Skip to main content
SpringerLink
Log in

Otoplasty: A Comparison of Techniques for Antihelical Defects Treatment

  • Published:
Aesthetic Plastic Surgery Aims and scope Submit manuscript

Abstract

Background

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.

Methods

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.

Results

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

Conclusions

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

This is a preview of subscription content, log in via an institution to check access.

Access this article

Log in via an institution

Price excludes VAT (USA)
Tax calculation will be finalised during checkout.

Instant access to the full article PDF.

Institutional subscriptions

Figure 1
Figure 2
Figure 3
Figure 4

Similar content being viewed by others

References

  1. PA Adamson BL McGraw GJ Tropper (1991) ArticleTitleOtoplasty: critical review of clinical results. Laryngoscope 101 883–888 Occurrence Handle1:STN:280:By6A38rotVY%3D Occurrence Handle1865738

    CAS  PubMed  Google Scholar 

  2. JC Calder A Naasan (1994) ArticleTitleMorbidity of otoplasty: a review of 562 consecutive cases. Br J Plast Surg 47 170–174 Occurrence Handle1:STN:280:ByuB2M7lt10%3D Occurrence Handle8193854

    CAS  PubMed  Google Scholar 

  3. L Caouette-Laberge N Guay P Bortoluzzi C Belleville (2000) ArticleTitleOtoplasty: anterior scoring technique and results in 500 cases. Plast Reconstr Surg 105 504–515 Occurrence Handle1:STN:280:DC%2BD3c7mtVahtA%3D%3D Occurrence Handle10697153

    CAS  PubMed  Google Scholar 

  4. A Connolly J Bartley (1998) ArticleTitle“External” Mustarde suture technique in otoplasty. Clin Otolaryngol 23 97–99 Occurrence Handle10.1046/j.1365-2273.1998.00111.x Occurrence Handle1:STN:280:DyaK1c3lvFGltw%3D%3D Occurrence Handle9597277

    Article  CAS  PubMed  Google Scholar 

  5. J Dechamboux H Sadek B Raphael (2000) ArticleTitleOreilles proéminentes: une technique simple, sous anesthésie locale, en ambulatoire. Rev Stomatol Chir Maxillofac 101 319–324 Occurrence Handle1:STN:280:DC%2BD3M3gsF2ktQ%3D%3D Occurrence Handle11242771

    CAS  PubMed  Google Scholar 

  6. J Torre Particlede la M Tenenhaus BK Douglas JK Swinburne (1998) ArticleTitleA simplified technique of otoplasty: the temporary Kaye suture. Ann Plast Surg 41 94–96 Occurrence Handle9678477

    PubMed  Google Scholar 

  7. JF Ely (1988) ArticleTitleSmall incision otoplasty for prominent ears. Aesthetic Plast Surg 12 63–69 Occurrence Handle1:STN:280:BieB28nps1c%3D Occurrence Handle3291574

    CAS  PubMed  Google Scholar 

  8. JS Epstein SS Kabaker J Swerdloff (1999) ArticleTitleThe “electric” otoplasty. Arch Facial Plast Surg 1 204–207 Occurrence Handle10.1001/archfaci.1.3.204 Occurrence Handle1:STN:280:DC%2BD3cvislSntQ%3D%3D Occurrence Handle10937105

    Article  CAS  PubMed  Google Scholar 

  9. MH Fritsch (1995) ArticleTitleIncisionless otoplasty. Laryngoscope 105 1–11 Occurrence Handle1:STN:280:ByqA38novFE%3D

    CAS  Google Scholar 

  10. DW Furnas (2002) ArticleTitleOtoplasty for prominent ears. Clin Plast Surg 29 273–288 Occurrence Handle12120683

    PubMed  Google Scholar 

  11. KE Graham DT Gault (1997) ArticleTitleEndoscopic assisted otoplasty: a preliminary report. Br J Plast Surg 50 47–57 Occurrence Handle1:STN:280:ByiC1M%2FlsFE%3D Occurrence Handle9038515

    CAS  PubMed  Google Scholar 

  12. TA Hagerty EJ Barone IK Cohen (1998) ArticleTitleEndoscopic otoplasty in the rabbit model: effect of mechanical abrasion on ear cartilage deformation. Plast Reconstr Surg 101 487–493 Occurrence Handle1:STN:280:DyaK1c7it1Kiug%3D%3D Occurrence Handle9462786

    CAS  PubMed  Google Scholar 

  13. N Horlock A Misra DT Gault (2001) ArticleTitleThe postauricular fascial flap as an adjunct to Mustarde and Furnas type otoplasty. Plast Reconstr Surg 108 1487–1490 Occurrence Handle10.1097/00006534-200111000-00005 Occurrence Handle1:STN:280:DC%2BD3MnmsVektg%3D%3D Occurrence Handle11711914

