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Type IB Cauliflower Ear Deformity Correction Using Subunit Reconstruction Technique Combined With Auricular Cartilage

Jiajun Zhi1, Jingwei Feng1, Luping Zhao1

  • 1Plastic Surgery Hospital and Institute, Chinese Academy of Medical Sciences and Peking Union Medical College, 33 Badachu Rd, Shijingshan District, Beijing, 100144, China.

Aesthetic Plastic Surgery
|March 4, 2026
PubMed
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This study introduces a new surgical method for Yotsuyanagi type IB cauliflower ear deformity, combining subunit reconstruction and cartilage stretching. The technique effectively improves ear aesthetics and patient satisfaction with lasting results.

Area of Science:

  • Plastic and Reconstructive Surgery
  • Otolaryngology
  • Aesthetic Surgery

Background:

  • Yotsuyanagi type IB cauliflower ear deformity presents significant reconstructive challenges.
  • Traditional surgical methods often yield suboptimal aesthetic outcomes.
  • A novel technique is proposed to address helix curling and antihelix loss.

Purpose of the Study:

  • To evaluate a novel surgical technique for Yotsuyanagi type IB cauliflower ear.
  • To assess the efficacy of combining subunit reconstruction with auricular cartilage stretching.
  • To determine the impact on aesthetic outcomes and patient satisfaction.

Main Methods:

  • A cohort of 14 patients with Yotsuyanagi type IB cauliflower ear deformity was treated.
  • The surgical intervention involved a combination of subunit reconstruction and auricular cartilage stretching.
Keywords:
Auricular cartilage stretchingCauliflower earSubunit reconstruction

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  • Outcomes were measured using subunit count, Visual Analog Scale (VAS), and Glasgow Benefit Inventory (GBI).

    • Main Results:

    • The mean preoperative subunit count increased significantly postoperatively (5.43 to 10.89).
    • Significant improvements were observed in VAS scores for key auricular subunits.
    • High patient satisfaction was reported, with a mean postoperative GBI score of 88.71, and no major complications occurred.

    Conclusions:

    • The combined subunit reconstruction and auricular cartilage stretching technique is safe and effective for Yotsuyanagi type IB cauliflower ear.
    • This approach successfully corrects helix curling and antihelix deformities, enhancing auricular aesthetics.
    • The technique demonstrates potential for stable, long-term results and high patient satisfaction in reconstructive surgery.