Solving sharp edges of the antihelix after otoplasty

Abstract

Pitanguy described a technique in which an island of cartilage is created on the anterior surface of the ear that is pushed forward to resemble a smooth antihelical fold by suturing of edges of the wound after resection of a generous ellipse of skin from the posterior surface. Other surgeons have published studies presenting their successful experience with this technique. The authors, however, have seen several cases of secondary deformities utilizing this technique, presenting with a good antihelical fold, but with excessive sharpness evident, providing a deformed antihelix due the cartilage island. The authors present a novel solution for correction of this deformity.