Facial plast Surg 2004; 20(4): 287-292
DOI: 10.1055/s-2005-865387
Copyright © 2004 by Thieme Medical Publishers, Inc., 333 Seventh Avenue, New York, NY 10001 USA.

The Incision-Excision Technique in Minor Auricular Deformities

Werner J. Heppt1
  • 1Department of Otorhinolaryngology, Facial Plastic Surgery, Klinikum Karlsruhe gGmbH, Karlsruhe, Germany
Further Information

Publication History

Publication Date:
18 March 2005 (online)


In 1972, in the search for a method to cope with all deformities in protruding ears and other common minor auricular deformities, Claus Walter published a surgical technique based on various incisions and excisions of the cartilage. The procedure consists of a complete separation of the auricle into two parts, combined with remodeling of antihelical, helical, and lobular structures without use of adjusting sutures. Thus, even in patients with stiff and unyielding cartilage and in revisional surgery, pleasing aesthetic results may be achieved. The recurrence rate has found to be reduced markedly. Considering all pros and cons and optional surgical modifications, the incision-excision technique can be adopted for every protruding ear as well as for lop ears, moderate cup ear deformities, and secondary revisions. Because of the extent of cartilage dissection, this technique is not recommended for beginners but should be restricted to experienced surgeons with profound knowledge of basic remodeling procedures.