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Otoplasty

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Abstract

Otoplasty is a commonly performed aesthetic procedure in pediatric population. The goal of treatment is normal appearance of ears without evidence of surgery. Prominent ears are of great emotional importance for children. Despite that this is elective procedure, there is a risk following this operation especially when it is performed in general anesthesia. In majority of cases, parents are involved in decision making regarding surgical treatment for their child. The auricle is fully shaped at birth and it is nearly adult size by age 5 or 6 years, and from this age surgery of prominent ears can be performed. Treatment of prominent ears can be generally divided into surgical and nonsurgical. Surgery is mostly performed after 5 years of age. There are a large number of surgical techniques, and they can be roughly classified as pure stitching techniques, pure incision techniques, and combined stitching-incision techniques. Nonsurgical treatment (ear molding by splinting) should be started early. Complications following otoplasty occur in approximately 10%, and they are mostly presented as recurrence, overcorrection or undercorrection, asymmetry, infection, and hematoma.

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References

  1. Staindl O, Siedek V. Complications of auricular correction. Curr Top Otorhinolaryngol Head Neck Surg. 2007;6:Doc 3.1–13.

    Google Scholar 

  2. Hong P, Gorodzinsky AY, Taylor BA, Chorney JM. Parental decision making in pediatric otoplasty: the role of shared decision making in parental decisional conflict and decisional regret. Laryngoscope. 2016;126(Suppl 5):S5–S13.

    Article  PubMed  Google Scholar 

  3. Bradbury ET, Hewison J, Timmons MJ. Psychological and social outcome of prominent ear correction in children. Br J Plast Surg. 1992;45:97–100.

    Article  CAS  PubMed  Google Scholar 

  4. Naumann A. Otoplasty-techniques, characteristics and risks. Curr Top Otorhinolaryngol Head Neck Surg. 2007;6:Doc 04.1–14.

    Google Scholar 

  5. Furnas DW. Correction of prominent ears by conchamastoid sutures. Plast Reconstr Surg. 1968;42(3):189–93.

    Article  CAS  PubMed  Google Scholar 

  6. Nazarian R, Eshraghi AA. Otoplasty for the protruding ear. Sem Plast Surg. 2011;25(4):288–93.

    Article  Google Scholar 

  7. Mandal A, Bahia H, Ahmad T, Stewart KJ. Comparison of cartilage scoring and cartilage sparing otoplasty—a study of 203 cases. J Plast Reconstr Aesthet Surg. 2006;59(11):1170–6.

    Article  CAS  PubMed  Google Scholar 

  8. Thorne CH, Wilkes G. Ear deformities, otoplasty and ear reconstruction. Plast Reconstr Surg. 2012;129:701e–16e.

    Article  CAS  PubMed  Google Scholar 

  9. Thorne CH. Otoplasty. In: Neligen PC, Grotting JC, editors. Plastic surgery. 3rd ed. St Louis: Elsevier/Saunders; 2013. p. 485–93.

    Google Scholar 

  10. Furnas DW. External ear. In: Jurkiewitz MJ, Krizek TJ, Mathes SJ, Ariyan S, editors. Plastic surgery. Principles and practice. St Louis: Mosby; 1990. p. 171–206.

    Google Scholar 

  11. Preuss S, Eriksson E. Prominent ears. In: Achauer BM, Eriksson E, Guyuron B, Coleman III JJ, Russell RC, Craig A, Kolk V, editors. Plastic surgery, indications, operations, and outcomes. St Louis: Mosby; 2000. p. 1057–64.

    Google Scholar 

  12. Petersson RS, Friedman O. Current trends in otoplasty. Curr Opin Otolaryng Head Neck Surg. 2008;16:352–8.

    Article  Google Scholar 

  13. Limandjaja GC, Breugem CC, Mink van der Molen AB, Kon M. Complications of otoplasty: a literature review. J Plast Reconstr Aesthet Surg. 2009;62(1):19–27.

