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Aesthetic Plast Surg 2020 May 21. Epub 2020 May 21.

SO-EP Aesthetic and Plastic Surgery Clinic, Hunat Mah. Nuh Naci Yazgan Caddesi No:21, 38050, Kayseri, Turkey.

Aim: Although many prominent ear deformity (PED) surgery techniques have been described to date, there have been few comprehensive studies evaluating the recurrence rates in different age groups. Previous studies have focused either on the young or the elderly. The present clinical study compares recurrence rates among patients of different age groups undergoing PED repair and discusses cartilage morphology. Read More

Facial Plast Surg Aesthet Med 2020 May 28. Epub 2020 May 28.

Department of Otolaryngology, Head and Neck Surgery, Zucker School of Medicine at Hofstra/Northwell, Lenox Hill Hospital, New York, New York, USA.

Cartilage-sparing techniques have continued to play a large role in modern otoplasty. Without invasion of the cartilage, the approach has been associated with less risk of skin necrosis, cartilage irregularities, hematoma, and infection. However, refinements are often needed to decrease the incidence of recurrence and suture extrusion. Read More

J Craniofac Surg 2020 May 19. Epub 2020 May 19.

Children's Hospital of Philadelphia.

Background: Otoplasty remains an overlapping clinical domain of plastic surgery and otolaryngology. The purpose of this study is to objectively analyze the safety of otoplasty and determine if there are any risk factors, such as surgical training, associated with increased patient morbidity.

Methods: Retrospective cohort study was conducted of otoplasty procedures performed in North America by plastic surgeons and otolaryngologists between 2012 and 2017 using the American College of Surgeons National Surgical Quality Improvement Program Pediatric dataset. Read More

Aesthetic Plast Surg 2020 May 18. Epub 2020 May 18.

Department of Plastic Reconstructive and Aesthetic Surgery, Private Practice, Veysel Akgün Avenue 1128. St. 1/103, Altınordu, Ordu, Turkey.

Background: Otoplasty is performed to heal the psychological discomfort caused by the appearance of prominent ear by bringing the ear to its anatomical position. However, there have been few studies with limited numbers of patients that have prospectively evaluated psychosocial recovery following otoplasty in adults. The purpose of this prospective study was to evaluate the versatile psychological recovery that can be achieved in adults following otoplasty. Read More

J Craniofac Surg 2020 May 4. Epub 2020 May 4.

Yeni Yüzyil University, Health Occupation High-School Audiometry.

Aim: The prominent ear is the most common congenital deformity of the external ear. Otoplasty is performed to correct the appearance of the prominent ear. This study was planned to compare the analgesic and anesthetic effects of local nerve blockade and local infiltration anesthesia in the otoplasties. Read More

J Craniofac Surg 2020 Apr 16. Epub 2020 Apr 16.

SO-EP Aesthetic & Plastic Surgery Clinic, Kayseri, Turkey.

Purpose: Prominent ear deformity is usually characterized by antihelical fold deficiency, concha hypertrophy and earlobe deformity.

Materials And Methods: Between 2000 and 2018, 375 otoplasty patients aged 6 to 58 who underwent surgery in our clinic were included in this study. Among these 375 cases, 25 were unilateral and 350 were bilateral. Read More

Int J Pediatr Otorhinolaryngol 2020 Jun 12;133:109999. Epub 2020 Mar 12.

Texas Children's Hospital, Department of Audiology, 6701 Fannin Street, MC 520.30, Houston, TX, 77030, USA.

Background And Objective: Research has shown that it is important to initiate ear molding early for children with auricular malformations in order to achieve the best results. Currently our institute relies on the traditional primary care physician (PCP) referral system, which does not recognize the time sensitivity of the visit in patients with auricular malformations. The purpose of the current research is to implement a new screening protocol for identifying auricular malformations in the newborn population and thus expedite the clinic visit and necessary intervention. Read More

Tijdschr Psychiatr 2020 ;62(3):194-202

Background: Surgical and non-surgical cosmetic interventions are on the rise, also in minors. Therefore, the society, healthcare system and government are searching for an ethical-medical-legal framework. Numerous studies have shown the importance of patient selection. Read More

J Craniofac Surg 2020 May/Jun;31(3):876-878

Department of Plastic Surgery, Inha University School of Medicine, Incheon, South Korea.

The aim of this paper is to review the origin, physical properties, advantages, and usage of catgut in plastic surgery and oral surgery.In PubMed search, the search terms ("catgut" AND ["plastic surgery" OR "facelift"]) and ("catgut" AND "oral surgery") were used, resulting in 28 and 30 papers, respectively. Of those 58 papers, 31 papers were excluded. Read More

Pan Afr Med J 2019 26;34:161. Epub 2019 Nov 26.

University Hassan II Hospital Ibn Rochd, Casablanca, Morocco.

