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C Stephen, A G Lowrie
BACKGROUND: The correct anatomical placement of conchomastoid sutures during suture otoplasty can sometimes prove challenging. If the suture vector is inaccurate, reduction can be difficult and this may lead to malrotation of the pinna. METHODS: This paper describes the adoption of the auricularis posterior muscle, which runs from the mastoid to the concha and whose function is to adduct the pinna, as a marker for conchomastoid suture placement. RESULTS AND CONCLUSION: The muscle is easily identified and dissected, providing a landmark for the placement of sutures onto the adjacent concha and mastoid fascia...
May 2017: Journal of Laryngology and Otology
Mariah Guieiro Alves Dos Reis, Ricardo Guimarães Marim, Luis Ricardo Martinhão Souto
INTRODUCTION: The ear deformity Tanzer type V, also known as prominent ears, is the most common genetic defect of the pinna. The surgery designed for its correction is known as otoplasty. This esthetic surgery can be performed using different techniques, which requires great skill of its operator. OBJECTIVE: The purpose of this work is the development of a new tool for otoplasty techniques training, aimed on the possibility to minimize errors during the otoplasty...
February 14, 2017: Brazilian Journal of Otorhinolaryngology
Miguel Marques Oliveira, Daniel Sousa Marques Oliveira, Gustavo Sousa Marques Oliveira
BACKGROUND: Protruding ears represent the main abnormality of the external ear, which has required numerous anatomic and surgical studies. Most studies give attention to the absence of the antihelix as the anatomic defect responsible for the clinical deformity of the lateral aspect of the ear that leads to its anteversion. The reason for this study is the controversial origin of the fold of the antihelix within the auricle framework, a field of interest for aesthetic otoplasty. The current study examined the medial surface of the cartilaginous ear frame from cadaver specimens with right morphology to investigate the starting point of the fold of the antihelix...
January 7, 2017: Aesthetic Plastic Surgery
Andrea Marchesi, Stefano Marcelli, Pier C Parodi, Rosario E Perrotta, Michele Riccio, Luca Vaienti
INTRODUCTION: Necrotizing fasciitis (NF) is a rare, potentially fatal, infective complication that can occur after surgery. Diagnosis is still difficult and mainly based on clinical data. Only a prompt pharmacological and surgical therapy can avoid dramatic consequences. There are few reports regarding NF as a complication after aesthetic surgical procedures, and a systematic review still lacks. MATERIALS AND METHODS: We have performed a systematic review of English literature on PubMed, covering a period of 30 years...
January 7, 2017: Aesthetic Plastic Surgery
Sung-Eun Kim, Chi-Ho Yeo, Taegon Kim, Yong-Ha Kim, Jun Ho Lee, Kyu-Jin Chung
Lying ears are defined as ears that protrude less from the head, and in frontal view, are characterized by lateral positioning of antihelical contour relative to the helical rim. These aesthetically displeasing ears require correction in accord with the goals of otoplasty stated by McDowell. The authors present a case of lying ears treated by correcting the conchomastoid angle using Z-plasty, resection of posterior auricular muscle, and correction of the conchoscaphal angle by releasing cartilage using 2 full-thickness incisions and grafting of a conchal cartilage spacer...
January 2017: Journal of Craniofacial Surgery
Ian C King, Philip M Gilbert
No abstract text is available yet for this article.
December 2016: Ear, Nose, & Throat Journal
Süheyl Haytoğlu, Tahir Gökhan Haytoğlu, Gökhan Kuran, İlhami Yıldırım, Osman Kürşat Arıkan
OBJECTIVE: The aim of this study was to investigate the efficacy, complication rates, patient satisfaction, and recurrence risks of the incisionless otoplasty technique performed with or without cartilage scoring for correcting the prominent ear in pediatric patients. MATERIAL AND METHODS: A total of 49 patients with prominent ears were operated with incisionless otoplasty. In Group 1, 44 ears of 24 patients were operated with incisionless otoplasty without cartilage scoring...
