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Ear reduction with or without setback otoplasty.

R V Argamaso1

  • 1Department of Plastic Surgery, Albert Einstein College of Medicine, Bronx, N.Y.

Plastic and Reconstructive Surgery
|June 1, 1989
PubMed
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This study presents a refined ear reduction technique to minimize conspicuous scarring. The novel approach strategically places incisions, improving aesthetic outcomes for patients with macrotia.

Area of Science:

  • Plastic Surgery
  • Aesthetic Surgery
  • Otolaryngology

Background:

  • Macrotia (large ears) can cause significant aesthetic concerns.
  • Traditional ear reduction techniques, involving peripheral wedge resections, often resulted in undesirable secondary deformities, such as cruciform scars.
  • These deformities were frequently due to uneven cartilage coaptation and conspicuous scarring.

Purpose of the Study:

  • To describe and evaluate a refined surgical technique for ear reduction (macrotia).
  • To minimize the formation of noticeable scars on the lateral surface of the ear.
  • To improve the aesthetic outcomes of ear reduction surgery.

Main Methods:

  • The study involved 8 patients (7 bilateral, 1 unilateral) undergoing ear reduction, totaling 15 ears.

Related Experiment Videos

  • A new technique was employed, placing incisions in strategic, less conspicuous locations.
  • The initial surgical steps are similar to the lateral transhelical approach used in otoplasty for protruding ears.

    • Main Results:

    • The refined technique resulted in less conspicuous scarring compared to historical methods.
    • The strategic incision placement addressed the issue of uneven cartilage coaptation.
    • Improved aesthetic results were observed in the treated patients.

    Conclusions:

    • The described ear reduction technique offers improved aesthetic results by minimizing scar visibility.
    • This method provides a viable alternative to historical techniques with a lower incidence of secondary deformities.
    • The procedure can be combined with otoplasty for protruding ears in select cases.