Aesthetic Otoplasty: Principles, Techniques and an Integrated Approach to Patient-Centric Outcomes

Ordon, Andrew; Wolfswinkel, Erik M.; Shauly, Orr; Gould, Daniel J.

doi:10.1007/s00266-019-01441-2

Cited by 11 publications

(3 citation statements)

References 59 publications

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“…13 The severity and symmetry of overgrowth in this case precluded otoplasty techniques described in the literature. 6 We have described a novel approach to reductive otoplasty combining auricle resection and traditional sculpting techniques to improve appearance and suitability for a bone-anchored auditory implant. Our approach was the simplest to achieve reduced projection from the skull and a proportional ear size that matched the unaffected ear.…”

Section: Discussionmentioning

confidence: 99%

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Reductive Otoplasty and Facial Debulking in a Pediatric Patient With PIK3CA-Related Overgrowth

Das

Rahman

Phillips

et al. 2021

FACE

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Overgrowth syndromes encompass a number of rare genetic diseases with heterogeneous clinical phenotypes. Accordingly, there is a strong imperative to collect data and classify these disorders to aid in diagnosis and management. Recent advances in the genetics of overgrowth syndromes have identified mutations in the PIK3CA gene. These somatic mutations manifest in progressive segmental overgrowth of fibrous and adipose tissue and bone, vascular malformations, and in some cases, increased risk for malignancy. Targeted medical therapy is under investigation for the management of PROS, but treatment of overgrowth relies on surgical debulking. Macrotia in PIK3CA-related overgrowth spectrum (PROS) has not been reported in the literature. In this case, we discuss a novel approach to reductive otoplasty and facial soft tissue debulking in a pediatric patient with PROS.

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Section: Discussionmentioning

confidence: 99%

“…Reductive otoplasty is used in cases of macrotia to achieve improved external auricular form and size while reducing sun exposure. 6 Herein, we describe our approach to the management of a rare case of severe right-sided macrotia and hemifacial overgrowth in PROS.…”

Section: Introductionmentioning

confidence: 99%

Reductive Otoplasty and Facial Debulking in a Pediatric Patient With PIK3CA-Related Overgrowth

Das

Rahman

Phillips

et al. 2021

FACE

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“…These techniques, in particular, have the advantage of producing long-lasting results but risk less-predictable results with the potential for producing sharp cartilaginous edges or ridges, which could lead to postoperative deformity. 8 , 9 In addition, the standard complications of any invasive surgery, such as infections, hematomas, or abnormal scarring, can occur. Cartilage-sparing otoplasty is an alternative approach where ear contouring is achieved through permanent or absorbable sutures, by fixing the concha to the mastoid.…”

Section: Introductionmentioning

confidence: 99%

Conchal Excision Techniques in Otoplasty: A Literature Review

Mogl

Palackic

Cambiaso‐Daniel

et al. 2022

Plastic and Reconstructive Surgery - Global Open

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Background: Prominent ears are a common congenital deformity of the head and neck. Correcting concha hypertrophy is an important step in otoplasty. Despite the risk of postoperative deformity due to the sharp edges created by excision, removing a section of cartilage is sometimes the only method to obtain a satisfying and long-lasting result. Multiple conchal excision techniques have been reported in the literature, with significant differences in approach, outcome evaluation, and complication classification. The objective was to review cartilage excision-based otoplasty procedures to offer plastic surgeons’ insights into current data on outcomes and complications of conchal excision techniques. Methods: We conducted a literature search through the MEDLINE, EMBASE, Scopus, and Cochrane databases. Prospective and retrospective studies on otoplasty, including revision surgeries and conchal excision techniques involving concha cartilage resection, were included. Articles with no outcomes data, review articles, case reports, expert opinion or comment, and nonclinical studies were excluded. Results: There were a total of four manuscripts that fulfilled our criteria. Three out of four authors preferred posterior access that separates the skin excision from the cartilage excision. Following resection, cartilage edges can be approximated by placing cartilage sutures, or they can be allowed to collapse spontaneously. Although only two authors employed a systematic classification for complications, all the articles reviewed indicated a low complication rate and excellent postoperative cosmetic outcomes. Conclusion: Although the techniques and principles stated in the literature varied to some extent, the outcomes of all studies reviewed were comparable.

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