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Correcting the lobule in otoplasty using the fillet technique
Haneen Sadick1, Verena M Artinger2, Frank Haubner2
1Division of Facial Plastic and Reconstructive Surgery, Department of Otolaryngology-Head and Neck Surgery, University Hospital Mannheim, Mannheim, Germany.
JAMA Facial Plastic Surgery
|November 23, 2013
Summary
A new fillet technique effectively corrects protruding earlobules in otoplasty. This safe and predictable method yields good to excellent patient and expert-rated results with no complications.
Area of Science:
- Plastic Surgery
- Otoplasty Techniques
- Anatomical Reconstruction
Background:
- Correction of protruded earlobules in otoplasty presents a significant surgical challenge due to the absence of skeletal support.
- Existing methods for lobule repositioning can be unpredictable.
Purpose of the Study:
- To introduce and evaluate a novel surgical technique, the fillet technique, for correcting protruded earlobules during otoplasty.
Main Methods:
- Anatomical analysis of lobule deformities was conducted using human cadavers.
- The fillet technique was applied to 12 consecutive otoplasty patients.
- Surgical outcomes were retrospectively assessed with a minimum 3-month follow-up and reviewed by an expert panel.
Main Results:
- The fillet technique effectively addresses the three main components of lobular deformities: axial angular protrusion, coronal angular protrusion, and inherent shape.
- No immediate or long-term complications were observed.
- Both patient subjective ratings and independent expert objective ratings indicated "good" to "very good" postoperative results.
Conclusions:
- The newly described fillet technique is a safe and efficient method for correcting protruded earlobules in otoplasty.
- This technique allows for precise and predictable lobule positioning.
- The method demonstrates an excellent safety profile.
