Document Detail

Molding the ears after anterior scoring and concha repositioning: a combined approach for protruding ear correction.
MedLine Citation:
PMID:  12632198     Owner:  NLM     Status:  MEDLINE    
The goal of otoplasty for correction of prominent ears is normalization of shape and position of both pinnas with a certain symmetry. Recreating the antihelical fold and lowering the auriculocephalic angle are the basic processes for achieving a normal-looking ear. Various methods have been described to recreate the antihelical fold. In addition to anterior scoring or abrasion, many involve placement of permanent or absorbable sutures to reform the cartilage to proper shape to correct the deformity. In this study the use of a custom-made silicone mold was described after anterior scoring to recreate the antihelical fold, without using any suture material. Silicone molds provide good shaping of the antihelical fold, scapha, and helical rim while the tissue is healing. Fourteen patients underwent bilateral otoplasty for prominent ears in our clinic over a four-year period. The anthelical fold was created by anterior scoring and the concha-mastoid angle lowered and sutured. After completing the surgical procedure for both ears, custom-made silicone molds were worn by the patient for the first two weeks to maintain proper position. The third week, the patient wore the mold half a day. A head dressing was used for two days and the ears were subsequently supported using a headband. Follow-up ranged from fourteen months to four years. One patient developed a postoperative hematoma in one ear that resorbed spontaneously. Patient satisfaction with the procedure was generally high. Using a shape mold after a combination of anterior scoring and concha repositioning gives predictable results with a natural-looking ear.
A Cemal Aygit
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Publication Detail:
Type:  Journal Article     Date:  2003-03-14
Journal Detail:
Title:  Aesthetic plastic surgery     Volume:  27     ISSN:  0364-216X     ISO Abbreviation:  Aesthetic Plast Surg     Publication Date:    2003 Jan-Feb
Date Detail:
Created Date:  2003-06-05     Completed Date:  2003-08-26     Revised Date:  2004-11-17    
Medline Journal Info:
Nlm Unique ID:  7701756     Medline TA:  Aesthetic Plast Surg     Country:  United States    
Other Details:
Languages:  eng     Pagination:  77-81     Citation Subset:  IM    
Plastik ve Rekonstrüktif Cerrahi AB Dah, Trakya Universitesi Tip Fakültesi, 22030 Edirne, Turkey.
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MeSH Terms
Ear* / abnormalities,  surgery
Surgery, Plastic / methods*

From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine

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