Advertisement

Otoplasty for the Treatment of Protuberant Ears

  • Payal PatelEmail author
  • Emil Bisaccia
  • Dwight A. Scarborough
Chapter
  • 1.8k Downloads

Abstract

The goal of otoplasty is to make the protuberant ears less apparent by restoring them to a normal form and position while maintaining symmetry. The authors describe the history of otoplasty and discuss anatomy and development of the ear, indications for otoplasty of protuberant ears, anatomical causes of protuberant ears, preoperative considerations, and postoperative care complications. The surgical techniques are discussed for correction of protuberant ears that involve treatment of underdeveloped antihelical fold, conchal prominence and/or anterolateral rotation, prominent helix, and protruding earlobe.

Keywords

Nonabsorbable Suture External Auditory Meatus Horizontal Mattress Suture Posterior Auricular Artery Preoperative Consideration 
These keywords were added by machine and not by the authors. This process is experimental and the keywords may be updated as the learning algorithm improves.

References

  1. 1.
    Bisaccia E, Scarborough D. The Columbia manual of dermatologic cosmetic surgery. New York: McGraw-Hill; 2002.Google Scholar
  2. 2.
    Thorne CH. Otoplasty and ear reconstruction. In: Thorne CH, editor. Grabb and Smith’s plastic surgery. 6th ed. Philadelphia: Wolters Kluwer; 2007. p. 297–311.Google Scholar
  3. 3.
    Wise JB, Shah AR, Constantinides M. Otoplasty. In: Lalwani AK, editor. Current diagnosis & treatment in otolaryngology-head & neck surgery. New York: McGraw Hill Medical; 2008. p. 940–8.Google Scholar
  4. 4.
    Dieffenbach JF. Die Operative Chirurgie. Leipzig: FA Brockhaus; 1845. Cited by Tanzer RC. Deformities of the auricle. In: Converse JM, editor. Plastic reconstructive surgery. 2nd ed. Philadelphia: Saunders; 1977. p. 1710.Google Scholar
  5. 5.
    Ely ET. An operation for prominence of auricles. Arch Otolaryngol. 1881;10:97–9.Google Scholar
  6. 6.
    Mustarde JC. The correction of prominent ears using simple mattress sutures: a ten-year survey. Plast Reconstr Surg. 1967;39(4):382–6.PubMedCrossRefGoogle Scholar
  7. 7.
    Fritsch MH. Incisionless otoplasty. Laryngoscope. 1995;105(5 Pt 3 Suppl 70):1–11.PubMedCrossRefGoogle Scholar
  8. 8.
    Converse JM, Nigro A, Wilson FA, Johnson N. A technique for surgical correction of the lop ear deformity. Plast Reconstr Surg. 1955;15(5):411–8.CrossRefGoogle Scholar
  9. 9.
    Chongchet V. A method of antihelix reconstruction. Br J Plast Surg. 1963;16:268–72.PubMedCrossRefGoogle Scholar
  10. 10.
    Stenstroem SJ. A natural technique for correction of congenitally prominent ears. Plast Reconstr Surg. 1963;32:283–93.CrossRefGoogle Scholar
  11. 11.
    Bisaccia E, Scarborough DA. The surgical correction of the protuberant ear. Cosmet Dermatol. 1990;8:10–2.Google Scholar
  12. 12.
    Kurozumi N, Ono S, Ishida H. Non-surgical correction of a congenital lop ear deformity by splinting with Reston foam. Br J Plast Surg. 1982;35(2):181–2.PubMedCrossRefGoogle Scholar
  13. 13.
    Matsuo K, Hayashi R, Kiyono M, Hirose T, Netsu Y. Nonsurgical correction of congenital auricular deformities. Clin Plast Surg. 1990;17(2):383–95.PubMedGoogle Scholar
