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A Different Approach for Protruding Earlobe Correction-Modified Fish-tail Technique.

Batuhan Sert1, Meltem Ayhan Oral2, Ozgur Turan1

  • 1Department of Plastic, Reconstructive and Aesthetic Surgery, Izmir Katip Celebi University Medical Faculty, Izmir, Turkey.

Aesthetic Plastic Surgery
|March 4, 2024
PubMed
Summary

The modified fish-tail technique offers effective correction for prominent earlobules with adjustable height and minimal skin excision. This surgical method showed no complications in a 1-year follow-up, making it a viable option for prominent lobule surgery.

Keywords:
LobuloplastyModified fish tailOtoplastyProtruded lobule

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Area of Science:

  • Plastic Surgery
  • Otorhinolaryngology
  • Pediatric Surgery

Background:

  • Protruding ears are common childhood auricular abnormalities with significant social and psychological impacts.
  • Surgical correction options for prominent ears are available, but techniques for lobule correction are limited.
  • The modified fish-tail technique is introduced as a novel approach for prominent earlobule correction.

Purpose of the Study:

  • To present the modified fish-tail technique for prominent earlobule correction.
  • To compare the outcomes of the modified fish-tail technique with existing methods.
  • To evaluate the safety and efficacy of the modified fish-tail technique in otoplasty.

Main Methods:

  • A retrospective study of 21 pediatric cases undergoing otoplasty for prominent earlobule correction between 2020 and 2022.
  • Application of the bilateral modified fish-tail technique for earlobe correction in all included patients.
  • Evaluation of complications including scarring, wound dehiscence, hematoma, infection, and recurrence over a minimum 1-year follow-up period.

Main Results:

  • All 21 patients completed the 1-year follow-up after bilateral prominent ear correction using the modified fish-tail technique.
  • No instances of wound dehiscence, infection, hematoma, or recurrence of lobule prominence were observed.
  • No hypertrophic scars or keloids were reported in any of the cases, indicating a favorable safety profile.

Conclusions:

  • The modified fish-tail technique effectively corrects prominent earlobules, allowing for adjustable vertical height.
  • This technique requires reduced skin excision compared to other methods.
  • The modified fish-tail technique is recommended as a safe and effective alternative for prominent lobule surgery.