August 1, 2016: Journal of International Advanced Otology
Michail N Kolodzynski, Moshe Kon, Silvan Egger, Corstiaan C Breugem
Acquired auricular deformities may diminish facial esthetics and cause psychological distress. The aim of this article is to provide an overview of the type of injuries and applied reconstructive techniques in a large academic hospital in The Netherlands. A retrospective chart review was conducted for the last 105 patients who underwent auricular reconstruction for an acquired deformity. Data concerning gender, affected side, cause of injury, anatomical region, the previous and further surgeries, type of cartilage, and skin cover used were collected and analyzed...
February 2017: European Archives of Oto-rhino-laryngology
Metin Temel
BACKGROUND: This study aimed to present the long-term results of the consolidative technique otoplasty (CTO). METHODS: Patient age, sex, duration of follow-up, and how the deformity (bilateral-unilateral) occurred were determined. The kind of anesthesia, duration of surgery, surgical techniques used during the operation were reported, and the preoperative and postoperative distances between the ear and head were measured at four points (SUP: The highest point of the helix; SCA: the concha superior sticking points; ICA: stick point of Concha at the inferior; and lobular)...
December 2016: Aesthetic Plastic Surgery
Salih Onur Basat, Fatih Ceran, Ufuk Askeroglu, Tolga Aksan, Cagdas Orman, Memet Yazar, Ilker Uscetin, Mithat Akan, Mehmet Bozkurt
BACKGROUND: Prominent ear deformity (PD) is an unacceptable condition of pinna that affects 5% of the population and is associated with emotional stress, behavioral disturbances, and social restrictions in relationships. Conchal hypertrphy, inadequate formation of antihelical fold, earlobe placement ahead than it should be, or various combinations of these changes are main characteristics of PD. Many surgical techniques have been described for the PD.The authors' aim was to present laterally based postauricular dermal flap combination with cartilage-sparing methods and effectiveness of this technique in suture extrusion prevention and reducing the rate of recurrence with long-term results...
September 2016: Journal of Craniofacial Surgery
Arianna DI Stadio
BACKGROUND: Several treatments are available to treat the keloid scar. Keloids have the tendency to recur after surgical removal and new treatments for keloid scars include radiotherapy, cryotherapy or compressive therapy. Topical treatments have been also used to treat this pathology, such as injections or medical device applications. CASE REPORT: A 33-year-old man came to our attention and we treated him for a keloid scar located between the ear's helical tubercle and the ante-helix upper root of the left ear...
September 2016: In Vivo
Luís Fernando Ungarelli, Camila Zirlis Naif de Andrade, Evelyne Gabriela Schmaltz Chaves Marques, João Luís Gil Jorge, Bruno Francisco Müller Neto, Guilherme Augusto Magalhães de Andrade, Renan Victor Kumpel Schmidt Lima, Altacílio Aparecido Nunes, Jayme Adriano Farina
BACKGROUND: The prominence of the ear lobule is considered an anomaly of secondary importance and receives correspondingly less attention in literature. We reviewed a case series of otoplasty patients and analyzed the prevalence of lobule prominence. METHODS: Records of otoplasties between 2007 and 2013 were reviewed. Inclusion criteria were: (1) primary otoplasties; (2) prominence of both ears; and (3) otoplasties conducted by the main author. Patients were divided into two groups: (1) A general group (GG) containing all the patients, and (2) a lobule correction group (LG)-a subgroup of GG containing only the patients who needed lobule correction...
October 2016: Aesthetic Plastic Surgery
V Duquennoy-Martinot, N Aljudaibi, A Belkhou, C Depoortère, P Guerreschi
Cosmetic surgery for children and adolescents experiencing an international increase. Their physical and psychological development is incomplete; establishment of an indication for cosmetic surgery requires several essential prerequisites. The motivations of surgery, often multiple and intricate, must be understood. There is a difference in motivation between adult, trying to be more "competitive" and the young patient, wishing to comply with a social group to integrate. We must identify who made the request to respond to requests from the child himself...
