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Hybrid Cartilage-Modifying Otoplasty Technique and Outcomes
Jeffrey Markey1, Jess Mace2, Yvette Anderson2
1Division of Facial Plastic and Reconstructive Surgery, Department of Otolaryngology-Head & Neck Surgery, New York University School of Medicine, New York.
JAMA Facial Plastic Surgery
|November 24, 2017
Summary
This study evaluated a hybrid cartilage-modifying otoplasty technique for prominent ears. The approach demonstrated significant improvements in ear symmetry and a low revision rate, offering an effective solution for congenital deformities.
Area of Science:
- Plastic Surgery
- Congenital Deformities
- Otoplasty Techniques
Background:
- Prominent ears (prominauricular) are common congenital deformities of the head and neck.
- Otoplasty is the surgical correction for prominent ears.
- Hybrid surgical approaches enhance precision in otoplasty.
Purpose of the Study:
- To describe a novel hybrid cartilage-modifying otoplasty technique.
- To evaluate the effectiveness and safety of this hybrid approach for correcting prominent ears.
Main Methods:
- Retrospective review of 23 patients (24 procedures) undergoing hybrid otoplasty from 2006-2016.
- Preoperative and postoperative measurements of helical rim-to-mastoid distances were recorded.
- Statistical analysis included paired and independent sample t-tests to assess symmetry and changes.
Main Results:
- Significant reductions in superior, middle, and inferior helical distances were observed post-surgery (P < .001).
- High symmetry was achieved in bilateral procedures, with no significant differences between operated ears.
- The overall revision rate was low (1 revision out of 24 procedures), with minor complications reported.
Conclusions:
- The hybrid cartilage-modifying otoplasty technique is effective in correcting prominent ears.
- The procedure offers multiple adjustment points for auricular parameters, leading to high symmetry.
- This approach presents a safe and effective option with a low complication and revision rate.
