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Needle Scoring in Otoplasty: A Basic Technique for Improving Aesthetic Outcomes.

Marco Klinger1, Riccardo Di Giuli2, Federica Cardone1

  • 1Plastic Surgery Unit, Department of Medical Biotechnology and Translational Medicine BIOMETRA, Reconstructive and Aesthetic Plastic Surgery School, Humanitas Clinical and Research Hospital, University of Milan, Via Manzoni 56, 20090, Rozzano, Milan, Italy.

Aesthetic Plastic Surgery
|January 6, 2025
PubMed
Summary

Needle scoring is an effective addition to otoplasty surgery for prominent ears, reducing deformities and improving patient satisfaction. This technique enhances aesthetic outcomes without complications, offering a valuable solution for ear correction.

Keywords:
Aesthetic outcomesNeedle scoringOtoplastyProminent earsResidual deformities

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Area of Science:

  • Plastic Surgery
  • Otoplasty Techniques
  • Aesthetic Medicine

Background:

  • Prominent ears are a common aesthetic concern addressed by various otoplasty techniques.
  • Current methods often result in residual deformities and decreased patient satisfaction.
  • A universally accepted gold standard for otoplasty remains elusive.

Purpose of the Study:

  • To evaluate the efficacy of needle scoring as an adjunctive technique in otoplasty.
  • To assess patient satisfaction and aesthetic outcomes following this combined surgical approach.
  • To determine the complication and relapse rates associated with the technique.

Main Methods:

  • A retrospective case series of 38 patients undergoing otoplasty for prominent ears.
  • Surgical technique involved mattress sutures for antihelical fold creation and needle scoring in a supra-cartilaginous plane.
  • Patients were followed for a minimum of 12 months post-surgery.

Main Results:

  • No major or minor complications were reported in the 38 patients.
  • No instances of ear prominence relapse were observed during the follow-up period.
  • High patient satisfaction was reported, with average aesthetic ratings of 9.2 by patients and 8.7 by the surgical team.

Conclusions:

  • Needle scoring is an effective adjunctive technique for otoplasty.
  • It successfully addresses residual ear deformities and mitigates surgical tissue tension.
  • This method significantly optimizes patient satisfaction in both short-term and long-term follow-up.