Facial plast Surg 1995; 11(4): 284-300
DOI: 10.1055/s-2008-1064545
© 1995 by Thieme Medical Publishers, Inc.

Otoplasty Techniques

Peter A. Adamson, Harvey D. Strecker
  • Department of Otolaryngology, University of Toronto, Toronto, Ontario, Canada
Further Information

Publication History

Publication Date:
02 June 2008 (online)

ABSTRACT

Otoplasty has undergone a number of important developments over the course of the past 150 years. While cartilage-incision techniques were favored earlier in the century, suture-only techniques are now favored. Prominauris, a condition that affects 5% of the Caucasian population, is inherited as an autosomal dominant trait. Protruding ears commonly are due to a combination of two defects: underdevelopment of antihelical folding, and overdevelopment of the conchal wall. Utilizing a graduated approach, consistently superior results can be obtained. Our approach includes: fusiform skin excision; concha-mastoid sutures; scapha-conchal sutures; and refinement of the scapha, helix, and lobe. The aesthetic results are well retained and significant complications are rare.