October 2016: Annales de Chirurgie Plastique et Esthétique
J Ellart, P Guerreschi, L Pasquesoone, V Duquennoy-Martinot
Prominent ears can have a significant psychological impact especially in children. It is often the subject of negative remarks among classmates. Prominent ears are the result of one or more congenital anomalies that may be associated together in various degrees. Absence of antihelical fold, opening the cephalo-conchal angle and conchal hypertrophy are the most common. The surgery aims to correct these anomalies, by reshaping the cartilage in order to obtain well-shaped ears that is normally positioned and oriented with natural size and appearance...
October 2016: Annales de Chirurgie Plastique et Esthétique
Paul Hong, Ayala Y Gorodzinsky, Benjamin A Taylor, Jill MacLaren Chorney
OBJECTIVES/HYPOTHESIS: To date, there has been little research on shared decision making and decisional outcomes in pediatric surgery. The objectives of this study were to describe the level of decisional conflict and decisional regret experienced by parents considering otoplasty for their children, and to determine if they are related to perceptions of shared decision making. STUDY DESIGN: Prospective cohort clinical study. METHODS: Sixty-five consecutive parents of children who underwent surgical consultation for otoplasty were prospectively enrolled...
July 2016: Laryngoscope
Ercan Cihandide, Oguz Kayiran, Elif Eren Aydin, Adnan Uzunismail
BACKGROUND: Otoplasty techniques are generally divided into 2 categories as cartilage-cutting and cartilage-sparing. The cartilage-cutting techniques have been criticized because of their high risk of hematoma, skin necrosis, and ear deformity. As a result, suture-based cartilage-sparing methods like Mustardé and Furnas-type suture techniques have become increasingly popular. However, with these techniques postauricular suture extrusion may be seen and recurrence rates of up to 25% have been reported...
June 2016: Journal of Craniofacial Surgery
R Hafiz, C Philandrianos, D Casanova, C Chossegros, B Bertrand
INTRODUCTION: Surgical correction of prominent ears is a common aesthetic procedure in young children. Stenström technique is widely performed in France. We present some technical refinements that may be associated to this technique in order to allow for a simple correction of the majority of deformations. TECHNICAL NOTE: The first step of the Stenström technique is the treatment of the unfolded antihelix if necessary. Our first modification consists in introducing the rasp by an anterior approach, hidden under the upper plication of the helix, allowing for a better control...
June 2016: Revue de Stomatologie, de Chirurgie Maxillo-faciale et de Chirurgie Orale
Hermann Raunig, Michael Ofner
OBJECTIVE: Protruding ears with a hypoplastic antihelix often have poorly developed inferior cura. Publications on this topic until now have only dealt with absent inferior crus and have neglected its importance in everyday antihelix plasty. This article describes a new surgical technique to improve treatment of the antihelix. METHODS: Patients with protruding upper third ears received either standard otoplasty with crus superior remodeling (ST) or the newly developed surgical procedure including crus inferior release (STI)...
July 2016: Annals of Otology, Rhinology, and Laryngology
Benjamin A Taylor, Paul Hong
Otoplasty is a commonly performed procedure to correct prominent ears. Many different otoplasty techniques have been described but there is no gold standard technique. As well, many different suture materials are used in otoplasty but studies directly comparing different sutures materials are lacking. An otoplasty outcome study with Nylon and Mersilene (2 of the most commonly used sutures in otoplasty) sutures was conducted using a rabbit model. Each rabbit ear was randomized to receive a Mustardé-type horizontal mattress suture with either 4-0 clear Nylon (N = 12 ears) or 4-0 Mersilene sutures (N = 12 ears)...
March 2016: Journal of Craniofacial Surgery
Metin Temel, Ş Şamil Kahraman, Özge Berber, Cengiz Çevik, Ertap Akoğlu
We aimed to compare the long-term results of complications of consolidative technique otoplasty (CTO) and incisionless otoplasty (IO). The study consists of 156 patients who were operated between 2006 and 2015. According to surgical techniques, these patients were divided into two groups as IO group and CTO group. The distance between the head and the ear was assessed by measuring the four points preoperatively and postoperatively (SUP: most superior helical point, SCA: superior conchal attachment, ICA: inferior conchal attachment, and lobule)...
October 2016: European Archives of Oto-rhino-laryngology
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