ABSTRACT
Otoplasty surgery for correction of the “lop” protuberant ear deformity continues to evolve. A noninvasive method for achieving normal appearance and physiology for the protuberant ear pinna is presented. Incisionless Otoplasty surgery, involving a combined cartilage scoring procedure and a percutaneously placed retention suture procedure, creates a predictable and permanent correction of the missing antihelical fold. In addition, treatment of the protruding conchal bowl by endoscopic techniques further enhances the cosmetic appearance. A long-term follow-up period of over 10 years gives perspective on the efficacy of the operation.
KEYWORDS
Otoplasty - incisionless - endoscope
REFERENCES
-
1 Dieffenbach J E. Die Ohrbildung Otoplastik. In: Die Operative Chirugie Leipzig; F.A. Brockhaus 1848: 395-397
-
2
Mustardé J C.
The correction of prominent ears using simple mattress sutures: a ten year survey.
Plast Reconstr Surg.
1967;
29
382-386
-
3
Furnas D W.
Correction of prominent ears by conchal mastoid sutures.
Plast Reconstr Surg.
1968;
24
189-193
-
4 Miller C. Operations for correction of outstanding ears. In: Cosmetic Surgery Philadelphia, PA; A.A. Davis 1925: 201-211
-
5
Fritsch M H.
Incisionless Otoplasty. (Early technique without address of the cartilage spring).
Laryngoscope.
1995;
105(70)
1-11
-
6
Fritsch M H.
Reconstruction following lateral skull base surgery with introduction of facial incisionless reanimation surgery.
Otolaryngol Clinics N Am.
2002;
35
425-444
-
7
Gibson T, Davis W B.
The distortion of autogenous cartilage grafts: its cause and prevention.
Br J Plast Surg.
1958;
10
257-274
-
8
Stenstrom S J.
A “natural” technique for correction of congenitally prominent ears.
Plast Reconstr Surg.
1963;
32
509-518
-
9 Incisionless Otoplasty video. Available at: http://othn.iusm.iu.edu/incisionlessotoplasty/.
Michael H FritschM.D. F.A.C.S.
Associate Professor, Department of Otolaryngology-Head and Neck Surgery, Indiana University Medical Center
702 Barnhill Drive, Suite 0860, Indianapolis, Indiana 46202