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Conchal Excision Techniques in Otoplasty: A Literature Review
Adrian Georg Mogl1, Alen Palackic1,2, Janos Cambiaso-Daniel1
1Division of Plastic, Aesthetic and Reconstructive Surgery, Department of Surgery, Medical University of Graz, Graz, Austria.
Plastic and Reconstructive Surgery. Global Open
|June 20, 2022
Summary
This review of prominent ear correction surgery found that cartilage excision techniques, while carrying risks, offer excellent cosmetic results with low complication rates. Surgeons often prefer posterior access for these otoplasty procedures.
Area of Science:
- Plastic Surgery
- Otoplasty Techniques
- Congenital Head and Neck Deformities
Background:
- Prominent ears are a common congenital deformity.
- Concha hypertrophy correction is key in otoplasty.
- Cartilage excision, though risky, can yield optimal results.
Purpose of the Study:
- Review cartilage excision-based otoplasty.
- Provide insights into outcomes and complications.
- Analyze current data for plastic surgeons.
Main Methods:
- Literature search of MEDLINE, EMBASE, Scopus, Cochrane.
- Included prospective/retrospective studies on otoplasty with conchal excision.
- Excluded non-clinical studies and case reports.
Main Results:
- Four studies met inclusion criteria.
- Posterior access was preferred by most authors.
- Low complication rates and excellent cosmetic outcomes reported.
Conclusions:
- Otoplasty techniques vary but yield comparable outcomes.
- Cartilage excision is effective for prominent ear correction.
- Consistent positive results observed across reviewed studies.

