A Pinch Test to Correct an Unfolded Helix: An Innovative and Predictable Technique

Area of Science:

• Plastic Surgery
• Otolaryngology
• Anatomy

Background:

• The unfolded helix is a common ear deformity, often causing prominent ears.
• Existing surgical techniques for its correction have seen limited updates since the 1970s.

Purpose of the Study:

• To describe an innovative surgical approach for restoring the helix rim.
• To improve cosmetic outcomes and patient satisfaction in unfolded helix correction.

Main Methods:

• Utilizing a preoperative pinch test to guide surgical planning and patient expectations.
• Implementing bilateral cartilage-only resections while preserving skin excess.
• Focusing on optimizing the helix rim restoration procedure.

Main Results:

• The described technique offers a reliable method for helix rim restoration.
• Associated morbidity is minimal, with consistent and effective cosmetic results.
• Preoperative planning and specific surgical modifications enhance outcomes.

Conclusions:

• The innovative surgical approach provides a reliable and effective solution for the unfolded helix deformity.
• This technique optimizes cosmetic results with low morbidity.
• Further adoption of this method could improve patient outcomes for prominent ears.