The correction of the prominent ear

Area of Science:

• Plastic Surgery
• Otolaryngology
• Aesthetic Medicine

Background:

• Prominent ear (protrusio auris) is a common congenital condition with significant psychosocial impact.
• Previous surgical techniques for prominent ear correction have limitations in addressing all components of the deformity.
• The specific cartilaginous structure of the auricle presents challenges for effective surgical correction.

Purpose of the Study:

• To present a comprehensive surgical technique for prominent ear reconstruction.
• To address the limitations of existing methods by tackling both antihelix absence and conchal protrusion.
• To achieve a secure and aesthetically satisfactory correction of the prominent ear deformity.

Main Methods:

• The described technique combines Mustarde's mattress sutures for antihelix creation.
• Cochrane's anterior scoring method is utilized for antihelix definition.
• Conchal setback is achieved by approximating the concha to the mastoid.

Main Results:

• The presented technique offers a simultaneous approach to correct the key components of prominent ears.
• This combined method aims to overcome the shortcomings of isolated techniques like Mustarde's or scoring methods alone.
• The goal is to provide a more robust and reliable surgical solution for ear correction.

Conclusions:

• A combined surgical technique integrating Mustarde's sutures, anterior scoring, and conchal approximation offers a comprehensive solution for prominent ear correction.
• This multi-faceted approach addresses the complex anatomical challenges of the auricle.
• The presented method aims for improved aesthetic outcomes and long-term stability in prominent ear surgery.