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Double Triangular Cartilage Excision Otoplasty.

Alessandro Gualdi1,2, Janos Cambiaso-Daniel1,2, Jonatann Gatti1,2

  • 1Milan, Verona, and Salò, Italy; Graz, Austria; Galveston, Texas; and Nyon, Switzerland.

Plastic and Reconstructive Surgery
|February 27, 2018
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Summary
This summary is machine-generated.

A novel stitchless otoplasty technique using double triangular cartilage excision offers a safe and effective solution for prominent ears. This method demonstrates low complication and recurrence rates, improving patient psychosocial well-being.

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Area of Science:

  • Plastic Surgery
  • Otolaryngology
  • Aesthetic Surgery

Background:

  • Prominent ears negatively impact psychosocial well-being.
  • Existing surgical correction techniques often have high complication and recurrence rates.
  • A stitchless technique is presented to minimize these issues.

Purpose of the Study:

  • To evaluate the safety and efficacy of a stitchless double triangular cartilage excision otoplasty.
  • To assess complication and recurrence rates associated with this novel technique.
  • To analyze patient-reported outcomes following the procedure.

Main Methods:

  • Prospective study of patients undergoing bilateral double triangular cartilage excision otoplasty.
  • A stitchless technique based on cartilage excision for mechanical ear collapse.
  • Complications classified by Clavien-Dindo; patient outcomes assessed via questionnaires and clinical follow-up.

Main Results:

  • Sixty patients (120 ears) were studied with an overall complication rate of 6%.
  • Minor complications included superficial cutaneous necrosis (2.5%) and need for revision (1%).
  • No wound infections, hematomas, or hypertrophic scars were observed; patient satisfaction was high.

Conclusions:

  • Double triangular cartilage excision otoplasty is a safe procedure with low complication and recurrence rates.
  • The stitchless technique offers a viable alternative to traditional otoplasty methods.
  • This approach should be considered by surgeons for prominent ear correction.