Otoplasty with an unusual cartilage scoring approach.
Open accessAbstract
BACKGROUND: An ideal otoplasty procedure should minimise the possible risk of severe complications of otoplasty and provide a good aesthetic outcome; however, there is no standart technique to be applied to all types of auricular deformities in different populations. The aim of this study was to present an otoplasty technique with posterior approach in which small incomplete cartilage incisions and suture fixations were used to form the auricle without a need for anterior skin incision and dissection. METHODS: This study involved 42 patients who had bilateral prominent ears with unfurled antihelixes associated with or without conchal excess. The otoplasty procedure mainly consisted of a posterior skin excision, incomplete cartilage incisions in the shape of greater mark, ">", mattress sutures of the posterior cartilage, earlobe correction, and conchal reduction if necessary. RESULTS: This otoplasty technique consists of easy, simple, and rapid surgical steps without a need for anterior skin dissection and cartilage scoring, so it has a low rate of complications in both early and late postoperative periods. Follow-up time of patients ranged from 1-9 years, with an average of 3 years. No major complications such as haematomas, chondritis, wound infection, skin necrosis, asymmetry, recurrence, hypertrophic scars, granulomas, or irregularities developed in the early and late postoperative periods. A good symmetry and natural appearence were achieved with this otoplasty technique. Patients were satisfied with the results. All over complication rate in the postoperative period was 7%. CONCLUSION: The presented technique overcomes the drawbacks of anterior skin dissection and anterior scoring, and minimises the risk of severe complications such as anterior skin necrosis, cartilage necrosis or destruction, and ear irregularities. It also reduces the operation time, swelling, bruising, and possibility of suture extrusion and recurrence.
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Gümüş and Yilmaz developed a posterior method avoiding anterior skin dissection, minimizing complications while ensuring symmetry.
“Gümüş and Yilmaz88 developed a posterior method avoiding anterior skin dissection, minimizing complications while ensuring symmetry.”
From Otoplasty Surgical Techniques and Clinical Outcomes: A Practical Review (2026) · cites this paper as [88]
Cites
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Otoplasty for Prominent Ears: A Versatile Combined Technique to Master the Shape of the Ear
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“Absorbable sutures are also placed to the cartilage to fix and maintain the shape of the ear [13,14].”
BackgroundSmall incision otoplasty for prominent ears
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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
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Rasping First Technique in Otoplasty
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Otoplasty Surgical Techniques and Clinical Outcomes: A Practical Review
Kaleeny, J. D., & Janis, J. E. (2026) · Plastic and Reconstructive Surgery - Global Open · doi:10.1097/gox.0000000000007404
“…an additional 4 wk during sleep and sports Sahin 86 Turban dressing for 6 d Bandage at night for 30 d Haytoglu 87 Not specified Not specified Gümü ş 88 Gauze pads placed over the anterior and posterior surface for 7 d After removal, an elastic band is worn for 10 d Basat 89 Anterior and posterior…”
- Authors
- Gümüş, N., & Yılmaz, S.
- Affiliations
- Adana Numune Eğitim ve Araştırma Hastanesi (TR)
- Sivas Cumhuriyet Üniversitesi (TR)
- Corresponding author
- Gümüş, Nazım
- Venue
- Journal of Plastic Surgery and Hand Surgery
- Publisher
- Informa UK Limited
- Published
- 2015-07-15
- Volume
- 50
- Issue
- 1
- Pages
- 19-24
- ISSN
- 2000-656X (ISSN-L)
- 2000-6764
- OpenAlex
- W1622542896
- Cited by
- 4
- References
- 15
- Citations by year
- 2026: 1 · 2024: 1 · 2018: 1 · 2017: 1
- FWCI
- 0.67
- Type
- journal article
- Language
- en
- Open access
- diamond
- doi.org
- Locations
- Journal of Plastic Surgery and Hand 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, ear deformity, posterior approach, antihelix, postoperative complications, ear asymmetry
- MeSH terms
- Adolescent, Adult, Child, Ear Cartilage, Ear, External, Esthetics, Female, Humans, Male, Plastic Surgery Procedures, Young Adult
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