Repositioning of posterior auricular muscle combined with conventional otoplasty: a personal technique
Abstract
Prominent ears are the most common deformity of the external ear in children. Since 1881 various treatments have been described but the choice of procedure still remains at the surgeon's preference. A posterior auricular muscle malposition is frequently present in prominent ear deformity even though this muscle shows only a rudimentary function in man. This article presents a technique to reposition the posterior auricular muscle as an adjunct to conventional otoplasty. A quadrangular cartilage paddle, where the muscle inserts, is raised with the muscle as a chondro-muscular flap that can be advanced and reset more peripherally. Eighty consecutive patients, followed up for at least 12 months, have been reviewed. The posterior auricular muscle repositioning combined with a lozenge shaped conchectomy has been successfully performed in 103 ears. The cartilage paddle proved to be a strong support which facilitates the re-insertion of the muscle. Repositioning of posterior auricular muscle allows a more anatomical correction of both ear's projection and slope improving symmetry with the contralateral side.
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WARWICK, R., Williams, P. L., Dyson, M., & Bannister, L. (1985) · British Journal of Radiology · doi:10.1259/0007-1285-58-694-1029 · Cited by 4,532 · see citing works
Otoplasty: Evaluation, Technique, and Review
Kelley, P., Hollier, L., & Stal, S. (2003) · Journal of Craniofacial Surgery · doi:10.1097/00001665-200309000-00008 · Cited by 145 · see citing works
The postauricular fascial flap as an adjunct to Mustardé and Furnas type otoplasty.
Horlock, N., Misra, A., & Gault, D. T. (2001) · Plastic and Reconstructive Surgery · doi:10.1097/00006534-200111000-00005 · Cited by 102 · see citing works
Ear Projection and the Posterior Auricular Muscle Insertion
Guyuron, B., & DeLuca, L. (1997) · Plastic &amp Reconstructive Surgery · doi:10.1097/00006534-199708000-00030 · Cited by 66 · see citing works
進行性卵巣がんにおける低用量シスプラスチン,クロラムブシルと低用量シスプラチン,クロラムブシル,ドキシルビシンの無作為比較試験
Barker, G. H., & Wiltshaw, E. (1981) · The Lancet · Cited by 63 · see citing works
Otoplasty: What I Do Now-A 30-Year Perspective
Spira, M. (1999) · Plastic & Reconstructive Surgery · doi:10.1097/00006534-199909030-00036 · Cited by 48 · see citing works
The Post-Meeting “Wear-You-Out” Syndrome in Cosmetic Surgery
Rohrich, R. J. (2001) · Plastic & Reconstructive Surgery · doi:10.1097/00006534-200109150-00038 · Cited by 46 · see citing works
Furnas, D. W. (2002) · Clinics in Plastic Surgery · doi:10.1016/s0094-1298(01)00014-1 · Cited by 44 · see citing works
PROTRUDING AURICLE: A NEUROMUSCULAR SIGN
Smith, D., & Takashima, H. (1978) · The Lancet · doi:10.1016/s0140-6736(78)90860-7 · Cited by 29 · see citing works
Otoplasty: What I Do Now—A 30-Year Perspective
Spira, M. (1999) · Plastic & Reconstructive Surgery · doi:10.1097/00006534-199909010-00038 · Cited by 24 · see citing works
Reconstructing the Antihelix of Protruding Ears by Perichondrioplasty
Ohlsén, L., Vedung, S., & Ohlsén, L. (1980) · Plastic & Reconstructive Surgery · doi:10.1097/00006534-198006000-00007 · Cited by 22 · see citing works
Aygit, A. C. (2003) · Aesthetic Plastic Surgery · doi:10.1007/s00266-002-0095-1 · Cited by 13 · see citing works
Posterior auricular muscle—a useful adjunct in otoplasty
Azad, S., Edwin, A., & Kumar, P. (2003) · British Journal of Plastic Surgery · doi:10.1016/s0007-1226(03)00309-6 · Cited by 12 · see citing works
Nicolétis, C., & Guérin-Surville, H. (1978) · Aesthetic Plastic Surgery · doi:10.1007/bf01577963 · Cited by 9 · see citing works
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Complications of otoplasty: a literature review.
Limandjaja, G. C., Breugem, C. C., Mink van der Molen, A. B., & Kon, M. (2009) · Journal of Plastic, Reconstructive & Aesthetic Surgery · doi:10.1016/j.bjps.2008.06.043 · Cited by 151 · see citing works
Complications after prominent ear correction: a systematic review of the literature.
Sadhra, S. S., Motahariasl, S., & Hardwicke, J. T. (2017) · Journal of Plastic, Reconstructive & Aesthetic Surgery · doi:10.1016/j.bjps.2017.05.033 · Cited by 40 · see citing works
Irkoren, S., Kucukkaya, D., Sivrioglu, N., & Ozkan, H. S. (2014) · European Archives of Oto-Rhino-Laryngology · doi:10.1007/s00405-013-2552-7 · Cited by 17 · see citing works
Binet, A., El Ezzi, O., & De Buys Roessingh, A. (2020) · International Journal of Pediatric Otorhinolaryngology · doi:10.1016/j.ijporl.2020.110302 · Cited by 15 · see citing works
Ersen, B. (2019) · Annals of Plastic Surgery · doi:10.1097/sap.0000000000002025 · Cited by 8 · see citing works
Otoplasty for prominent ear: A systematic review of surgical techniques
Thomson, H., Gosden, J., & Mandal, A. (2026) · JPRAS Open · doi:10.1016/j.jpra.2026.02.013
“13 Several complications are associated with otoplasty, both in the short term such as bleeding, infection, haematoma and necrosis, and the long term, including recurrence, reoperation, suture extrusion, asymmetry and poor aesthetic results.”
- Authors
- Scuderi, N., Tenna, S., Bitonti, A., & Vonella, M.
- Affiliations
- Sapienza University of Rome (IT)
- Magna Graecia University (IT)
- Corresponding author
- Tenna, Stefania
- ORCID
- Tenna, Stefania
- Venue
- Journal of Plastic, Reconstructive & Aesthetic Surgery
- Publisher
- Elsevier BV
- Published
- 2007-02
- Volume
- 60
- Issue
- 2
- Pages
- 201-204
- ISSN
- 1748-6815 (ISSN-L)
- OpenAlex
- W1964609916
- Cited by
- 33
- References
- 15
- Citations by year
- 2026: 1 · 2024: 1 · 2023: 3 · 2020: 3 · 2019: 1 · 2018: 3 · 2017: 3 · 2016: 1 · 2015: 1 · 2014: 1 · 2013: 5 · 2012: 1
- FWCI
- 1.70
- Type
- journal article
- Language
- en
- Open access
- closed
- Locations
- Journal of Plastic Reconstructive & Aesthetic Surgery (publishedVersion)
- PubMed (publishedVersion)
- IRIS Research product catalog (Sapienza University of Rome) (submittedVersion)
- IRIS - UNIRSM (submittedVersion)
- Topics
- Health Sciences › Medicine › Surgery › Reconstructive Facial Surgery Techniques
- Health Sciences › Medicine › Genetics › Congenital Ear and Nasal Anomalies
- Life Sciences › Biochemistry, Genetics and Molecular Biology › Genetics › Craniofacial Disorders and Treatments
- Keywords
- prominent ears, otoplasty, ear deformity, ear symmetry, pediatric otoplasty
- MeSH terms
- Adolescent, Adult, Child, Ear, External, Female, Humans, Male, Middle Aged, Muscles, Postoperative Complications, Treatment Outcome, Plastic Surgery Procedures
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