modification of a cartilage-sparing otoplastic technique is provided herein. In this modification, a diamond-coated file is used to abrade the anterior surface of the antihelical cartilage to create biomechanical remodeling with resultant formation of a new antihelix. A case series of 302 ears, operated on over a 3½-year period, is presented in support of this technique. This procedure is appropriate for patients having firm or soft auricular cartilage, an underdeveloped antihelical ridge, and a prominent or moderate hypertrophic conchal wall.

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“…However, cartilage incisions and scoring as a part of cartilage breaking techniques may result in cartilage destruction and especially palpable or visible ear irregularities because of the remaining sharp edges of the cartilage [7][8][9][10][11][12]. In our otoplasty procedure, cartilage incisions were located at the posterior surface of the cartilage, so their surface irregularities were hidden at the posterior auricular sulcus after mattress sutures were placed to the cartilage, resulting in a natural and smooth surface over the ear.…”

Section: Discussionmentioning

confidence: 99%