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Anatomy of the Ear01:16

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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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Modified Island Technique for Prominent Ears.

Horacio F Mayer1, Hugo D Loustau2

  • 1Plastic Surgery Department, Hospital Italiano de Buenos Aires, University of Buenos Aires, School of Medicine, Hospital Italiano de Buenos Aires University Institute, Buenos Aires, Argentina. horacio.mayer@hospitalitaliano.org.ar.

Aesthetic Plastic Surgery
|December 14, 2017
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Summary
This summary is machine-generated.

This study refines the Island Technique for prominent ear correction by using internal bevel incisions for natural results. It also addresses asymmetry with a cartilage strip excision for balanced, aesthetic outcomes.

Keywords:
Asymmetric earsIsland TechniquePitanguy techniqueProminent ears

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Area of Science:

  • Plastic Surgery
  • Otolaryngology
  • Aesthetic Surgery

Background:

  • Prominent ear correction (otoplasty) involves various surgical methods.
  • The Island Technique by Pitanguy aims to correct the antihelix and conchoscaphal angle.
  • A key criticism of the Island Technique is the visibility of sharp cartilage edges.

Purpose of the Study:

  • To modify the Island Technique for improved aesthetic outcomes in prominent ear correction.
  • To address and correct asymmetry in prominent ears.
  • To achieve a more natural appearance and symmetric results.

Main Methods:

  • Modification of the Island Technique using an internal bevel incision to round cartilage edges.
  • Proposal of an additional cartilage strip excision from the auricular scapha for asymmetric cases.
  • Creation of symmetric cartilage islands and antihelices for bilateral correction.

Main Results:

  • Internal bevel incisions reduce the visibility of sharp edges, enhancing natural appearance.
  • The proposed modification effectively corrects asymmetric conchoscaphal angles.
  • Achieved symmetric ear appearance with identical antihelices and cartilage island widths.

Conclusions:

  • The modified Island Technique offers a refined approach to prominent ear correction.
  • Internal bevel incisions improve aesthetic results by softening cartilage edges.
  • The technique effectively addresses ear asymmetry, leading to symmetric and natural-looking outcomes.