A method for repositioning the external ear.
The malposition of an otherwise normal-appearing external ear is not uncommon in certain craniofacial syndromes. This paper presents a 10-year experience of 14 patients who underwent external ear repositioning. In this technique, a posterior incision is used to mobilize surrounding soft tissues circumferentially around the external auditory canal, which then serves as an axis for anterior rotation and elevation. Elevation of up to 8 mm and rotation up to 30 degrees can be achieved. Further elevation is limited by the ensuing constriction and resistance of the external auditory canal. More rotation can be achieved with a Z-plasty transposition of an inferiorly based postauricular skin flap.
Whitaker
L A
LA
Children's Hospital, Philadelphia, Pa.
Yaremchuk
M J
MJ
Posnick
J C
JC
D002648:Child; D003394:Craniofacial Dysostosis / Q000601:surgery*; D004431:Ear, External / Q000601:surgery*; D005146:Facial Asymmetry / Q000601:surgery*; D005260:Female; D006801:Humans; D008297:Male; D013518:Surgery, Plastic / Q000379:methods*