Finesse in Otoplasty in Four Steps

Background This report describes the authors' personal experience with an otoplasty technique used to correct several deformities of the auricular cartilage in prominent ears using a single surgical procedure. Methods This technique allows for correction of all alterations in prominent ears by acting on four basic sites of the auricular cartilage using incisions, microincisions, and microresections that shape the curvature of the auricular cartilage. This, combined with elliptical resection of the retroauricular skin, provides prompt reshaping of the ear, conferring a natural appearance. This technique was used for 897 patients ages 5 to 65 years for a period of 16 years (1994-2010). Of these patients, 304 had undergone previous otoplasty. The postoperative follow-up period for these patients was 1 to 14 years. Results This technique allowed for correction of prominent ears to achieve a natural appearance. It achieved complete satisfaction for 890 patients and a low rate of complications. Three cases of postoperative infection occurred, which were effectively controlled with antimicrobial treatment, and four cases of immediate postoperative hematoma occurred, which had no consequences because early drainage was used. There were no cases of keloids, hypertrophic scarring, or necrosis. Conclusions This versatile and complete technique allows for correction of all deformities that constitute prominent ears. It is associated with a low rate of complications and relapses by preventing strain of the cartilage. Level of Evidence V This journal requires that authors assign a level of evidence to each article. For a full description of these Evidence-Based Medicine ratings, please refer to the Table of Contents or the online Instructions to Authors http://www.springer.com/00266.