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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...
October 6, 2016: 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)...
September 9, 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...
June 8, 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...
June 8, 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
J Jansma, R H Schepers, A Vissink
The goal of a combined orthodontic-surgical treatment is to correct the dysgnathia and malocclusion and thereby achieve an improvement of function. As a supplement to osteotomy, enhancement of facial aesthetics is increasingly being used to gain more harmony in the face and/or to achieve facial rejuvenation. In this regard, one might think of contour- or projection improvement by performing an intra-oral zygoma osteotomy or the placement of an alloplastic implant. By means of lipofilling, changes to the contours of the soft tissue can be realised...
January 2016: Nederlands Tijdschrift Voor Tandheelkunde
Norbert V Kang, Ryan L Kerstein
BACKGROUND: The earFold™ implantable clip system is a new treatment for prominent ears using an implant made from nickel-titanium alloy, forged into a predetermined shape. The implant is fixed to the cartilage then released, causing the cartilage to fold back. OBJECTIVES: The study aimed to test the safety and behaviour of the implant in vivo. METHODS: This was a Phase 1, prospective, nonrandomised study. Thirty-nine patients were recruited, from 7 to 57 years of age (22 adults and 17 children)...
March 2016: Aesthetic Surgery Journal
Kenneth Stewart, Ewa Majdak-Paredes
Reconstruction following ear trauma presents a heterogeneous group of abnormalities with significantly more variation in presentation. The aim of the study was to analyze our experience and expound some broad principles of auricular reconstruction in acquired ear deformities. A total of 117 patients with human, animal bites and revision otoplasty presented to our clinic. Demographic data were extracted from medical records and photographs. Management options included no reconstruction, external silicone prosthesis, or autologous reconstruction...
December 2015: Facial Plastic Surgery: FPS
D S Avetikov, D V Steblovskiy, I Yu Popovich, K P Lokes, I V Boyko
The present methods for a droopy ears correction do not guarantee the optimal cosmetic effect achievement. Optimal borders of deformity in cutaneo-adiposal flap of the mastoid region while cosmetic otoplasty performance were studied. Basing on analysis of biomechanical investigations, there were determined the optimal corners of stretching and direction of the strength vector in cutaneo-adiposal flaps while otoplasty performance, securing conditions for surgical intervention performance with preservation of a natural topographo-anatomical ratios in the head and neck tissues...
August 2015: Klinichna Khirurhiia
Gerlind Schneider, Sibylle Voigt, Gerhard Rettinger
Otoplasty for the correction of protruding ears is characterized by various techniques and a common and popular cosmetic procedure. For the surgeon, whether beginner or advanced, it is essential to understand the principles and master techniques for standard auricular deformities before applying further sophisticated methods, because a lot of complications and failures are caused by wrong indication and incorrect surgical techniques. The different surgical steps are best learned from teaching models. Therefore, we developed two different silicone models of protruding ears with moderate auricular deformities: one with conchal hyperplasia for the training of conchal resection, and one without antihelix for creating an antihelical fold by suturing technique, based on computed tomography scans of patients...
September 2016: European Archives of Oto-rhino-laryngology
Nikolaos A Papadopulos, Richard Niehaus, Emanuel Keller, Gerhard Henrich, Othon N Papadopoulos, Rainer Staudenmaier, Laszlo Kovacs, Peter Herschbach, Hanno Pototschnig, Hans-Günther Machens
BACKGROUND: In previous studies, our research group already evaluated the impact of aesthetic surgery on "quality of life" (QoL). This study evaluates QoL factors and perceptions of well-being after otoplasty as a single indication. METHODS: Eighty-one patients who underwent otoplasty were divided into three age groups: Youth 1 (Y1) = 8-12 years (n = 17), Youth 1 (Y2) = 13-17 years (n = 13), and Adult ≥18 years (n = 51). For competitive analysis, 2 groups of tests were used: a standardized self-assessment test on life satisfaction (FLZ(M)), the Glasgow Benefit Inventory (GBI), the standardized Rosenberg Self-Esteem Scale (RSES), the standardized Freiburg Personality Inventory (FPI-R), the Patient Health Questionnaire 4 (PHQ-4), and a self-developed and indication-specific questionnaire for "Adult" group...
November 2015: Journal of Craniofacial Surgery
Orhan Ozturan, Remzi Dogan, Berke Ozucer, Yavuz Selim Yildirim, Aysenur Meric
AIM: Stiffness of the auricular cartilage is the main determining factor for the choice of operative technique of the prominent ear deformity. The aim of this study is to evaluate the stiffness of normal appearing ears objectively and quantitatively, compare the results with the operated prominent ear patients, and present prospective short-term dynamometric evaluation of the operated prominent ear patients. PATIENTS AND METHODS: A total of 190 volunteers without ear deformities were recruited and 9 age groups were formed: group (5-9), group (10-14), group (15-19), group (20-24), group (25-29), group (30-34), group (35-39), group (40-49), and group (50+)...
October 2015: Journal of Craniofacial Surgery
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