    Article  CAS  PubMed  Google Scholar 

  14. PE Johnson (1994) ArticleTitleOtoplasty: shaping the antihelix. Aesthetic Plast Surg 18 71–74 Occurrence Handle1:STN:280:ByuC28fhtVI%3D Occurrence Handle8122580

    CAS  PubMed  Google Scholar 

  15. A Koch C Andes P Federspil (1991) ArticleTitleL’otoplastie: résultats avec la méthode de Mustarde modifiée. Rev Laryngol Otol Rhinol (Bord) 112 249–253 Occurrence Handle1:STN:280:By6A2snks1M%3D

    CAS  Google Scholar 

  16. AJ Maniglia JJ Maniglia BR Witten (1977) ArticleTitleOtoplasty: an eclectic technique. Laryngoscope 87 1359–1368 Occurrence Handle1:STN:280:CSiB3s7otVQ%3D Occurrence Handle329023

    CAS  PubMed  Google Scholar 

  17. B Nordzell (2000) ArticleTitleOpen otoplasty. Plast Reconstr Surg 106 1466–1472 Occurrence Handle1:STN:280:DC%2BD3M%2FosFWrtw%3D%3D Occurrence Handle11129173

    CAS  PubMed  Google Scholar 

  18. IJ Peled (1995) ArticleTitleKnifeless otoplasty: how simple can it be? Aesthetic Plast Surg 19 253–255 Occurrence Handle1:STN:280:ByqA1Mjnt1I%3D Occurrence Handle7668173

    CAS  PubMed  Google Scholar 

  19. IJ Peled (2000) ArticleTitleEndoscopic assisted otoplasty: a preliminary report. Br J Plast Surg 53 541 Occurrence Handle10.1054/bjps.2000.3391 Occurrence Handle1:STN:280:DC%2BD3M%2FhtVShtQ%3D%3D

    Article  CAS  Google Scholar 

  20. P Perez-Barrero J Rodrigo E Elena MD Marques (2001) ArticleTitleAuto-otoplasty using cyanoacrylate. Plast Reconstr Surg 108 2157–2158 Occurrence Handle10.1097/00006534-200112000-00062 Occurrence Handle1:STN:280:DC%2BD3MnpsFCisA%3D%3D Occurrence Handle11743426

    Article  CAS  PubMed  Google Scholar 

  21. S Pilz T Hintringer M Bauer (1995) ArticleTitleOtoplasty using a spherical metal head dermabrador to form a retroauricular furrow: five-year results. Aesthetic Plast Surg 19 83–91 Occurrence Handle1:STN:280:ByqB3cfkvFw%3D Occurrence Handle7900561

    CAS  PubMed  Google Scholar 

  22. H Stark (1991) ArticleTitleOtoplastik mit dem CO2 laser. Laryngorhinootologie 70 652 Occurrence Handle1:STN:280:By2D1Mngtlw%3D Occurrence Handle1755908

    CAS  PubMed  Google Scholar 

  23. SJ Stenstrom (1966) ArticleTitleA Simple operation for prominent ears. Acta Otolaryngol 27 393

    Google Scholar 

  24. G Zaoli (1997) ArticleTitleTechnical devices in otoplasty to obtain a natural appearance. Facial Plast Surg 13 197–205 Occurrence Handle1:STN:280:DyaK1c3hvFaiuw%3D%3D Occurrence Handle9558528

    CAS  PubMed  Google Scholar 

Download references

Author information

Authors and Affiliations

  1. Dipartimento di Discipline Chirurgiche Rianimatorie e dei Trapianti, Università degli Studi di Bologna, Bologna, Italy

    Pietro Panettiere M.D.

  2. Ospedale Policlinico S. Orsola-Malpighi, Chirurgia d’Urgenza e di Pronto Soccorso, Bologna, Italy

    Lucio Marchetti M.D., Danilo Accorsi M.D. & Giovanni-Alberto Del Gaudio M.D.

Authors
  1. Pietro Panettiere M.D.
    View author publications

    You can also search for this author in PubMed Google Scholar

  2. Lucio Marchetti M.D.
    View author publications

    You can also search for this author in PubMed Google Scholar

  3. Danilo Accorsi M.D.
    View author publications

    You can also search for this author in PubMed Google Scholar

  4. Giovanni-Alberto Del Gaudio M.D.
    View author publications

    You can also search for this author in PubMed Google Scholar

Corresponding author

Correspondence to Pietro Panettiere M.D..

Rights and permissions

Reprints and permissions

About this article

Cite this article

Panettiere, P., Marchetti, L., Accorsi, D. et al. Otoplasty: A Comparison of Techniques for Antihelical Defects Treatment . Aesth. Plast. Surg. 27, 462–465 (2003). https://doi.org/10.1007/s00266-003-3073-3

Download citation

  • Published:

  • Issue Date:

  • DOI: https://doi.org/10.1007/s00266-003-3073-3

Keywords

Search

Navigation