[Otoplasty].
Prominent ears can have a significant psychological impact especially in children. It is often the subject of negative remarks among classmates. Prominent ears are the result of one or more congenital anomalies that may be associated together in various degrees. Absence of antihelical fold, opening the cephalo-conchal angle and conchal hypertrophy are the most common. The surgery aims to correct these anomalies, by reshaping the cartilage in order to obtain well-shaped ears that is normally positioned and oriented with natural size and appearance. It combines different steps that need to be simple and fast. Retro-auricular incision, and dissection posteriorly allows to expose and remove the post-auricular muscle. Modeling of antihelical fold aims to restore a natural relief by closing the scapha-conchal angle. The concha is then buried and is securely attached to the pre-mastoid periosteum, which by consequence closes cephalo-conchal angle. The result must be harmonious and sustainable. Each surgeon adopts a suitable technique for him to obtain best results, by avoiding complications mainly infection, which is fortunately exceptional.
Service de chirurgie plastique, reconstructrice et esthétique, hôpital Roger-Salengro, CHRU de Lille, 2, avenue Oscar-Lambret, 59037 Lille cedex, France. Electronic address: Julie_ellart@hotmail.fr.
J
J
Ellart
Service de chirurgie plastique, reconstructrice et esthétique, hôpital Roger-Salengro, CHRU de Lille, 2, avenue Oscar-Lambret, 59037 Lille cedex, France.
P
P
Guerreschi
Service de chirurgie plastique, reconstructrice et esthétique, hôpital Roger-Salengro, CHRU de Lille, 2, avenue Oscar-Lambret, 59037 Lille cedex, France.
L
L
Pasquesoone
Service de chirurgie plastique, reconstructrice et esthétique, hôpital Roger-Salengro, CHRU de Lille, 2, avenue Oscar-Lambret, 59037 Lille cedex, France.
V
V
Duquennoy-Martinot
D004431:Ear, External / Q000002:abnormalities* / Q000601:surgery*; D006801:Humans; D019651:Plastic Surgery Procedures / Q000379:methods*
Absence of antihelical fold; Conchal hypertrophy; Défaut de plicature; Hypertrophie conchale; Mustarde technique; Oreille décollée; Otoplastie; Otoplasty; Prominent ears; Stenström technique; Technique de Mustardé; Technique de Stenström; Valgisation; Valgus