Revision otoplasty: how to manage the disastrous result.
OBJECTIVE
To describe how severe ear deformities after otoplasty can be corrected.


METHODS
The correction of creases is possible through readaptation of the cartilage edges followed by revision otoplasty using suture techniques in the reconstructed cartilage. In the case of defect formation or extreme thinning of the cartilage, an appealing auricular shape is achieved by the use of porous polyethylene implants.


RESULTS
We have treated 12 severe ear deformities in the past 2 years with the procedures described herein. In 11 cases, there were no complications, nor was it necessary to make further corrections for cosmetic reasons.


CONCLUSIONS
Reconstructing the cartilaginous skeleton and redoing otoplasty is a recommendable procedure with a longer lasting effect than just covering creases with fascia or preserved materials. In the case of a missing ear cartilage skeleton, the use of porous polyethylene implants instead of autogenous cartilage should be considered for reconstruction.
Department of Otolaryngology–Head and Neck Surgery, Ludwig Maximilian University, Munich, Germany. alexander.berghaus@med.uni-muenchen.de
Alexander
A
Berghaus
Thomas
T
Braun
John Martin
JM
Hempel
D003357:Cosmetic Techniques / Q000295:instrumentation; D054644:Ear Auricle / Q000601:surgery*; D004425:Ear Cartilage / Q000601:surgery*; D005500:Follow-Up Studies; D006801:Humans; D017063:Outcome Assessment, Health Care; D020959:Polyethylene; D019736:Prostheses and Implants; D019651:Plastic Surgery Procedures / Q000295:instrumentation / Q000379:methods*; D012086:Reoperation; D013524:Surgical Flaps; D013536:Suture Techniques
D020959:Polyethylene