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Updated: Sep 23, 2025

Author Spotlight: Advancing Endoscopic Ossiculoplasty – Techniques, Innovations, and Practical Guidance for Clinical Integration
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Performance-optimized otoplasty.

Marcelo Souza Assis1, Leila Souto Miranda2

  • 1Orelhinha Institute, 55 Oriente ST, Chácara da Barra, Campinas, São Paulo, 13090-740, Brazil. dr.assis@gmail.com.

BMC Surgery
|May 15, 2022
PubMed
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Safety alert for hospital environments and health professional: chlorhexidine is ineffective for coronavirus.

Revista da Associacao Medica Brasileira (1992)·2020
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A novel otoplasty technique offers a faster, simpler surgical solution for prominent ears, a common condition affecting 5% of Caucasians. This method demonstrates a low revision rate, making it an effective outpatient procedure.

Area of Science:

  • Plastic Surgery
  • Otolaryngology
  • Aesthetic Surgery

Background:

  • Prominent ears affect approximately 5% of the Caucasian population, representing the most common ear deformity.
  • Otoplasty is the surgical procedure to correct protruding ears.

Purpose of the Study:

  • To introduce and evaluate a new surgical technique for correcting prominent ears.
  • To assess the efficacy, safety, and efficiency of the proposed otoplasty method.

Main Methods:

  • A total of 213 patients (65% female, 35% male, average age 21) underwent the new otoplasty technique between January 2020 and January 2021.
  • Surgeries were performed in an outpatient setting under local anesthesia and sedation.
  • The technique can be combined with other ear surgeries like macrotia correction and lobuloplasty.
Keywords:
Ear correctionOtoplastyOutpatient surgeryPlastic surgery

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Main Results:

  • The average surgical time for a bilateral otoplasty was optimized to 45 minutes.
  • A low revision rate of 2% was observed, with upper third asymmetry being the primary reason.
  • The overall complication rate was 7.5%, including minor hematoma, infection, altered sensation, keloid scarring, and cartilage irregularities.

Conclusions:

  • The proposed technique provides a viable and efficient alternative for otoplasty in an outpatient setting.
  • It offers benefits such as reduced surgical time, a shallow learning curve, and a low revision rate.
  • The technique is versatile and can be integrated with other corrective ear surgeries.