We report the case of a 35-year old patient with sticking-out ears who had no particular past medical history. The patient had congenital ear anomaly which had progressed over the past years and that was a heavy psychological burden with serious social repercussions as well as a family and professional impact. Approach was based on surgery in order to provide the best possible outcomes. Read More

Ann Plast Surg 2020 Mar 5. Epub 2020 Mar 5.

Clinician Plastic, Reconstructive and Aesthetic Surgery, Joiest Clinic, Antakya, Hatay, Turkey.

Background: Although the literature is replete with surgical techniques described for correction of the prominent ears, new techniques are still needed to minimize the recurrence rates and postoperative complications.

Objective: Here, the author presents a new and simple otoplasty procedure, namely, the dermal anchor technique (DAT), in which a wide planar adhesion between the opposing dermal surfaces of the deepithelized antihelical groove is used as a biological anchor for long-term maintenance of the antihelical fold without any cartilage manipulation.

Materials And Methods: For 12 years, this new procedure was used for correction of 76 prominent ears in 44 patients, with 17 being female and 27 being male. Read More

Ann R Coll Surg Engl 2020 Apr 31;102(4):313-314. Epub 2020 Jan 31.

Royal Free London NHS Foundation Trust, UK.

Plast Reconstr Surg Glob Open 2019 Jul 24;7(7):e2313. Epub 2019 Jul 24.

Long Island Plastic Surgical Group, Garden City, N.Y.

Stahl's ear deformity presents with an abnormal third crus of the antihelix and varying degrees of severity. This paper aims to describe a novel technique for reconstruction of Stahl's ear involving a double-reverse wedge excision of the third crus cartilage and skin, as well as use of Mustardé sutures to recreate the superior crus and Furnas sutures to complete the auricular setback. This novel technique for correction of Stahl's ear deformity produces a more stable aesthetic result versus classic otoplasty with desired auricular setback, minimal reduction in the size of the ear, and limited scarring on the anterior auricular surface. Read More

Arch Craniofac Surg 2019 Dec 20;20(6):405-407. Epub 2019 Dec 20.

Department of Plastic and Reconstructive Surgery, Seoul National University Hospital, Seoul National University College of Medicine, Seoul, Korea.

Due to the variety in the shape of dysmorphic cartilage, tragus reconstruction is one of the most challenging goals in otoplasty. The authors describe a method to reconstruct a prominent tragus in a simple way suitable for accounting for the size, shape, and location of the remaining ear. We present a case of tragus deformity in an 11-year-old female patient after a previous excision of pretragal skin tags. Read More

Ann Plast Surg 2020 Apr;84(4):394-396

From the Departments of Plastic Surgery.

Background: The anterior aspect of the auricle is a complex 3-dimensional structure. Each anatomical component in this region has an essential role in the aesthetic appearance of the ear and face. The reconstruction of defects in this region is challenging because of the lack of mobile, excess skin for primary closure, and the inability to skin graft overexposed cartilage. Read More

J Craniofac Surg 2020 Mar/Apr;31(2):408-411

Plastic Reconstructive and Aesthetic Surgery Department, Jimer Hospital, Bursa, Turkey.

: The postauricular fascial flap as supportive or stand-alone technique provides natural, symmetrical-looking ears with minimal complications and recurrence. However, the posterior fascial flap otoplasty is not applicable for all protruding ear deformity types. It is particularly advantageous in terms of anti-helix creation yet does not have a satisfactory effect for correction of conchal hypertrophy. Read More

Laryngoscope 2020 Mar 11;130(3):632-636. Epub 2019 Oct 11.

Department of Otolaryngology-Head and Neck Surgery, Harvard Medical School, Boston, Massachusetts.

Objective(s): To characterize procedural trends in facial plastic and reconstructive surgery procedures in relation to the United States economy.

Methods: Retrospective cohort study examining annual procedure rates were determined from the American Society of Plastic Surgeons (ASPS) National Clearinghouse of Plastic Surgery Procedural Statistics from January 1 2007 to December 30, 2017. Procedures were compared to economic activity of the United States as measured by gross domestic product (GDP) were compared using Kolmogorov-Smirnov goodness of fit testing and piecewise multivariate regression modeling. Read More

Ann Otol Rhinol Laryngol 2020 Jan 10;129(1):63-69. Epub 2019 Sep 10.

Associate Professor and Consultant, Mayo Clinic, Rochester, MN, USA.

Background: In this paper, the author describes a novel step-by-step setback procedure for correcting protruding lobules; the success of correcting protruding lobules depends on the nature and severity of the auricular lobule deformity. Although the auricular lobules occupy small areas on either side of the head, protruding or misshapen lobules exert a significant and sometimes exaggerated disfiguring influence on the otherwise aesthetically pleasing appearance of the ears. Because the lobule is a soft structure without a cartilage skeleton, the correction of a protruding ear and lobule is always a challenge. Read More

Facial Plast Surg 2019 Aug 30;35(4):377-386. Epub 2019 Aug 30.

