Otoplasty Goals and Principles

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Abstract
In the surgical correction of protruding ears one should strive for normal-appearing and esthetically pleasing auricular contour and also to simplify surgical techniques so the residents and less experienced surgeons can also consistently achieve such end results. I describe an eclectic suture-only technique which achieves both goals. (A wrongly placed suture can be removed and replaced until it is in the right position without jeopardizing the final result. Conchal protrusion is corrected by suturing the lateral conchal wall to the mastoid periosteum via a low postauricular incision. If there is additional antihelix deformity, the skin is elevated on both sides of the antihelix; the lateral surface is gridded to weaken the cartilage spring. The antihelix is then correctly contoured with buried nonabsorbable mattress sutures tied posteriorly. The placement of these sutures is aided by external black silk guide sutures which are placed under direct vision while the ear is held in the corrected position.

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