Hostname: page-component-586b7cd67f-vdxz6 Total loading time: 0 Render date: 2024-11-28T05:13:35.631Z Has data issue: false hasContentIssue false
  • English
  • Français

Cartilage-sparing otoplasty: a review with long-term results

Published online by Cambridge University Press:  29 June 2007

H. D. Vuyk
H. D. Vuyk*
Affiliation:
Department of Otolaryngology. Facial Plastic Surgery, Gooi Noord Hospital. Blaricum, Netherlands.
*
Address for correspondence: H. D. Vuyk, M.D., Ph.D., Department of Otolaryngology/Facial Plastic Surgery, Gooi Noord Hospital, Rijksweg 1, 1261 AN Blaricum, Netherlands.
Get access Rights & Permissions [Opens in a new window]

Abstract

Prominent ears are the most frequent congenital deformity in the head and neck region. Anatomy of normal and prominent ears as well as the psychological aspects of prominent ears are reviewed. Two types of surgical technique are described with emphasis on the cartilage-sparing technique.

A sound pre-operative analysis, focusing on all partsof the deformity, and surgical techniques which are gradually applied to these deformities should result in pleasing, permanent changes for the vast majority of patients. In our opinion, a combination of cartilage-sparing techniques augmented with cartilage-weakeningprocedures give predictable long-term results with a natural appearing ear and concomitant few, easily treated complications.

Keywords

Ear cartilagessurgery
Type
Review Article
Information
The Journal of Laryngology & Otology , Volume 111 , Issue 5 , May 1997 , pp. 424 - 430
Copyright
Copyright © JLO (1984) Limited 1997

Access options

Get access to the full version of this content by using one of the access options below. (Log in options will check for institutional or personal access. Content may require purchase if you do not have access.)

References

Adamson, J. E., Horton, C. E., Crawford, H. H. (1965) The growth pattern of the external ear. Plastic and Reconstructive Surgery 36; 466–470.Google Scholar
Adamson, P. A. (1985) Complications of otoplasty. Journalof Ear, Nose and Throat 64; 568–574.Google ScholarPubMed
Adamson, P. A., Tropper, G. J., McGraw, B. C. (1990) Otoplasty. In Aesthetic Facial Surgery (Crause, C. S., ed.) J. B. Lippincott, Philadelphia, pp 703–734.Google Scholar
Adamson, P. A., McGraw, P. L., Tropper, G. J. (1991) Otoplasty: Critical review of clinical results. Laryngoscope 108: 883–888.Google Scholar
Appaix, A., Pech, A., Garcin, M., Rouvier, P. (1968) La chirurgie des oreilles decollées. Journal Francais OtoRhinoLaryngologie Audiophonologie Chirurgie Maxillo-Faciale 17: 385–398.Google Scholar
Balogh, B., Millessi, H. (1992) Are growth alterations a consequence of surgery for prominent ears? Plastic and Reconstructive Surgery 192–199.CrossRefGoogle ScholarPubMed
Becker, O. J. (1949) Surgical correction of the abnormally protruding ears. Archives of Otolaryngology 50: 541–560.Google Scholar
Beernink, J. H., Blocksma, R., Moore, W. D. (1979) The role of the helical tail in cosmetic otoplasty. Plastic and Reconstructive Surgery 64; 115–117.CrossRefGoogle ScholarPubMed
Bradbury, E. T., Hewison, J., Timmons, M. J. (1992) Psychological and social outcome of prominent ear correction in children. British Journal of Plastic Surgery 45: 97–100.Google Scholar
Cash, T. F. (1980) Does beauty make a difference? CTFA Cosmetic Journal 12: 24.Google Scholar
Dion, K., Berscheid, E., Walstein, E. (1972) What is beautiful is good. Journal of Personality and Social Psychology 24: 285–290.Google Scholar
Furnas, D. W. (1968) Correction of prominent ears by conchamastoidsutures. Journal of Plastic Surgery 42: 189–193.Google Scholar
Goode, R. L., Proffitt, S. D., Rafaty, F. M. (1970) Complications of otoplasty. Archives of Otolaryngology 91: 352–355.CrossRefGoogle ScholarPubMed
Mallen, R. W. (1974) Otoplasty. Canadian Journal of Otolaryngology 3: 74–78.Google Scholar
McDowell, A. P. (1968) Goals in otoplasty for protruding ears. Journal of Plastic Reconstructive Surgery 41: 1–17.Google Scholar
McGregor, F. C. (1978) Ear deformities: social and psychological implications. Clinics in Plastic Surgery 5: 347–350.CrossRefGoogle Scholar
Minderjahr, A., Huttl, W. R., Hildmann, H. (1980) Mustardé's otoplasty: evaluation of correlation between clinical and statistical findings. Journal Maxillo-Facial Surgery 8: 241–250.CrossRefGoogle Scholar
Mustardé, J. C. (1963) The correction of prominent ears using simple mattress sutures. British Journal of Plastic Surgery 16: 170–178.Google Scholar
Nielsen, F., Kristensen, F., Crawford, C. (1985) Prominent ears: a follow-up study. Journal of Laryngology and Otology 99: 221–224.CrossRefGoogle ScholarPubMed
Ohlsen, L., Vedung, S. (1980) Reconstruction of the antihelix of protruding ears by perichondrioplasty: a modified technique. Plastic and Reconstructive Surgery 65: 753–762.CrossRefGoogle ScholarPubMed
Rasinger, G. A., Arnoldner, M., Wicke, W. (1993) Spät Ergebnisse der Korrektur abstehender Ohrmüscheln. Laryngologie Rhinologie Otologie 62: 328–330.Google Scholar
Reis, H. T., Wheeler, L., Spiegel, N., Kernis, M. H.,Nezlek, J., Perri, M. (1982) Physical attractiveness in socialinteraction: why does appearance affect social experience? Journal of Personality and Social Psychology 43: 979–996.Google Scholar
Rhŷs, Evans P. H. (1981) Prominent ears and their surgical correction. Journal of Laryngology and Otology 95: 881–892.Google Scholar
Rigg, B. M. (1979) Suture materials in otoplasty. Plasticand Reconstructive Surgery 63: 409–410.Google Scholar
Stenströ, A. (1963) A ‘natural’ technique for correction of congenitally prominent ears. Plastic and Reconstructive Surgery 32: 509–518.CrossRefGoogle Scholar
Tardy, M. R. Jr., Dennis, D. (1981) Otoplasty: a contemporary survey. American Journal of Otolaryngology 2: 43–47.CrossRefGoogle ScholarPubMed
Vuyk, H. D., van der Baan, S., Olde, Kalter P.Oorschelpcorrectie met kraakbeensparende technieken (1994). Nederlands Tijdschrift voor Geneeskunde 138 (13): 664–669.Google Scholar
Vuyk, H. D., Zijiker, T. D. (1995) Pre-operative analyses. Facial Plastic Surgery Monographs 11 (2): 55–60.Google Scholar
Webster, R. C., Smith, R. C. (1980) Otoplasty for prominent ears. In Long-term Results in Plastic and Reconstructive Surgery. (Goidwin, R. M., ed.) Little, Brown and Company, Boston, pp 146.Google Scholar
Wright, W. K. (1970) Otoplasty goals and principles. Archives of Otolaryngology 92: 568–572.Google Scholar