Aesthetic Plastic Surgery

, Volume 27, Issue 6, pp 462–465 | Cite as

Otoplasty: A Comparison of Techniques for Antihelical Defects Treatment

  • Pietro PanettiereEmail author
  • Lucio Marchetti
  • Danilo Accorsi
  • Giovanni-Alberto Del Gaudio



Prominauris, the most common malformative defect of the external ear, is dependent on a combination of elementary defects mainly affecting the antihelix and the concha. Transection versus cartilage weakening results in antihelix treatment are discussed.


In this study, 104 ears with antihelical defects were treated in 63 consecutive patients: the 33 patients (53 ears) in group A, received a transection-based treatment, whereas the 30 patients (51 ears) in group B, underwent cartilage weakening and suture. All the patients were treated using a posterior access. The aesthetic results were evaluated by an independent well-trained plastic surgeon.


No differences were found in correction degree and stability between the two methods, but cartilage weakening techniques provided a smoother and more natural curvature


Cartilage weakening techniques can lead to better aesthetic results, primarily because of a softer and more natural ear curvature.


Otoplasty Cartilage Antihelix 


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Copyright information

© Springer-Verlag 2004

Authors and Affiliations

  • Pietro Panettiere
    • 1
    Email author
  • Lucio Marchetti
    • 2
  • Danilo Accorsi
    • 2
  • Giovanni-Alberto Del Gaudio
    • 2
  1. 1.Dipartimento di Discipline Chirurgiche Rianimatorie e dei TrapiantiUniversità degli Studi di BolognaBolognaItaly
  2. 2.Ospedale Policlinico S. Orsola-MalpighiBolognaItaly

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