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Ann Otol Rhinol Laryngol 2022 Jun 20:34894221105831. Epub 2022 Jun 20.

Otolaryngology - Head and Neck Surgery, Pediatric Division, University of Michigan Health Systems, CS Mott Children's Hospital, Ann Arbor, MI, USA.

Importance: Prominotia has functional and esthetic impact for the child and family and proficiency in otoplasty requires experiential rehearsal.

Objectives: To design and validate an anatomically accurate, 3D printed prominotia simulator for rehearsal of otoplasties.

Methods: A 3D prominotia model was designed from a computed tomographic (CT) scan and edited in 3-matic software. Read More

Plast Reconstr Surg Glob Open 2022 Jun 15;10(6):e4381. Epub 2022 Jun 15.

University Vita-Salute San Raffaele, Milan, Italy.

Prominent ears are a common congenital deformity of the head and neck. Correcting concha hypertrophy is an important step in otoplasty. Despite the risk of postoperative deformity due to the sharp edges created by excision, removing a section of cartilage is sometimes the only method to obtain a satisfying and long-lasting result. Read More

Aesthet Surg J 2022 Jun 11. Epub 2022 Jun 11.

Mersey Regional Centre for Burns and Plastic Surgery, Merseyside, UK.

BMC Surg 2022 May 14;22(1):182. Epub 2022 May 14.

Orelhinha Institute, 55 Oriente ST, Chácara da Barra, Campinas, São Paulo, 13090-740, Brazil.

Objectives: This study proposes a new surgical alternative for the most common deformity in the ears, the so-called "protruding/prominent ears", which is a condition that affects 5% of the Caucasian population (Goulart et al. in Rev Bras Cir Plast 26:602-607, 2011). This technique comes with the benefits of reduced surgical time, shallow learning curve, and a low revision rate. Read More

Facial Plast Surg Aesthet Med 2022 May 6. Epub 2022 May 6.

Finesse Center for Facial Plastic Surgery, Regensburg, Faculty of Medicine, University of Regensburg, Germany.

Aesthet Surg J 2022 Apr 9. Epub 2022 Apr 9.

Department of Otolaryngology-Head and Neck Surgery, University of Toronto, Toronto, ON, Canada.

Background: Prominent ear deformity occurs in 5% of the general population and has been treated by otoplasty for many years to address the psychosocial challenges of having such a deformity. There is extensive literature but no consensus on the best method to address potential surgical complications, including suture extrusion.

Objectives: In this article, we describe a surgical technique designed to reduce suture extrusion following otoplasty surgery by using free soft tissue grafts placed between Mustardé sutures and post-auricular skin. Read More

J Clin Anesth 2022 Aug 4;79:110747. Epub 2022 Apr 4.

Department of Anesthesiology, Showa University Hospital, Tokyo, Japan.

Aesthetic Plast Surg 2022 Mar 24. Epub 2022 Mar 24.

Adana Medical Faculty, Health Application and Research Center, Department of Plastic, Reconstructive and Aesthetic Surgery, University of Health Sciences, Adana, Turkey.

Background: Prominent ear deformity is an autosomal dominant inherited deformity. Surgery is the most effective treatment method for prominent ear patients. Different prominent ear operations have been described in the literature. Read More

Braz J Otorhinolaryngol 2022 Feb 15. Epub 2022 Feb 15.

Izmir Bakırçay University Çiğli Training and Research Hospital, Department of Otorhinolaryngology and Head and Neck Surgery, İzmir, Turkey.

Objective: Various techniques have been described in the literature for prominent ear correction. These cartilage-preserving or cartilage-shaping techniques have their own advantages and disadvantages. We aim to achieve aesthetic and stable results with low complication rates using combinations of these methods. Read More

Plast Reconstr Surg Glob Open 2022 Feb 18;10(2):e4144. Epub 2022 Feb 18.

Plastic and Oral Surgery, Boston Children's Hospital, Boston, Mass.

Improved understanding of the psychosocial effects of prominent ears has led to increased intervention in early school-aged children. Cartilage-sparing otoplasty procedures are commonly used in this population, given the effectiveness of sutures in remodeling the pliable pediatric ear. In addition to their efficacy, another advantage of these techniques is their low overall complication rates, with complications beyond 3 months being particularly uncommon. Read More

Ann Plast Surg 2022 Feb;88(2):188-194

Department of Plastic and Reconstructive Surgery, Sohag Cleft and Craniofacial Unit, Sohag University Hospital, Sohag, Egypt.

Background: The lop ear deformity is defined by a deficient helix and scapha, underdeveloped anthelix, and downfolding of the helix. The terminology used is still confusing, and the treatment is not entirely structured. The aim of this study was to provide a new systematic surgical approach of this deformity based on our center's experience. Read More

J Craniofac Surg 2022 Jan 10. Epub 2022 Jan 10.

Otolaryngology and Head & Neck, Facial Plastic, Ministry of Health & King Saud University King Abdulaziz University Hospital (KAUH) Otolaryngology and Head & Neck Resident, Ministry of Health Otolaryngology and Head & Neck, Facial Plastic, Dr. Sulaiman AlHabib Medical Group Otolaryngology and Head & Neck - Facial Plastic, College of Medicine, King Saud University, Riyadh, Saudi Arabia.

