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Cited by 7Reconstructive Facial Surgery TechniquesCongenital Ear and Nasal AnomaliesNasal Surgery and Airway Studies

Outcomes and complications of incisionless otoplasty—a retrospective observational study and a review of the literature.

Edafe, Ovie, Argyriou, Kalliopi, Thevasagayam, Mahilravi S.·2020·International Journal of Pediatric Otorhinolaryngology
DOI 10.1016/j.ijporl.2020.110246
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Abstract

Introduction Incisionless otoplasty is a more recently described technique to correct prominent ears. It is thought to provide a more natural cosmetic look, easier to perform, and achieve quicker recovery when compared to conventional otoplasty. The safety and efficacy of the procedure is not well characterised as there is limited data on outcomes and complications.Methods This was a retrospective study to evaluate outcomes and complications of incisionless otoplasty. We included all children who underwent incisionless otoplasty by a single surgeon over a 9-year period at a tertiary paediatric ear, nose and throat (ENT) unit.Results A total of 32 children were included in this study (62 ears operated on). Using facial dimension measurements to analyse preoperative and postoperative photographs, the proportion of prominent ears reduced from 43/56 (76.8%) to 8/45 (17.8%). The children reported good cosmetic outcomes in 38/40 (95.0%) ears. Assessment of preoperative and postoperative photographs considered 34/39 (87.2%) to have good cosmetic result. The following rates of complications were observed: infection, 6/62 (9.7%); blistering, 14/62 (22.6%); bleeding, 1/62 (1.6%); suture breakage/extrusion, 8/62 (21.9%); skin necrosis, 1/62 (1.6%). Further otoplasty procedures were done on five ears (8.3%).Conclusions Incisionless otoplasty was associated with high success and satisfaction rates. A previously undescribed complication of early postoperative erythema, swelling and blistering may be unique to this technique. This procedure should be further evaluated to identify risk factors and preventative measures to reduce complications.

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  • Incisionless techniques had higher blistering, at 22.6%.

    “Many studies and prior meta-analyses confirmed otoplasty’s safety, though incisionless techniques had higher blistering (22.6%) and suture extrusion (21.9%).104–108”

    From Otoplasty Surgical Techniques and Clinical Outcomes: A Practical Review (2026) · cites this paper as [108]

  • Incisionless techniques had higher suture extrusion, at 21.9%.

    “Many studies and prior meta-analyses confirmed otoplasty’s safety, though incisionless techniques had higher blistering (22.6%) and suture extrusion (21.9%).104–108”

    From Otoplasty Surgical Techniques and Clinical Outcomes: A Practical Review (2026) · cites this paper as [108]

  • Many studies and prior meta-analyses confirmed otoplasty's safety.

    “Many studies and prior meta-analyses confirmed otoplasty’s safety, though incisionless techniques had higher blistering (22.6%) and suture extrusion (21.9%).104–108”

    From Otoplasty Surgical Techniques and Clinical Outcomes: A Practical Review (2026) · cites this paper as [108]

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Authors
Edafe, O., Argyriou, K., & Thevasagayam, M. S.
Affiliations
  • Sheffield Teaching Hospitals NHS Foundation Trust (GB)
  • Birmingham Children's Hospital (GB)
  • Sheffield Children's Hospital (GB)
Corresponding author
Edafe, Ovie
ORCID
Venue
International Journal of Pediatric Otorhinolaryngology
Publisher
Elsevier BV
Published
2020-10
Volume
137
Pages
110246
ISSN
0165-5876 (ISSN-L)
DOI
10.1016/j.ijporl.2020.110246
OpenAlex
W3041912109
Cited by
7
References
14
Citations by year
2026: 2 · 2025: 1 · 2024: 1 · 2023: 2 · 2022: 1
FWCI
0.69
Type
journal article
Language
en
Open access
closed
Licence
Locations
  • International Journal of Pediatric Otorhinolaryngology (publishedVersion)
  • PubMed (publishedVersion)
Topics
  • Health Sciences › Medicine › Surgery › Reconstructive Facial Surgery Techniques
  • Health Sciences › Medicine › Genetics › Congenital Ear and Nasal Anomalies
  • Health Sciences › Medicine › Surgery › Nasal Surgery and Airway Studies
Keywords
prominent ears, postoperative erythema, suture extrusion, infection, cosmetic outcome, pediatric otoplasty
MeSH terms
Adolescent, Child, Child, Preschool, Ear, External, Female, Follow-Up Studies, Humans, Male, Postoperative Complications, Retrospective Studies, Otologic Surgical Procedures, Treatment Outcome

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