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A method for repositioning the external ear.

L A Whitaker1, M J Yaremchuk, J C Posnick

  • 1Children's Hospital, Philadelphia, Pa.

Plastic and Reconstructive Surgery
|July 1, 1990
PubMed
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External ear repositioning surgery corrects malpositioned ears in craniofacial syndromes. This technique offers significant elevation and rotation, improving aesthetic outcomes for patients.

Area of Science:

  • Plastic Surgery
  • Craniofacial Surgery
  • Otolaryngology

Background:

  • External ear malposition is a common feature in various craniofacial syndromes.
  • Accurate ear positioning is crucial for facial aesthetics and patient self-esteem.

Purpose of the Study:

  • To present a 10-year surgical experience with external ear repositioning.
  • To evaluate the efficacy and limitations of a specific surgical technique for ear malposition.

Main Methods:

  • A posterior incision technique was employed to mobilize soft tissues around the external auditory canal.
  • The external auditory canal served as an axis for anterior rotation and elevation of the ear.
  • Z-plasty transposition of a postauricular skin flap was utilized for additional rotation when needed.

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Main Results:

  • The described technique allowed for ear elevation up to 8 mm and rotation up to 30 degrees.
  • Limitations in further elevation were noted due to external auditory canal constriction.
  • Additional rotation was successfully achieved using a Z-plasty flap.

Conclusions:

  • External ear repositioning using a posterior incision and the external auditory canal as an axis is an effective method for correcting ear malposition in craniofacial syndromes.
  • The technique provides predictable elevation and rotation, with Z-plasty offering a solution for achieving greater degrees of rotation.