Abstract: Prominent ears are considered the most common congenital external ear deformity among Caucasians. Affecting approximately 5% of the population, it runs in families and exhibits equal sex incidence. This study aimed to determine the complication rate from otoplasty in a tertiary facial plastic surgery center. Read More

Cureus 2021 Nov 20;13(11):e19772. Epub 2021 Nov 20.

Plastic and Reconstructive Surgery, Liaquat National Hospital and Medical College, Karachi, PAK.

The ear has a unique architecture of cartilage and skin. The incidence of the prominent ear is about 5%. Surgical correction of the prominent or protruding ear can be carried out either by anterior or posterior approach. Read More

Facial Plast Surg 2021 Nov 23. Epub 2021 Nov 23.

Department of Otolaryngology and Head and Neck Surgery, Sheba Medical Center, Tel Hashomer, Israel.

Congenital ear anomalies are associated with psychological morbidity. Ear deformities can usually be corrected by nonsurgical techniques such as splinting or molding in the neonatal period, initiated before 6 weeks. Without early corrections, many will require otoplasty during childhood. Read More

Medicine (Baltimore) 2021 Oct;100(42):e27554

Medical Faculty, University of Banja Luka, Bosnia and Herzegovina.

Background: In the last few decades, many techniques have been developed to correct prominent ear deformities. Modified Chong-Chet otoplasty represents a new and improved classical Chong-Chet procedure for prominent ear surgery. This study evaluates and compares the long-term results of standard Chong-Chet otoplasty with the modified technique. Read More

Indian J Plast Surg 2021 Sep 17;54(3):302-307. Epub 2021 Aug 17.

Department of Plastic and Reconstructive Surgery, Government Medical College, Kozhikode, Kerala, India.

The year 2019 marked the 50th anniversary of plastic surgery department of our institution. We present an audit to plot the changing clinical trends in our work in the past five decades. A single-center retrospective cohort study based on the department demographics was performed and compared across the decades from 1969 to 2019. Read More

Aesthet Surg J 2022 01;42(1):NP76-NP82

Division of Plastic Surgery, Department of Surgery, Stanford University School of Medicine, Stanford, CA, USA.

Background: Increased video-chatting, stimulated by the COVID-19 pandemic, has been correlated with increased appearance concerns. Initial lockdown restrictions correlated with a decrease in aesthetic/cosmetic plastic surgery case volumes.

Objectives: The authors aimed to delineate public interest in aesthetic procedures surrounding the COVID-19 pandemic via Google Trends. Read More

Sci Rep 2021 09 9;11(1):17875. Epub 2021 Sep 9.

Department of Plastic Surgery, UT Southwestern, 5323 Harry Hines Blvd, Dallas, TX, 75390, USA.

Ear molding therapy is a nonsurgical technique to correct certain congenital auricular deformities. While the advantages of nonsurgical treatments over otoplasty are well-described, few studies have assessed aesthetic outcomes. In this study, we compared assessments of outcomes of ear molding therapy for 283 ears by experienced healthcare providers and a previously developed deep learning CNN model. Read More

Aesthet Surg J 2022 03;42(4):NP206-NP215

Department of Community Medicine, Imam Khomeini Hospital, Mazandaran University of Medical Sciences, Sari, Iran.

Background: Horizontal mattress suturing is frequently performed during rhinoplasty and otoplasty procedures to control the curvature of the cartilages. Despite the popularity of this technique, there are no quantitative methods for determining the effects of mattress sutures in the cartilage reshaping.

Objectives: The aim of this experimental study was to quantify the straightening effect of mattress suturing on the convexity of ear cartilage in a rabbit model. Read More

Methods Protoc 2021 Aug 6;4(3). Epub 2021 Aug 6.

Laboratory of Mechanical Design, Department of Production Engineering and Management, Democritus University of Thrace, Vasilissis Sofias 12, 67100 Xanthi, Greece.

Three-dimensional (3D) printing is a leading manufacturing technique in the medical field. The constantly improving quality of 3D printers has revolutionized the approach to new challenges in medicine for a wide range of applications including otoplasty, medical devices, and tissue engineering. The aim of this study is to provide a comprehensive overview of an artificial ear splint model applied to the human auricle for the treatment of stick-out protruding ears. Read More

J Clin Med 2021 Aug 20;10(16). Epub 2021 Aug 20.

Department of Plastic and Aesthetic, Reconstructive and Hand Surgery, Agaplesion Markus Hospital, 60431 Frankfurt, Germany.

(1) Background: Protruding ears are the most common auricular malformation affecting approximately 5% of the population. One common factor leading to auricular protrusion is a deficiency or total absence of the antihelix. A technique first described by Gottfried Lemperle in 2003 attempts cartilage thinning, folding, and fixation by non-absorbable mattress sutures after ventral skin incision along the ventral helical rim. Read More

J Photochem Photobiol B 2021 Aug 8;221:112255. Epub 2021 Jul 8.

