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Partial Cutting Otoplasty: A Stable Technique for Prominent Ears.

Gerlya V Asirova¹, Diana Almeida²

¹Department of Plastic and Reconstructive Surgery, Institute of Plastic Surgery and Cosmetology, Ol'khovskaya Ulitsa, 27, Moscow, Russia. gerlya.asirova@gmail.com.

Aesthetic Plastic Surgery

|December 9, 2024

Summary

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A new otoplasty technique effectively corrects prominent ears by balancing cartilage preservation and minimal cutting. This safe and reproducible method offers aesthetically pleasing results with a low revision rate.

Area of Science:

Plastic Surgery
Otolaryngology
Aesthetic Medicine

Background:

Prominent ears cause significant psychosocial distress, particularly in children.
Otoplasty aims to correct ear shape and size by addressing conchal hypertrophy and antihelix underdevelopment.
Existing auriculoplasty techniques (cartilage cutting vs. cartilage sparing) have limitations in safety or aesthetic outcomes.

Purpose of the Study:

To describe a novel otoplasty technique that combines cartilage sparing and cutting methods.
To evaluate the safety, efficacy, and aesthetic results of this new technique for prominent ear correction.

Main Methods:

A technique utilizing 3-4 mattress sutures to reshape the antihelix.
Incorporates limited cartilage cutting and conchal excision.

Keywords:

Ear surgery Otoplasty Protruding ear Unfolded antihelix

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Avoids anterior ear scarring and high-tension sutures.

Main Results:

The technique was applied to 150 ears between 2019 and 2023.
Only 2% (3 ears) required revision surgery.
Low rates of complications and recurrence were observed.

Conclusions:

The novel otoplasty technique is rapid, reproducible, and safe.
It provides aesthetically pleasing results for prominent ear deformities.
This method offers a balanced approach to cartilage manipulation in otoplasty.