Treatment with minimal incisions in prominent ears, without skin or cartilage resection

Israel Esteves Chávez; Miguel Evaristo Viera Nuñez; Ricardo César Pacheco López; Carlos González Diego; Miguel Alejandro Portes Castro; Octavio Augusto González Galindo; Denisse Hernández Cervantes; Romel Castañeda Zigala

2010, Number 1

<< Back Next >>

Cir Plast 2010; 20 (1)

Treatment with minimal incisions in prominent ears, without skin or cartilage resection

Esteves CI, Viera NME, Pacheco LRC, González DC, Portes CMA, González GOA, Hernández CD, Castañeda ZR

Full text

How to cite this article

Language: Spanish
References: 23
Page: 27-35
PDF size: 555.61 Kb.

ABSTRACT

Prominent or loop ear is one of the most visible ear facial defects, with an overall incidence of 5%. There are a number of several surgical techniques, which correct cephalous conch angle and excess ear shell mostly by resection of skin and cartilage. The otoplasty with minimal incisions technique was performed on 14 patients, both male and female between 6 and 26 years-old, with a prominent ear diagnosis without impairing sensitivity or blood circulation of the ear. Recovery time was short and the cartilage of the ear shell was retained. The surgical result was evaluated immediately postoperative, and a week, a month, and a six months later including complications, pain scale, projection of the shell and the cephalous conch angle. Only three stitches were necessary to maintain the shape of the antihelix and two to fix the shell to the mastoid. The recovery time was adequate and the complications were minimal. Handling of the prominent ear is possible through minimal incisions, blood vessels and nerve damage is reduced due to the dissection involved. The carving of the ear cartilage ensures maintaining the shape of the ear. The conch cartilage replacement reduces the cephalous conch angle and the projection of the ear shell. The technique described is simple, reproducible and can be performed on an outpatient basis with local anesthesia.

REFERENCES

Dieffenbach JF. Die operative Chirurgie. Leipzig, FA Brockhaus, 1845.
Ely ET. An operation for prominence of the auricles. Arch reimpresión. Salvat Editores SA. 1984: 730-61. Otolaryngol 1981; 10: 97.
Morestin H. De la reposition et du plissement cosmétiques du pavillon de l’oreille. Rev Orthopédie 1903; 14: 289.
Luckett WH. A new operation for prominent ears based on the anatomy of the deformity. Surg Gynecol Obstet 1910; 10: 635.
McEvitt WG. The problem of the protruding ear. Plast Reconstr Surg 1947; 2: 481.
Converse JM, Nigro A, Wilson FA, Johnson N. A technique for surgical correction of lops ears. Plast Reconstr Surg 1955; 15: 411.
Gibson T, Davis WB. The distortion of autogenous cartilage grafts: its cause and prevention. Br J Plast Surg 1958; 10: 257.
Tanzer RC. The correction of prominent ears. Plast Reconstr Surg 1962; 30: 236.
Mustardé JC. The correction of prominent ears using simple mattress sutures. Br J Plast Surg 1963; 16: 170.
Mustardé JC. The correction of different types of prominent ears. Aesthet Plast Surg 1983; 7: 163-8.
Ju DM, Li C, Crikelair GF. The surgical correction of protruding ears. Plast Reconstr Surg 1963; 32: 283-93.
Chongchet V. A method of anthelix reconstruction. Br J Plast Surg 1963; 16: 268.
Stenstrom SJ. A “natural” technique for correction of congenitally prominent ears. Plast Reconstr Surg 1963; 32: 509.
Kaye BL. A simplified method for correcting the prominent ear. Plast Reconstr Surg 1967; 40: 44-8.
Furnas DW. Correction of prominent ears by conchomastoid sutures. Plast Reconstr Surg 1968; 42: 189-93.
Psillakis JM. Prominent ears: correction with buried mattress sutures. Acta Chir Plast 1968; 10: 315-20.
Corzo-Sosa AR. Otoplastia directa: Colgajo pericondrio-cutáneo. Cir Plast 2000; 10: 16-25.
Tramier H. Personal approach to treatment of prominent ears. Plast Reconstr Surg 1997; 99: 562.
Cuenca-Guerra R. Oreja prominente: plastia mínimamente invasiva. Cir Plast 1999; 9: 120-125.
O Onur E. New modification in otoplasty: Anterior approach. Plast Reconstr Surg 2000; 102: 193-201.
Robiony M. A technique for remodeling the antehelix to correct the prominent ear. J Oral Maxillofac Surg 2001; 59: 9-13.
Limandjaja GC, Brreugem CC. Complications of otoplasty: a literature review. Int J Surg Reconstr 2008; 101-150.
Kaye BL. A simplified method for correcting the prominent ear. From the Department for Surgery, Baptist Memorial Hospital, Jacksonville Florida, April 30 to May 1967.