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Cited by 21Reconstructive Facial Surgery TechniquesNasal Surgery and Airway StudiesCongenital Ear and Nasal Anomalies

Otoplasty for prominent ears—demographics and surgical timing in different populations.

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Kajosaari, Lauri, Pennanen, Juhani, Klockars, Tuomas·2017·International Journal of Pediatric Otorhinolaryngology
DOI 10.1016/j.ijporl.2017.06.014
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Abstract

Introduction Prominent ears are seen in approximately 5% of the population. This benign condition can be treated surgically to reduce or prevent psychological and social problems, most commonly in children before the start of school. Our aim was to examine the demographic characteristics of patients undergoing prominent ear surgery in Finland, and compare findings with international data.Methods A retrospective study of all the patients treated for prominent ears in our academic tertiary care referral center during 2007-2011 was performed to gather demographic details of operated patients. A systematic review of published series of prominent ear surgery after the year 2000 was performed to gather demographic details for international comparison.Results A total of 180 patients were operated in our institution for prominent ears, most of the cases (78.9%) were bilateral. Age at operation ranged between 3 and 36 years, with mean of 9.2 y and median of 7 y. The most common reason for seeking operative treatment was aesthetic complaint, followed by bullying. Review process gathered 20 publications, describing a total of 4433 patients who had been operated for prominent ears. There was wide variation the mean age at operation, ranging 7-38 y while the mean overall was 15.0y. Gender distribution of patient samples was also very variable, with percentage of females ranging from 38 to 71% (overall 52%). There was also considerable variation in the tendency to perform unilateral operations: from 0% up to 21% of the reported population. There were no statistically significant correlations linking these demographic variables, though there was a trend that females are more likely to have this operation performed at an older age.Conclusions The treatment culture of prominent ear surgery varies substantially in international comparison. The age at which this operation is performed showed most variation. Omitting some of the basic demographic variables while reporting the results of surgery was common in the reviewed publications.

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  • Ninety percent of auricular growth occurs by age 11-12 years, with prominence greater than 21.5 mm in boys and greater than 17.5 mm in girls.

    “Ninety percent of auricular growth occurs by age 11–12 years, with prominence greater than 21.5 mm in boys and greater than 17.5 mm in girls.62–66”

    From Otoplasty Surgical Techniques and Clinical Outcomes: A Practical Review (2026) · cites this paper as [66]

    The Introduction (page unavailable) says the auricle approaches adult dimensions around age 4–5, but gives no percentage of growth by age 11–12. It also describes the definition of a prominent ear as subjective and gives no sex-specific millimeter thresholds. Searches for the claimed ages, percentage, and measurements found no supporting passage in our copy. (LLM, conf=0.76)

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Authors
Kajosaari, L., Pennanen, J., & Klockars, T.
Affiliations
University of Helsinki (FI)
Corresponding author
Kajosaari, Lauri
ORCID
Klockars, Tuomas
Venue
International Journal of Pediatric Otorhinolaryngology
Publisher
Elsevier BV
Published
2017-09
Volume
100
Pages
52-56
ISSN
0165-5876 (ISSN-L)
DOI
10.1016/j.ijporl.2017.06.014
OpenAlex
W2625645478
Cited by
21
References
29
Citations by year
2026: 5 · 2025: 1 · 2024: 3 · 2022: 6 · 2020: 6
FWCI
1.68
Type
journal article
Language
en
Open access
Licence
Locations
  • International Journal of Pediatric Otorhinolaryngology (publishedVersion)
  • PubMed (publishedVersion)
  • Työväentutkimus Vuosikirja (submittedVersion, other-oa)
Funders
Stiftelsen Dorothea Olivia, Karl Walter och Jarl Walter Perkléns Minne, Finland
Topics
  • Health Sciences › Medicine › Surgery › Reconstructive Facial Surgery Techniques
  • Health Sciences › Medicine › Surgery › Nasal Surgery and Airway Studies
  • Health Sciences › Medicine › Genetics › Congenital Ear and Nasal Anomalies
Keywords
otoplasty, prominent ears, age at surgery, timing of surgery, demographic factors, gender distribution, bullying, cross-national comparison, Finland
MeSH terms
Adolescent, Adult, Child, Child, Preschool, Demography, Ear, External, Esthetics, Female, Finland, Humans, Male, Retrospective Studies, Plastic Surgery Procedures, Young Adult, Operative Time

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