title: Technical refinement of Stenström otoplasty procedure.
abstract: BACKGROUND
  Surgical correction of prominent ears is a common aesthetic procedure in young children. Stenström technique is widely performed in France. We present some technical refinements that may be associated to this technique in order to allow for a simple correction of the majority of deformations.
  
  
  METHODS
  The first step of the Stenström technique is the treatment of the unfolded antihelix if necessary. Our first modification consists in introducing the rasp by an anterior approach, hidden under the upper plication of the helix, allowing for a better control. A second modification consists in a resection of the concha by a posterior approach in case of conchal hypertrophy. A third modification is the burying of the concha by suture to the mastoid periosteum after posterior auricular muscle resection in case of obtuse conchoscaphal angle. These refinements can be performed either separately or in combination according to the deformities to be corrected.
  
  
  CONCLUSIONS
  The technical refinements presented may correct almost all the ear deformities. The suture-less technique allows for a natural aspect of the antihelix plication.
authors.affiliation: Service de chirurgie plastique, hôpital de la Conception, AP-HM, CHU de Marseille, Aix-Marseille université, 147, boulevard Baille, 13005 Marseille, France. Electronic address: hafiz_rayan@yahoo.com.
authors.forename: R
authors.initials: R
authors.lastname: Hafiz
authors.affiliation: Service de chirurgie plastique, hôpital de la Conception, AP-HM, CHU de Marseille, Aix-Marseille université, 147, boulevard Baille, 13005 Marseille, France.
authors.forename: C
authors.initials: C
authors.lastname: Philandrianos
authors.affiliation: Service de chirurgie plastique, hôpital de la Conception, AP-HM, CHU de Marseille, Aix-Marseille université, 147, boulevard Baille, 13005 Marseille, France.
authors.forename: D
authors.initials: D
authors.lastname: Casanova
authors.affiliation: Service de chirurgie maxillo-faciale, hôpital de la Conception, AP-HM, CHU de Marseille, Aix-Marseille université, 147, boulevard Baille, 13005 Marseille, France.
authors.forename: C
authors.initials: C
authors.lastname: Chossegros
authors.affiliation: Service de chirurgie plastique, hôpital de la Conception, AP-HM, CHU de Marseille, Aix-Marseille université, 147, boulevard Baille, 13005 Marseille, France.
authors.forename: B
authors.initials: B
authors.lastname: Bertrand
mesh_terms: D002648:Child; D004431:Ear, External / Q000002:abnormalities / Q000601:surgery*; D005602:France; D006801:Humans; D008297:Male; D008866:Microsurgery / Q000379:methods; D013506:Otologic Surgical Procedures / Q000379:methods*; D019651:Plastic Surgery Procedures / Q000379:methods*; D013518:Surgery, Plastic / Q000379:methods; D013536:Suture Techniques
keywords: Chirurgie maxillo-faciale pédiatrique; Ear deformity; Oreille; Pediatrics surgery; Procédure chirurgicale; Surgical procedure