Otoplasty: anterior scoring and posterior rolling technique in adults

The corrective otoplasty is the aesthetic surgery most frequently performed in childhood. Some people neglect this deformity because it does not cause functional problems and seek treatment in their teen or adulthood. In this age group, the development of ear is no longer major concern. In this study, 178 adult patients were treated by using a modified form of anterior scoring technique for the correction of their prominent ears. In this method, after anterior scoring, as described by Chongchet, the free edge of ear cartilage was rolled over itself posteriorly and fixed. This cartilage structure was covered with subcutaneous and perichondrial flaps to establish a natural contour. The patients were followed for at least six months and their results were evaluated in terms of complications and patient satisfaction. This technique enhances the aesthetic results of otoplasty by making a smoother surface and eliminating sharp edges, and is a reliable choice in the correction of prominent ears.