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Technical refinement of Stenström otoplasty procedure
R Hafiz1, C Philandrianos1, D Casanova1
1Service de chirurgie plastique, hôpital de la Conception, AP-HM, CHU de Marseille, Aix-Marseille université, 147, boulevard Baille, 13005 Marseille, France.
Summary
This study refines the Stenström technique for prominent ear correction in children. Modified approaches simplify correcting most ear deformities, achieving natural-looking results.
Area of Science:
- Plastic Surgery
- Otolaryngology
- Pediatric Aesthetic Surgery
Background:
- Prominent ear correction is a common aesthetic procedure in pediatric patients.
- The Stenström technique is a frequently used method, particularly in France.
- This study introduces technical refinements to enhance the Stenström technique.
Observation:
- Modifications include an anterior approach for rasping the antihelix, improving control.
- Conchal hypertrophy can be addressed via posterior approach conchal resection.
- An obtuse conchoscaphal angle may be corrected by burying the concha to the mastoid periosteum.
Findings:
- The presented refinements allow for the correction of nearly all ear deformities.
- These modifications can be applied individually or in combination.
- A suture-less technique results in a natural appearance of the antihelix plication.
Implications:
- These technical refinements offer a simplified and effective approach to prominent ear correction.
- The described modifications enhance the versatility of the Stenström technique.
- Achieving aesthetically pleasing and natural outcomes in pediatric ear surgery is facilitated.
