The Incision-Excision Technique in Minor Auricular Deformities

ABSTRACT

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.

KEYWORDS

Protruding ear - minor auricular deformity - incision-excision technique - pros and cons

REFERENCES

• 1 Ely E T. Eine Operation zur Verbesserung der Stellung abstehender Ohrmuscheln.  Arch Ohrenheilkd. 1884;  21 92-96
• 2 Converse J M. Reconstruction of the auricle: Part I.  Plast Reconstr Surg. 1958;  22 150-163
• 3 Mustardé J C. The correction of prominent ears by using simple mattress sutures.  Br J Plast Surg. 1963;  16 170-178
• 4 Heppt W, Siegert R, Walter C, Weerda H Otoplasty. Berlin; Springer 2001
• 5 Sercer A. Notes on the cause and correlation of protruding ears.  Pract Otorhinolaryngol Basel. 1951;  13 9-16
• 6 Pollet J. Plicature de l'anthélix pour la correction des oreilles mal formées.  Ann Chir Plast. 1957;  2 207-212
• 7 Walter C. Reconstruction of the auricle.  Arch Klin Exp Ohren Nasen Kehlkopfheilkd. 1972;  202 229-252
• 8 Walter C. Special problems and variations in otoplasty techniques.  Facial Plast Surg. 1988;  5 434-450
• 9 Heppt W, Trautmann Y. Otoplasty techniques for the correction of protruding ears.  HNO. 1999;  47 688-694
• 10 Davies J E. Aesthetic and reconstructive otoplasty. New York; Springer 1987