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Otoplasty: a comparison of techniques for antihelical defects treatment
Pietro Panettiere1, Lucio Marchetti, Danilo Accorsi
1Dipartimento di Discipline Chirurgiche, Rianimatorie e dei Trapianti, Clinica Chirurgica IV, Policlinico S. Orsola, Università degli Studi di Bologna, Bologna, Italy. prof.panettiere@jumpy.it
Background:
Prominauris, the most common malformative defect of the external ear, is dependent on a combination of elementary defects mainly affecting the antihelix and the concha. Transection versus cartilage weakening results in antihelix treatment are discussed.
Methods:
In this study, 104 ears with antihelical defects were treated in 63 consecutive patients: the 33 patients (53 ears) in group A, received a transection-based treatment, whereas the 30 patients (51 ears) in group B, underwent cartilage weakening and suture. All the patients were treated using a posterior access. The aesthetic results were evaluated by an independent well-trained plastic surgeon.
Results:
No differences were found in correction degree and stability between the two methods, but cartilage weakening techniques provided a smoother and more natural curvature.
Conclusions:
Cartilage weakening techniques can lead to better aesthetic results, primarily because of a softer and more natural ear curvature.
