Cartilage-Sparing Otoplasty: A New Approach.

Area of Science:

• Plastic Surgery
• Otolaryngology
• Aesthetic Medicine

Background:

• Ear protrusion is a common cosmetic concern necessitating otoplasty.
• Existing otoplasty techniques, including cartilage scoring and excision, carry risks of anatomical distortion and unsatisfactory outcomes.
• Conchal bowl bulging is a frequent long-term complication of traditional otoplasty methods.

Purpose of the Study:

• To introduce a novel, cartilage-sparing, suture-based otoplasty technique.
• To minimize the risk of complications associated with prominent ear correction.
• To achieve natural-appearing aesthetic results and avoid irreversible anatomical changes.

Main Methods:

• A novel suture technique utilizing two to three key sutures to shape the concha without cartilage removal.
• Creation of a neo-antihelix supported by four additional sutures anchored to the mastoid fascia.
• This cartilage-sparing approach aims for reversibility and avoidance of permanent stigmata.

Main Results:

• The technique was applied to 91 ears between 2020 and 2021.
• Only one ear (1.1%) required revision surgery, indicating a low complication and recurrence rate.
• The method demonstrated effectiveness in achieving desired aesthetic outcomes with minimal adverse effects.

Conclusions:

• The presented cartilage-sparing suture technique is a safe and rapid method for correcting prominent ear deformities.
• This approach successfully addresses the primary goals of otoplasty while preserving cartilage and minimizing risks.
• The technique offers a promising alternative for achieving aesthetically pleasing and natural-looking results in prominent ear correction.