Otoplasty techniques.
Otoplasty has undergone a number of important developments over the course of the past 150 years. While cartilage-incision techniques were favored earlier in the century, suture-only techniques are now favored. Prominauris, a condition that affects 5% of the Caucasian population, is inherited as an autosomal dominant trait. Protruding ears commonly are due to a combination of two defects: under-development of antihelical folding, and overdevelopment of the conchal wall. Utilizing a graduated approach, consistently superior results can be obtained. Our approach includes: fusiform skin excision; concha-mastoid sutures; scapha-conchal sutures; and refinement of the scapha, helix, and lobe. The aesthetic results are well retained and significant complications are rare.
Adamson
P A
PA
Department of Otolaryngology, University of Toronto, Ontario, Canada.
Strecker
H D
HD
D002921:Cicatrix / Q000209:etiology; D004426:Ear Deformities, Acquired / Q000209:etiology*; D004431:Ear, External / Q000002:abnormalities* / Q000601:surgery*; D004954:Esthetics; D049672:History, 19th Century; D049673:History, 20th Century; D006801:Humans; D013518:Surgery, Plastic / Q000009:adverse effects / Q000266:history / Q000379:methods*; D013530:Surgical Wound Infection