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Sammy Sinno, Jessica B Chang, Charles H Thorne
BACKGROUND: Otoplasty for prominent ears is a routine procedure that is generally met with satisfaction by patients and family members. A significant percentage of patients requesting otoplasty, however, have some degree of macrotia in addition to protruding ears. Combining ear reduction with traditional otoplasty allows correction of these deformities. There are few studies in the literature that describe ear reduction, and those that do, describe small subsets of patients. METHODS: A retrospective review was performed of the senior author's (C...
May 2015: Plastic and Reconstructive Surgery
Charles H Thorne, Gordon Wilkes
LEARNING OBJECTIVES: After reviewing this article, the participant should be able to: 1. Evaluate patient's ears for needed adjustments to size, shape, prominence, and symmetry. 2. Identify common ear deformities and describe methods to repair them. 3. Avoid or manage common complications associated with otoplasty and ear reconstruction. SUMMARY: The essentials of otoplasty will be described/illustrated for the following conditions: Prominent ears, underdeveloped helical rims (shell ear), macrotia, Stahl's ear, constricted ear, cryptotia, and question mark ear...
April 2012: Plastic and Reconstructive Surgery
Erdem Tezel, Cemile Nurdan Ozturk
BACKGROUND: Auricular surgery is a challenging subject in plastic surgery due to the complicated surface topography of the external ear. Although various techniques for ear reduction and helical rim reconstruction have been reported in the literature, an ideal method is yet to be defined. Double helical rim advancement flaps with scaphal resection presented in this report represent a practical technique for correcting macrotia and reconstructing helical rim defects. METHODS: The amount of full-thickness resection at the helical rim is planned according to the desired reduction or extent of tumor...
August 2011: Aesthetic Plastic Surgery
Serhan Tuncer, Yucel Demir, Kenan Atabay
Macrotia is a relatively rare auricular deformity and few techniques for treatment have been described, most of which include skin and cartilage excisions. Effacement of the helical fold may accompany this deformity and should be reconstructed for aesthetic integrity. The authors present their ear reduction technique that achieves ear reduction and helical fold reconstruction through a posterior approach. The method is a simple procedure performed by incising and overlapping the cartilage and should be indicated for selected mild macrotia cases...
April 2010: Aesthetic Plastic Surgery
Alex Yuen, Christopher J Coombs
Reduction otoplasty is an uncommon procedure performed for macrotia and ear asymmetry. Techniques described in the literature for this procedure are few. The authors present their ear reduction approach that not only achieves the desired reduction effectively and accurately, but also addresses and creates the natural anatomic proportions of the ear, leaving a scar well hidden within the fold of the helix.
November 2006: Aesthetic Plastic Surgery
J Tainmont
"He had the form of a human being... His ears were as long as clusters of dates or elephant ears, and they covered his shoulders" ("The thousand and one nights", Sinbad the sailor, 546th night, circa IXth century AD). "About his ears, I shall tell you all the truth: They have the capacity of about 300 liters. When he is surprised by wind or tempest, He can immediately cover his head. He does not frighten the water at all, Even if it rained enormously during one full month. The other ear, he uses as a shield...
2006: B-ENT
No abstract text is available yet for this article.
September 1962: Annales de Chirurgie Plastique
No abstract text is available yet for this article.
November 1958: Giornale di Medicina Militare
M Benedict, K U Pirwitz
We present the rare case of a bilateral reduction of macrotic ears by a helical advancement according to Davis. It is a quite simple and reliable technique, that permits to hide the scars in the relief of the pinna.
January 2002: HNO
A Verloes, S Lesenfants, B Philippet, A Iyawa, F Laloux, L Koulischer
We report a boy who shows a severe microcephaly, with mild mental retardation and hypotonia, and a dysmorphic facies: (flat profile, arched eyebrows, mild ptosis, short nose with raised basis, large tip and anteverted nares, long, smooth philtrum, narrow mouth with down turned corners, very large, backward tilted ears, with a prominent lobule, retrognathism and very small and widely spaced, although normally shaped teeth. Vesicoureteral reflux was present. The mother showed similar aspect, large ears, and a grinning smile...
1996: Genetic Counseling
J P Fryns, E Legius, P Moerman, K Vandenberghe, H Van den Berghe
The index patient of this report is a 17-week-gestation female fetus with bilateral anophthalmia, bilateral cleft lip/cleft palate, macrotia with bilateral lateral facial cleft, large open sacral neural tube defect, and uterus unicornis. Parents were normal and nonconsanguineous with an unremarkable family history. Their first child, a 4-year-old boy, is normal. The second child, a 2 1/2-year-old boy, has bilateral anophthalmia and an abnormal left ear with absent lobule as the sole additional anomaly. These 2 sibs seem to be the first examples of a new "anophthalmia-plus" syndrome apparently inherited as autosomal-recessive...
August 28, 1995: American Journal of Medical Genetics
D T Gault, F R Grippaudo, M Tyler
Four cases of ear reduction for congenital macrotia and ear asymmetry are presented. To minimize the visible scarring the technique of helical advancement was used. The indications for this uncommon procedure are discussed with a review of the literature. This simple technique has been effective in achieving the desired reduction, leaving the scar hidden in the eaves of the helix, and we endorse its wider use.
January 1995: British Journal of Plastic Surgery
H Weerda
No abstract text is available yet for this article.
July 1982: Laryngologie, Rhinologie, Otologie
A Minderjahn, W R Hüttl, H Hildmann
Between 1973 and 1977 135 otoplasties were performed following the technique described by Mustardé in 1963. The follow up covered 105 of the cases (77,7%). The quality of the results and the validity of subjective and objective criteria for evaluation were evaluated statistically and compared with previous data. Three aesthetic groups were described by statistical methods. Shape and position of the corrected auricle were classified as good (53%), improved (35%), almost unchanged (12%), partial relapses 8 (7,5%), total relapses 6 (5,7%)...
August 1980: Journal of Maxillofacial Surgery
Y Z Qian, G Z Chen, Y Z Liao
No abstract text is available yet for this article.
February 1984: Chinese Medical Journal
A Zakrzewski, A Kruk-Zagajewska
No abstract text is available yet for this article.
1971: Otolaryngologia Polska. the Polish Otolaryngology
V R Ver Meulen
No abstract text is available yet for this article.
July 1970: Laryngoscope
J Avelar
The author treated 146 cases of congenital external ear deformities, proposing their classification into four groups: anotia, microtia, macrotia, and prominent ears. The importance of a normal appearing ear in the overall facial harmony and contour is emphasized and reconstructive techniques to accomplish this are described.
1986: Aesthetic Plastic Surgery
U T Hinderer, J L del Rio, F J Fregenal
Techniques for treatment of severe and moderate macrotia and for hypertrophy of the earlobe are described. For macrotia, the excision of cartilage at the scapha, helical arch, and skin are performed at different levels to prevent a notching, mainly at the helix. For hypertrophies of the earlobe, through-and-through excisions of two triangular pieces are used with reinsertion of the remaining earlobe at the base.
1987: Aesthetic Plastic Surgery
R V Argamaso
Ear reduction has been performed occasionally for aesthetic considerations. This series is comprised of 8 patients representing 7 bilateral reductions and 1 unilateral reduction for a total of 15 ears. Historically, surgery for macrotia consisted of resections of full-thickness wedges from the periphery of the ear. The surgical defect was repaired by directly approximating the wound edges. Additional removal of triangular or crescent-shaped segments from adjacent sides of the wound prevented the cupping of the reconstructed ear...
June 1989: Plastic and Reconstructive Surgery
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