    Article  CAS  PubMed  Google Scholar 

  14. Firmin F, Sanger C, O’Toole G. Ear reconstruction following severe complications of otoplasty. J Plast Reconstr Aesthet Surg. 2008;61:S13–20.

    Article  PubMed  Google Scholar 

  15. Tan ST, Gault DT. When do ears become prominent? Br J Plast Surg. 1994;47(8):573–4.

    Article  CAS  PubMed  Google Scholar 

  16. Chongchet V. A method of antihelix reconstruction. J Plast Surg. 1963;16:268–72.

    Article  CAS  Google Scholar 

  17. Bartel-Friedrich S, Wulke C. Classification and diagnosis of ear malformations. GMS Curr Top Otorhinolaryngol Head Neck Surg. 2007;6:Doc05.

    Google Scholar 

  18. Jeffery SLA. Complications following correction of prominent ears: an audit review of 122 cases. Br J Plast Surg. 1999;52(7):588–90.

    Article  CAS  PubMed  Google Scholar 

  19. Szychta P, Orfaniotis G, Stewart KJ. Revision otoplasty: an algorithm. Plast Reconstr Surg. 2012;130(4):907–16.

    Article  CAS  PubMed  Google Scholar 

  20. Schaverien MV, Al-Busaidi S, Stewart KJ. Long-term results of posterior suturing with postauricular fascial flap otoplasty. J Plast Reconstr Aesthet Surg. 2010;63(9):1447–51.

    Article  CAS  PubMed  Google Scholar 

  21. Calder JC, Naasan A. Morbidity of otoplasty: a review of 562 consecutive cases. Br J Plast Surg. 1994;47(3):170–4.

    Article  CAS  PubMed  Google Scholar 

  22. Mustardé JC. Protruding or lop ear deformity. In: Mustardé JC, editor. Plastic surgery in infancy and childhood. Edinburgh: E. & S. Livingstone; 1971. p. 292–313.

    Google Scholar 

  23. Spira M, McCrea R, Gerow FJ, Hardy SB. Correction of the principal deformities causing protruding ears. Plast Reconstr Surg. 1969;44(2):150–4.

    Google Scholar 

  24. Webster GV. The tail of helix as a key to otoplasty. Plast Reconstr Surg. 1969;44(5):455–61.

    Article  CAS  PubMed  Google Scholar 

  25. Mustardé JC. The correction of prominent ears using simple mattress sutures. Br J Plast Surg. 1963;16:170–8.

    Google Scholar 

  26. Stenstrom SJ. A “natural” technique for correction of congenitaly prominent ears. Plast Reconstr Surg. 1963;32(5):509–18.

    Article  Google Scholar 

  27. Horlock N, Misra A, Gault DT. The postauricular fascial flap as an adjunct to Mustardé and Furnas type otoplasty. Plast Reconstr Surg. 2001;108(6):1487–90. Discussion 1491.

    Article  CAS  PubMed  Google Scholar 

  28. Brown FE, Colen LB, Addante RR, Graham Jr JM. Correction of congenital auricular deformities by splinting in the neonatal period. Pediatrics. 1986;78(3):406–11.

    CAS  PubMed  Google Scholar 

  29. Van Wijk MP, Breugem CC, Kon M. Non-surgical correction of congenital deformities of the auricule: a systematic review of the literature. J Plast Reconstr Aesthet Surg. 2009;62:727–36.

    Article  PubMed  Google Scholar 

  30. Anstadt EE, Johns DN, Kwok AC, Siddiqi F, Gociman B. Neonatal ear molding: timing and technique. Pediatrics. 2016;137(3):1–4.

    Article  Google Scholar 

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Vlahovic, A.M., Haxhija, E.Q. (2017). Otoplasty. In: Pediatric and Adolescent Plastic Surgery for the Clinician. Springer, Cham. https://doi.org/10.1007/978-3-319-56004-5_2

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  • DOI: https://doi.org/10.1007/978-3-319-56004-5_2

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  • Publisher Name: Springer, Cham

  • Print ISBN: 978-3-319-56003-8

  • Online ISBN: 978-3-319-56004-5

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