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[Prominent ears: a simple ambulatory technique under local anesthetic]
J Dechamboux1, H Sadek, B Raphaël
1Service de Chirurgie Plastique et Maxillo-Faciale, Centre Hospitalier Universitaire de Grenoble, BP217, 38043 Grenoble.
Abstract:
We present a simple otoplasty technique for the correction of prominent ears. Children can be operated starting from 8 years old, after meticulous analysis of the deformity which usually associates chonchal malposition and failure of scapha folding. Chonchal malposition can be corrected by a posterior access and chonchal-mastoid sutures. Failure of scapha folding can be corrected by an anterior access, cartilage scoring and mattress sutures. Our retrospective study of 368 patients shows 83% very good and good results. The morbidity rate is low and comparable to that of other studies. This technique is simple, didactic, easily performed under local anesthesia on an outpatient basis. Moreover, it is not aggressive and is easily adaptable to various deformities.