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Modified Anterior Scoring Otoplasty Without Sutures: Description and Case Series
Roberto Grella1, Marcello Molle2, Erminia Crisci1
1Plastic Surgery Unit, Multidisciplinary Department of Medical-Surgical and Dental Specialties, Università degli Studi della Campania "Luigi Vanvitelli", Piazza Luigi Miraglia, 80138, Naples, Italy.
Aesthetic Plastic Surgery
|March 31, 2025
Summary
A modified anterior scoring otoplasty technique eliminates the need for sutures, offering stable results for ear correction. This sutureless approach shows promise for treating ear deformities effectively.
Area of Science:
- Plastic Surgery
- Otoplasty Techniques
- Ear Reconstruction
Background:
- Ear deformities significantly impact psychological well-being in all age groups.
- Traditional cartilage scoring techniques for anthelix correction, like the Chongchet method, necessitate neoanthelix maintenance sutures.
- A novel variation of the anterior scoring technique eliminates the need for these sutures.
Purpose of the Study:
- To present and evaluate a modified anterior cartilage scoring technique for otoplasty.
- To assess the efficacy and safety of a sutureless approach to anthelix correction.
- To determine the stability and complication rates of the modified technique.
Main Methods:
- Retrospective analysis of 50 patients undergoing otoplasty.
- Application of a modified anterior scoring technique without sutures.
- Data collection on recurrence rates and complications over a follow-up period (2015-2023).
Main Results:
- The modified technique demonstrated stable results with no observed recurrences.
- Abnormal scarring occurred in 16% of cases.
- No major complications were reported, indicating a favorable safety profile.
Conclusions:
- The modified anterior scoring otoplasty technique is a viable alternative to traditional methods.
- This sutureless approach provides stable and aesthetically pleasing outcomes for ear correction.
- The technique offers a promising solution for patients with ear deformities seeking effective treatment.

