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Anatomy of the Ear

Anatomy of the Ear

Auditory sensation, commonly called hearing, involves the transformation of sonic waves into neural impulses facilitated by the structures of the auditory organ. The prominent, flesh-like structure on the side of the head, called the auricle, directs sound waves towards the auditory canal. The auricle is often mislabeled as the pinna, a term more aligned with mobile structures like a feline's external ear. The auditory canal penetrates the cranium via the external auditory meatus of the...

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Endoscopic Cholesteatoma Surgery

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Published on: January 19, 2022

Otoplasty for prominent ears deformity.

P Fioramonti¹, F Serratore, M Tarallo

¹Unit of Plastic and Reconstructive Surgery, Department of Surgery "P. Valdoni", Sapienza University, Rome, Italy. serratorefrancesco@yahoo.it.

European Review for Medical and Pharmacological Sciences

|December 10, 2014

Summary

This study presents a four-technique surgical combination for prominent ear correction (otoplasty), achieving lasting aesthetic results. The method effectively reshapes cartilage to create a stable antihelical fold with high success and no recurrence.

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Area of Science:

Plastic Surgery
Otolaryngology
Congenital Deformities

Background:

Prominent ears are a common congenital external ear deformity.
Surgical correction (otoplasty) aims for lasting aesthetic results, which can be challenging.
Defects often involve both antihelix and concha structures.

Purpose of the Study:

To propose and evaluate an effective combination of four cartilage reshaping techniques for otoplasty.
The ultimate goal is to create a new, stable antihelical fold for improved ear aesthetics.
To assess the endurance and symmetry of auricular appearance post-surgery.

Main Methods:

A prospective study involving 41 patients (16 male, 25 female; age 6-43 years) with prominent ears.
All patients underwent the same surgical procedure.
The technique involved softening and reshaping the antihelix using hemitransfixing microincisions, scoring, squeezing, and posterior mattress suture fixation.

Main Results:

A total of 71 ears were surgically treated.
Mean follow-up was 2 years.
Significant reduction in ear protrusion was observed (7.96 mm superior, 12.18 mm middle cephaloauricular distance).
No complications or recurrence were reported.

Conclusions:

The proposed four-technique surgical procedure for otoplasty yields enduring auricular appearance and symmetry.
The method demonstrates a high success rate in correcting prominent ears.
The technique is associated with low patient morbidity.