  14. 14.
    Muraoka M, Nakai Y, Ohashi Y, Sasaki T, Maruoka K, Furukawa M. Tape attachment therapy for correction of congenital malformations of the auricle: clinical and experimental studies. Laryngoscope. 1985;95(2):167–76.PubMedCrossRefGoogle Scholar
  15. 15.
    Hell B, Garbea D, Heissler E, Klein M, Gath H, Langford A. Otoplasty: a combined approach to different structures of the auricle. Int J Oral Maxillofac Surg. 1997;26(6):408–13.PubMedCrossRefGoogle Scholar
  16. 16.
    Balogh B, Millesi H. Are growth alterations a consequence of surgery for prominent ears? Plast Reconstr Surg. 1992;90(2):192–9.PubMedGoogle Scholar
  17. 17.
    Warmuth IP, Bader R, Scarborough D, Bisaccia E. Otoplasty. Treatment of protuberant ears. Cosmet Dermatol. 1999;12(4):7–8.Google Scholar
  18. 18.
    Bradbury ET, Hewison J, Timmons MJ. Psychological and social outcome of prominent ear correction in children. Br J Plast Surg. 1992;45(2):97–100.PubMedCrossRefGoogle Scholar
  19. 19.
    Elliott RA. Otoplasty. In: Regnault P, Daniel RK, editors. Esthetic plastic surgery. Boston: Little, Brown; 1984. p. 245–74.Google Scholar
  20. 20.
    Burres S. The anterior-posterior otoplasty. Arch Otolaryngol Head Neck Surg. 1998;124(2):181–5.PubMedCrossRefGoogle Scholar
  21. 21.
    Becker OJ. Surgical correction of the abnormally protruding ear. Arch Otolaryngol. 1949;50(5):541–60.PubMedCrossRefGoogle Scholar
  22. 22.
    Elliot RA. Otoplasty: a combined approach. Clin Plast Surg. 1990;17(2):373–81.Google Scholar
  23. 23.
    Davis J. Aesthetic and reconstructive otoplasty. New York: Springer; 1987. p. 37.Google Scholar
  24. 24.
    Spira M. Otoplasty: what I do now – a 30-year perspective. Plast Reconstr Surg. 1999;104(3):834–40.PubMedGoogle Scholar
  25. 25.
    Ducic Y, Hilger PA. Effective step-by-step technique for the surgical treatment of protruding ears. J Otolaryngol. 1999;28(2):59–64.PubMedGoogle Scholar
  26. 26.
    Lavy J, Stearns M. Otoplasty: techniques, results and complications – a review. Clin Otolaryngol Allied Sci. 1997;22(5):390–3.PubMedCrossRefGoogle Scholar
  27. 27.
    Messner AH, Williams SC. Otoplasty: clinical protocol and long-term results. Arch Otolaryngol Head Neck Surg. 1996;122(7):773–7.PubMedCrossRefGoogle Scholar
  28. 28.
    Calder JC, Naasan A. Morbidity of otoplasty: a review of 562 consecutive cases. Br J Plast Surg. 1994;47(3):170–4.PubMedCrossRefGoogle Scholar
  29. 29.
    Tan KH. Long-term study of prominent ear surgery: a comparison of two methods. Br J Plast Surg. 1986;39(2):270–3.PubMedCrossRefGoogle Scholar

Copyright information

© Springer-Verlag Berlin Heidelberg 2013

Authors and Affiliations

  • Payal Patel
    • 1
    Email author
  • Emil Bisaccia
    • 1
    • 2
  • Dwight A. Scarborough
    • 3
    • 4
  1. 1.Department of DermatologyAffiliated Dermatologists and Dermatologic SurgeonsMorristownUSA
  2. 2.Department of DermatologyColumbia University of Physicians and SurgeonsNew YorkUSA
  3. 3.Department of DermatologyAffiliated Dermatologists and Dermatologic SurgeonsDublinUSA
  4. 4.Department of DermatologyOhio State University HospitalColumbusUSA

Personalised recommendations