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Otoplasty and Earlobe Repair

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Advanced Cosmetic Otoplasty

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Abstract

The embryology, anatomy, and malformations are described. The authors discuss patient selection, surgical treatment of lop-ear deformity and earlobe abnormalities, postoperative care, and complications. In performing otoplasty, it is imperative to realize that for each eminence, there is a fossa and that by recreating the normal convexities and concavities of the auricular cartilage, it is possible to create an ear that looks normal, with long-lasting results. The graduated technique for otoplasty incorporates the reduction of conchal depth and recreating the antihelix. The most consistent combination of surgical techniques is reducing conchal depth through conchal reduction and recreating the antihelix with scoring in the antihelical fossa on the posterior surface of the ear, followed by the placement of vertical mattress sutures from the scaphoid fossa to approximate the lateral conchal bowl and medial antihelix.

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References

  1. Richards SD, Jebreel A, Capper R. Otoplasty: a review of the surgical techniques. Clin Otolaryngol. 2005;30(1):2–8.

    Article  PubMed  CAS  Google Scholar 

  2. Hauben DJ. Sushruta Samhita (Sushruta’a collection) (800–600 B.C.?). Pioneers of plastic surgery. Acta Chir Plast. 1984;26(2):65–8.

    PubMed  CAS  Google Scholar 

  3. Tanzer RC, Converse JM, Brent B. Deformities of the auricle. In: Converse JM, editor. Reconstructive plastic surgery. Philadelphia: WB Saunders Co.; 1977.

    Google Scholar 

  4. Ely E. An operation for the prominence of the auricles. Arch Otolaryngol. 1881;10:97–9.

    Google Scholar 

  5. Keen WW. New method of operating for relief of deformity from prominent ears. Ann Surg. 1890;11(1):49–51.

    Article  PubMed  CAS  Google Scholar 

  6. Luckett WH. A new operation for prominent ears based on the anatomy of the deformity. Surg Gynecol Obstet. 1910;10:635–7.

    Google Scholar 

  7. Becker OJ. Surgical correction of the abnormally protruding ear. Arch Otolaryngol. 1949;50(5):541–60.

    Article  PubMed  CAS  Google Scholar 

  8. Converse J, Nigro A, Wilson FA. A technique for surgical correction of lop ear. Plast Reconstr Surg. 1955;15:411.

    Article  CAS  Google Scholar 

  9. Davis JS, Kitlowski EA. Abnormal prominence of the ears: a method of readjustment surgery. Surgery. 1937;2:835–47.

    Google Scholar 

  10. Farrior RT. A method of otoplasty; normal contour of the antihelix and scaphoid fossa. AMA Arch Otolaryngol. 1959;69(4):400–8.

    Article  PubMed  CAS  Google Scholar 

  11. Gibson T, Davis WB. The distortion of autogenous cartilage grafts, its cause and prevention. Br J Plast Surg. 1958;10:257–74.

    Article  Google Scholar 

  12. Stenstrom SJ. A natural technique for correction of congenital ear deformities. Br J Plast Surg. 1963;99:562.

    Google Scholar 

  13. Kaye BL. A simplified method for correcting the prominent ear. Plast Reconstr Surg. 1967;40(1):44–8.

    Article  PubMed  CAS  Google Scholar 

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

    Article  PubMed  CAS  Google Scholar 

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

    Article  PubMed  CAS  Google Scholar 

  16. Rogers BO. Microtic, lop, cup and protruding ears: four directly inheritable deformities? Plast Reconstr Surg. 1968;41(3):208–31.

    Article  PubMed  CAS  Google Scholar 

  17. Weerda H. Classification of congenital deformities of the auricle. Facial Plast Surg. 1988;5(5):385–8.

    Article  PubMed  CAS  Google Scholar 

  18. Potter EL. A hereditary ear malformation transmitted through five generations. J Hered. 1937;28:255–8.

    Google Scholar 

  19. Bardach J. Congenital ear deformities. Surgery for congenital and acquired malformations of the auricle. In: Cummings FJ, Fredrickson JM, Harker LA, Krause CJ, Schuler DE, editors. Otolaryngology-head and neck surgery. St. Louis: Mosby; 1986.

    Google Scholar 

  20. Nachlas NE, Duncan D, Trail M. Otoplasty. Arch Otolaryngol. 1970;91(1):44–9.

    Article  PubMed  CAS  Google Scholar 

  21. Farrior RT. Modified cartilage incisions in otoplasty. Facial Plast Surg. 1985;2(2):109–18.

    Article  Google Scholar 

  22. Adamson PA, Litner JA. Otoplasty technique. Facial Plast Surg Clin North Am. 2006;14(2):79–87.

    Article  PubMed  Google Scholar 

  23. Larrabee WF, Adams JB. Otoplasty. In: Smith BR, editor. Pediatric facial plastic and reconstructive surgery. New York: Raven; 1993. p. 78–98.

    Google Scholar 

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Author information

Authors and Affiliations

  1. Department of Plastic & Reconstructive Surgery, Rockwood Clinic, 801 West 5th Avenue, Suite 504, Spokane, WA, 99204, USA

    David J. Archibald M.D.

  2. Farrior Facial Plastic Reconstructive and Cosmetic Surgery Center, 2908 West Azeele Street, Tampa, FL, 33609, USA

    Edward H. Farrior M.D.

Authors
  1. David J. Archibald M.D.
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  2. Edward H. Farrior M.D.
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Corresponding author

Correspondence to Edward H. Farrior M.D. .

Editor information

Editors and Affiliations

  1. Chatham Drive 17501, Tustin, 92780-2302, California, USA

    Melvin A. Shiffman

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Archibald, D.J., Farrior, E.H. (2013). Otoplasty and Earlobe Repair. In: Shiffman, M. (eds) Advanced Cosmetic Otoplasty. Springer, Berlin, Heidelberg. https://doi.org/10.1007/978-3-642-35431-1_18

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  • DOI: https://doi.org/10.1007/978-3-642-35431-1_18

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  • Publisher Name: Springer, Berlin, Heidelberg

  • Print ISBN: 978-3-642-35430-4

  • Online ISBN: 978-3-642-35431-1

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