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Updated: Aug 10, 2026

Endaural Endoscopic Atticoantrotomy (Retrograde Mastoidectomy) using a Constant Suction Bone-drilling Technique
Published on: May 23, 2021
[Remarks about otoplasty and avulsion of the auricle (author's transl)]
Abstract:
I. Correction of the prominent ear. A modification of the Mustarde-technique is reported. We mill with a diamonddrill two rims, one above and a second beneath the new anthelix. So we are able to form anthelix and helix to get a smooth contour. II. Restoration of superior helix. 1. Using the method reported by Cronin (1953) it is necessary to plan the reconstructed part a little bit larger than the normal contour. By shrinking of the skin and resorption of the incorporated cartilage we get normal proportions half a year later. 2. Using the method by Crikelair (1956) we took the auriculo-cephalic flap as a composite graft from the concha. The defects could be closed primarily without using a free graft. III. Replantation of the amputated auricle. We used the method, reported by Arfai (1963). Four operations were necessary to get a satisfying result.

