Abstract
This article describes a modification of the incisionless otoplasty. We investigated the complication rates, recurrence risks, and patient satisfaction with this modified procedure. In total, 26 patients (49 ears) complaining of prominent ear were operated on. Auriculocephalic distances were measured at three different levels, pre-operatively, at the end of the surgery, and at 4 weeks and 6 months after surgery to evaluate the efficacy of the technique. Patient satisfaction was evaluated using a visual analog scale and the global aesthetic improvement scale was applied by an independent non-participating plastic surgeon at 6 months after the surgery. The mean loss of medialization was ~1 mm at 4 weeks after surgery and 2 mm at 6 months after surgery for all levels. According to visual analog scale, patient or parent satisfaction increased significantly. The global aesthetic improvement scale rated the patients as 93.9 % “improved” and 6.1 % as “no change.” No rating was “worse.” There are many advantages of this technique. The operation is not time-consuming, does not require a dressing, and it can be performed in adults with local anesthesia under office conditions, with no need for hospitalization. After the operation, patients can return to their daily activities immediately. It is associated with a low complication rate and high patient satisfaction. This technique is a good option for otoplasty in patients with isolated, inadequate development of anti-helical ridge, and with soft auricular cartilage.
Similar content being viewed by others
References
Adamson PA, Strecker HD (1995) Otoplasty techniques. Facial Plast Surg 11:284–300
Janis JE, Rohrich RJ, Gutowski KA (2005) Otoplasty. Plast Reconstr Surg 115:60–72
Becker DG, Lai SS, Wise JB, Steiger JD (2006) Analysis in otoplasty. Facial Plast Surg Clin North Am 14:63–71
Kalcioglu MT, Miman MC, Toplu Y, Yakinci C, Ozturan O (2003) Anthropometric growth study of normal human auricle. Int J Pediatr Otorhinolaryngol 67:1169–1177
Brucker MJ, Patel J, Sullivan PK (2003) A morphometric study of the external ear: age- and sex-related differences. Plast Reconstr Surg 112:647–652
Adamson PA, Strecker HD (2006) Otoplasty techniques. Facial Plast Surg Clin North Am 14:79–87
Macgregor FC (1978) Ear deformities: social and psychological implications. Clin Plast Surg 5:347–350
Balogh B, Millesi H (1992) Are growth alterations a consequence of surgery for prominent ears? Plast Reconstr Surg 89:623–630
Maniglia AJ, Maniglia JV (1981) Congenital lop ear deformity. Otolaryngol Clin North Am 14:83–93
Ely ET (1881) An operation for prominence of the auricles. Arch Otolaryngol 10:97–99
Mustardé JC (1967) The treatment of prominent ears by buried mattress sutures: a ten-year survey. Plast Reconstr Surg 39:382–386
Nazarian R, Eshraghi AA (2011) Otoplasty for the protruded ear. Semin Plast Surg 25:288–294
Fritsch MH (2009) Incisionless otoplasty. Otolaryngol Clin N Am 42:1199–1208
Ozturan O, Dogan R, Eren SB, Aksoy F, Veyseller B (2013) Percutaneous adjustable closed otoplasty for prominent ear deformity. J Craniofac Surg 24:398–404
Raunig H (2005) Antihelix plasty without modeling sutures. Arch Facial Plast Surg. 7:334–341
Richards SD, Jebreel A, Capper R (2005) Otoplasty: a review of the surgical technique. Clin Otolaryngol 30:2–8
Nachlas NE (2002) Otoplasty. In: Papel ID (ed) Facial plastic and reconstructive surgery, 2nd edn. Thieme, New York, pp 309–321
Limandjaja GC, Breugem CC, Mink van der Molen AB, Kon M (2009) Complications of otoplasty: a literature review. J Plast Reconstr Aesthet Surg 62:19–27
Tan KH (1986) Long-term survey of prominent ear surgery: a comparison of two methods. Br J Plast Surg 39:270–273
Weerda H (2007) Surgery of the auricle: tumors-trauma-defects-abnormalities, 1st edn. Thieme, Stuttgart, pp 153–154
Weerda H, Siegert R (1994) Complications in otoplastic surgery and their treatment. Facial Plast Surg 10:287–297
Conflict of interest
The authors declared no conflicts of interest with respect to the authorship and/or publication of this article.
Author information
Authors and Affiliations
Corresponding author
Rights and permissions
About this article
Cite this article
Haytoglu, S., Haytoglu, T.G., Yildirim, I. et al. A modification of incisionless otoplasty for correcting the prominent ear deformity. Eur Arch Otorhinolaryngol 272, 3425–3430 (2015). https://doi.org/10.1007/s00405-014-3329-3
Received:
Accepted:
Published:
Issue Date:
DOI: https://doi.org/10.1007/s00405-014-3329-3