Minimally Invasive Otoplasty: Technical Details and Long-Term Results

Abstract

Background Aesthetic correction of the ears requires thorough diagnosis and subsequent treatment of the affected areas. The authors' technique addresses every deformity that might need correction through separate incisions, minimal scars, and conservative dissection without the use of permanent sutures. Correction of the eventual discrepancy between cartilage height and the skin envelope is particularly observed and addressed by means of scaphal reduction. The technical details, long-term results, and complications are evaluated in this article. Methods A retrospective review of 100 otoplasties performed between 2005 and 2009 by a single surgeon was conducted. Charts were reviewed and data were collected on the type of deformity corrected, the complications, and the outcome. Results Minimally invasive otoplasty was performed for 100 patients, primarily women (n=71), with an average age of 23.2 years. In 96 cases, bilateral correction was performed using a combination of concho-mastoid sutures (81%), scapha reduction (76%), antihelical folding (70%), conchal reduction (53%), or earlobe correction (19%). Three patients experienced partial recurrence and needed further correction. Partial upper pole necrosis developed in one patient after undue tension was applied to his dressing, and further correction was needed. Three patients experienced mild partial skin discoloration and epidermolysis that lasted no more than 10 days. Most of the patients were very satisfied (84%) or satisfied (15%) with the procedure after an average follow-up period of 12.4 months. Conclusions Restoration of facial harmony through aesthetic correction of the ears is a highly satisfying procedure for both patients and surgeons. Since 1988, the author's unit has pursued and improved a technique that could provide shorter recovery times, minimal morbidity, and predictable results for a population consisting primarily of adults. This minimally invasive technique can achieve these goals with excellent long-term aesthetic outcomes.