Department of Histology and Embryology, Rio de Janeiro State University, Avenida Marechal Rondon, 381/HLA, 20950-003 Rio de Janeiro-RJ, Brazil. Electronic address:

Skin is the largest body organ and can be affected by several factors, such as ultraviolet (UV) radiation. UV radiation is subdivided in UVA, UVB and UVC according to the radiation wavelength. UVC radiation does not cross the ozone layer; UVB cause DNA damage and is closely related to carcinogenesis; UVA radiation penetrates deeply into the skin, reaching epidermis and dermis and is considered the main promoter of skin aging, known as photoaging. Read More

Aesthetic Plast Surg 2021 12 9;45(6):2781-2787. Epub 2021 Jul 9.

Department of Plastic and Reconstructive Surgery, Shanghai 9th People's Hospital, Shanghai Jiao Tong University School of Medicine, No. 639, Zhi Zao Ju Rd., Shanghai, 200011, China.

Background: Many techniques have been introduced to correct cryptotia. The previous methods are releasing the constricted cartilage and changing the mechanical fulcrum partly to the right position. However, some patients are still not satisfied with the treatment results, due to cryptotia recurrence and insufficient superior 1/3 width. Read More

PLoS One 2021 9;16(7):e0253149. Epub 2021 Jul 9.

Department of Polymer Science, University of Akron, Akron, Ohio, United States of America.

A major obstacle for tissue engineering ear-shaped cartilage is poorly developed tissue comprising cell-scaffold constructs. To address this issue, bioresorbable scaffolds of poly-ε-caprolactone (PCL) and polyglycolic acid nanofibers (nanoPGA) were evaluated using an ethanol treatment step before auricular chondrocyte scaffold seeding, an approach considered to enhance scaffold hydrophilicity and cartilage regeneration. Auricular chondrocytes were isolated from canine ears and human surgical samples discarded during otoplasty, including microtia reconstruction. Read More

J Craniofac Surg 2021 Nov-Dec 01;32(8):2741-2743

Division of Plastic Surgery, Department of Surgery, University of Maryland School of Medicine.

Background: Prominent ears affect up to 5% of the population and can lead to social and psychological concerns at a critical time of social development. It can be addressed with an otoplasty, which is often considered a cosmetic procedure. The authors assessed insurance coverage of all indications of otoplasty and their medical necessity criteria. Read More

J Craniofac Surg 2021 Nov-Dec 01;32(8):2719-2721

Department of Ear, Nose, and Throat Diseases, University of Health Sciences, Istanbul Kartal Dr Lutfi Kirdar Training and Research Hospital, Istanbul, Turkey.

Introduction: Otoplasty procedures consist of around 30% of facial plastics surgeries in the adult population. In this study, we aimed to assess the reliability of YouTube otoplasty videos based on technical video analysis, usefulness scores, and recommended surgical steps.

Methods: The present study evaluated 356 videos after a search on YouTube with the keywords "otoplasty, prominent ear, cosmetic otoplasty, and aesthetic ear surgery" during the period from October 2008 to June 2020. Read More

Plast Reconstr Surg 2021 Jul;148(1):28e-31e

From the Dallas Plastic Surgery Institute and the Hansjorg Wyss Department of Plastic Surgery, New York University Langone Health.

Summary: Prominent ears and other ear deformities are some of the most common congenital deformities of the head, affecting over 10 percent of the general population. In 2018, more than 10,000 otoplasties were performed in the United States, with over one-third performed on men. The goal of primary otoplasty is creation of a normal-appearing ear without evidence of surgical intervention. Read More

Aesthetic Plast Surg 2022 Feb 8;46(1):207-219. Epub 2021 Jun 8.

Clinica CittàGiardino, Via Francesco Piccoli, 6, 35123, Padua, PD, Italy.

Introduction: Ear congenital deformities represent an aesthetical concern in adult patients and a social matter in children. An accurate assessment of ear defects should be made preoperatively in order to plan surgery adequately.

Materials And Methods: In order to correctly assess the ear preoperatively the authors have considered four different subunits: helical and scaphal region (A), antihelical region (B), conchal region (C) and lobule region (D). Read More

Eur Ann Otorhinolaryngol Head Neck Dis 2021 Aug 2;138 Suppl 1:33-35. Epub 2021 Jun 2.

Division of Otolaryngology-Head and Neck Surgery, Dalhousie University, Halifax, Nova Scotia, Canada; Department of Surgery, IWK Health Centre, 5850/5980 University Avenue, B3H 3H2 Halifax, Nova Scotia, Canada.

J Plast Reconstr Aesthet Surg 2021 Oct 17;74(10):2776-2820. Epub 2021 Apr 17.

Department of Plastic Surgery, Royal Free Hospital, Pond St., NW3 2QG London, United Kingdom. Electronic address:

Background: Prominent ear deformity is common amongst the human population and is partly due to underdevelopment of the antihelical fold, a prominent conchal bowl, or both. Recently, the senior author described a minimally invasive technique for changing the shape of the antihelical fold using the Earfold™ implant (Allergan plc, Dublin, Ireland). However, there is still a paucity of data regarding outcomes from combing this approach with surgical techniques to correct conchal bowl hypertrophy. Read More