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Objective Auricular Measurements and Patient Satisfaction Following Cartilage-Cutting Otoplasty Using
Timea Madaras1,2, Mara Bărăbancia-Romete1, Ruxandra Bodog3
1Department of Plastic and Reconstructive Surgery, Emergency Clinical County Hospital Targu Mures, 540139 Targu Mures, Romania.
Journal of Clinical Medicine
|May 27, 2026
Summary
A novel cartilage-cutting otoplasty technique using fascioperichondrial flaps effectively corrects prominent ears, achieving high patient satisfaction and stable, natural-looking results with minimal complications.
Area of Science:
- Plastic Surgery
- Otolaryngology
- Aesthetic Medicine
Background:
- Prominent ears affect ~5% of the population, causing psychosocial distress without functional impairment.
- Otoplasty aims to correct ear prominence and improve self-esteem.
- Existing otoplasty techniques vary in efficacy and complication rates.
Purpose of the Study:
- To evaluate a hybrid cartilage-cutting otoplasty technique augmented with triangular fascioperichondrial flaps.
- To assess the efficacy and stability of this technique in correcting prominent ears.
- To determine patient satisfaction and complication rates associated with the procedure.
Main Methods:
- Retrospective study of 40 patients (80 ears) aged 6-37 years.
- Utilized a cartilage-cutting otoplasty with three triangular fascioperichondrial flaps.
- Measured helical-mastoid distance (HMD) and concho-mastoid angle (CMA) preoperatively and postoperatively.
Main Results:
- Significant reductions in HMD and CMA were observed post-surgery (p < 0.001).
- Measurements remained stable between immediate postoperative and 6-week follow-up.
- Overall positive patient satisfaction was 97% (75% very satisfied, 22% satisfied).
Conclusions:
- The hybrid otoplasty technique provides reliable correction with natural ear contours.
- The method demonstrates low postoperative complication rates.
- This approach is a feasible and effective option for otoplasty, warranting further prospective investigation.
