Otoplasty

Abstract

The incidence of a prominent ear deformity approaches 5%, with an unfurled antihelix and a deep conchal bowl accounting for the most common variations (Current Opinion in Otolaryngology & Head and Neck Surgery 16(4):352-358, 2008). Individuals with prominent ears, especially children, are sometimes exposed to significant psychological distress (Clinics in Plastic Surgery 5:347, 1978). Thus, otoplasty can be performed to surgically contour the protruding ears to a less prominent, more natural position. Otoplasty involves exposing the auricular cartilage and mastoid fascia, placing sutures to recreate the antihelical fold, and setting the auricle back in its desired anatomic location. Complications include both short-term (e.g., infection, hematoma, necrosis) and long-term (e.g., asymmetry, inadequate correction) problems. The most common complication is patient dissatisfaction (Current Opinion in Otolaryngology & Head and Neck Surgery. 16(4):352-358, 2008).