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Updated: Jun 6, 2025

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Double Triangular Cartilage Excision in Otoplasty Revisited.

Alessandro Gualdi1,2, Janos Cambiaso-Daniel1,3, Filippo Contessi Negrini4

  • 1Department of Plastic Surgery, Milan Face Institute, Milan, Italy.

Facial Plastic Surgery : FPS
|November 24, 2024
PubMed
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This study evaluated a suture-free otoplasty for prominent ears, finding it safe and effective with high patient satisfaction. The double triangular cartilage excision method offers a low-recurrence alternative to traditional ear correction surgeries.

Area of Science:

  • Plastic Surgery
  • Otolaryngology
  • Aesthetic Surgery

Background:

  • Prominent ears significantly affect psychological and social well-being.
  • Existing surgical correction methods carry risks of complications and recurrence.
  • A novel suture-free technique aims to mitigate these risks.

Purpose of the Study:

  • To present long-term outcomes of a suture-free otoplasty technique.
  • To evaluate the safety and efficacy of double triangular cartilage excision otoplasty.
  • To assess complication rates and patient satisfaction with the sutureless method.

Main Methods:

  • Analysis of bilateral double triangular cartilage excision otoplasty results.
  • A sutureless technique involving precise cartilage removal for ear reshaping.

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  • Documentation of complications and patient feedback over an extended follow-up period.

    • Main Results:

    • 146 patients (292 ears) were analyzed with a mean follow-up of 22 months.
    • Low complication rates reported, including skin necrosis (1.02%), unsatisfactory rotation (5.8%), wound dehiscence (2.73%), hematomas (0.68%), infections (1.02%), hypertrophic scars (4.1%), and temporary paresthesias (8.2%).
    • Patients reported high satisfaction with the final aesthetic outcomes.

    Conclusions:

    • Double triangular cartilage excision otoplasty is a safe and effective procedure.
    • The sutureless technique demonstrates low complication and recurrence rates.
    • This method should be considered a valuable alternative in surgical correction of prominent ears.