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Cited by 23Reconstructive Facial Surgery TechniquesNasal Surgery and Airway StudiesCongenital Ear and Nasal Anomalies

Double triangular cartilage excision otoplasty.

Gualdi, Alessandro, Cambiaso-Daniel, Janos, Gatti, Jonatann, Wurzer, Paul, Sljivich, Michaela, Scherer, Saja S., Pietramaggiori, Giorgio, Bertossi, Dario +2 more·2018·Plastic & Reconstructive Surgery
DOI 10.1097/prs.0000000000004175
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Abstract

BACKGROUND: Prominent ears have a negative impact on patients' psychosocial well-being. There are numerous surgical correction techniques described, but the majority have high complication and recurrence rates. In this article, the authors present a stitchless technique that takes advantage of different approaches to minimize complications and recurrences. METHODS: The authors prospectively studied patients who underwent a bilateral double triangular cartilage excision otoplasty in an outpatient setting. This prominent ear setback technique is based on a specific cartilage excision to mechanically collapse the ear without using any sutures through the cartilage. Postoperatively, surgical complications were classified according to the Clavien-Dindo classification. The patient-reported outcome was analyzed after completion of a questionnaire 6 months after surgery, and another clinical follow-up appointment was arranged 12 months after surgery. RESULTS: Sixty patients (120 ears) with an average age of 24 years were studied, and the overall complication rate was 6 percent. Three ears (2.5 percent) developed superficial cutaneous necrosis at the anterior concha, and one ear (1 percent) required an additional correction for unsatisfactory pinna rotation. Also, 2.5 percent of the patients experienced a grade I complication, and 1 percent of the patients experienced a grade IIIa complication according to the Clavien-Dindo classification. No wound infections, hematomas, or hypertrophic scars were observed, and the patient-reported outcome showed satisfaction with the results. CONCLUSIONS: The authors' findings show that the double triangular cartilage excision otoplasty is a safe procedure with low complication/recurrence rates. This stitchless technique should be included in each surgeon's repertoire as an alternative to previously published surgical techniques. CLINICAL QUESTION/LEVEL OF EVIDENCE: Therapeutic, IV.

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Crossref · 10.1097/prs.0000000000004175

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Authors
Gualdi, A., Cambiaso-Daniel, J., Gatti, J., Wurzer, P., Sljivich, M., Scherer, S. S., Pietramaggiori, G., Bertossi, D., Botti, C., & Botti, G.
Affiliations
University of Verona (IT)
ORCID
Venue
Plastic & Reconstructive Surgery
Publisher
Ovid Technologies (Wolters Kluwer Health)
Published
2018-03
Volume
141
Issue
3
Pages
348e-356e
ISSN
0032-1052 (ISSN-L)
DOI
10.1097/prs.0000000000004175
OpenAlex
W2790795114
Cited by
23
References
26
Citations by year
2025: 3 · 2024: 7 · 2023: 6 · 2022: 3 · 2021: 1 · 2020: 1 · 2019: 1 · 2018: 1
FWCI
1.04
Type
journal article
Language
en
Open access
closed
Locations
  • Plastic & Reconstructive Surgery (publishedVersion)
  • PubMed (publishedVersion)
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, cartilage excision, surgical complications, recurrence, patient-reported outcomes, Clavien-Dindo classification
MeSH terms
Adolescent, Adult, Ear Cartilage, Female, Humans, Male, Prospective Studies, Suture Techniques, Patient Satisfaction, Plastic Surgery Procedures, Ear Auricle, Young Adult

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