Department of Oto-Rhino-Laryngology, Head and Neck Surgery, Prosper-Hospital, Academic Teaching Hospital, Ruhr University Bochum, Recklinghausen, Germany.

Due to the variety of abnormalities, surgery of the auricle is one of the most complex challenges in facial plastic surgery. They reach from mild protruding ears or isolated abnormalities of the supporting structures, mainly the helical rim and antihelix, over cup ear deformities and miniears all the way to severe microtia and anotia. In this article, the authors present a short overview of auricular abnormalities and malformations and their treatment options based on their experiences gained over three decades of special service for patients with auricular malformations. Read More

J Plast Reconstr Aesthet Surg 2019 11 14;72(11):1856-1871. Epub 2019 Aug 14.

Queen Victoria Hospital, East Grinstead, Mindelsohn Way, Birmingham B15 2TH, UK.

J Plast Reconstr Aesthet Surg 2019 11 14;72(11):1856-1871. Epub 2019 Aug 14.

Maxillofacial Surgery Unit, University of Campania "Luigi Vanvitelli," Naples, Italy.

Aesthetic Plast Surg 2019 10 6;43(5):1226-1227. Epub 2019 Aug 6.

Division of Pediatric Plastic Surgery, Anne & Robert H. Lurie Children's Hospital of Chicago, 225 E. Chicago Ave., Box 93, Chicago, IL, 60611, USA.

Ann Chir Plast Esthet 2019 Nov 3;64(5-6):459-469. Epub 2019 Aug 3.

3, rue de Lasteyrie, 75116 Paris, France. Electronic address:

Secondary surgeries of the external ear can be divided into two categories: secondary otoplasties and secondary ear reconstructions. The most frequent causes of secondary otoplasties are a recurrence, an over-corrected ear, an off-center ear, a prominent lobule, and finally chronic ear pain. Recurrence of the prominence can be treated by a new posterior stitch otoplasty, an Earfold clip, or a frame stitch. Read More

Aesthetic Plast Surg 2019 10 9;43(5):1214-1225. Epub 2019 Jul 9.

Department of Plastic and Reconstructive Surgery, Keck Hospital of USC, 1510 San Pablo Street, Suite 415, Los Angeles, CA, 90033, USA.

Background: Otoplasty is a century-old procedure that, through continued modifications, now has over two hundred different procedures described in the literature. In this article, we seek to describe the anatomy and principles of aesthetic otoplasty, as well as some of the key contributions to aesthetic otoplasty. This article will also outline some of the most commonly used techniques today and associated patient outcomes. Read More

Lasers Med Sci 2020 Mar 1;35(2):387-393. Epub 2019 Jul 1.

Department of Plastic Surgery, Chang Gung Memorial Hospital, Chang Gung University, Taipei, 10507, Republic of China.

When the cartilage on the prominent ears is reshaped, the arising stress returns the tissue to its initial configuration. Laser irradiation of areas of maximal stress leads to stress relaxation and results in a stable configuration. Sixty auricles were harvested from 30 New Zealand white rabbits and cut into a rectangle measuring 50 mm by 25 mm with an average thickness of approximately 1. Read More

Plast Reconstr Surg 2019 07;144(1):81

Houston, Texas From the Division of Plastic Surgery, Baylor College of Medicine.

Plast Reconstr Surg 2019 07;144(1):72-80

London, United Kingdom; and Sohag, Egypt From the Department of Plastic and Reconstructive Surgery, Great Ormond Street Hospital; and the Department of Plastic and Reconstructive Surgery, Sohag Cleft and Craniofacial Unit, Sohag University.

Background: Many techniques have been described to correct prominent ears, including cartilage-suturing, cartilage-scoring, and cartilage-breaking techniques. Understanding the topography and anatomy of the auricular cartilage is crucial for performing safe otoplasty with consistent results.

Methods: Two hundred consecutive patients with prominent ears were operated on using a modified Mustardé and Furnas technique with some refinements and without performing any cartilage scoring or excision. Read More

Ann Plast Surg 2020 01;84(1):20-23

From the Plastic Reconstructive and Aesthetic Surgery Department, Jimer Hospital, Bursa, Turkey.

Introduction: Complications after otoplasty procedure can be divided into early- and late-period complications, with the former occurring up to 14 days postoperatively and the latter occurring after the initial 14-day period. Indications for revision surgery of ear deformations after primary otoplasty are generally related to late complications. The majority of patients demand secondary treatment because of unsatisfactory cosmetic results. Read More

Aesthet Surg J 2019 09;39(10):NP411-NP415

Background: To understand the level of satisfaction among patients undergoing otoplasty using the combined Mustardé-Furnas technique. To evaluate surgery outcomes using McDowell/Wright (MW) criteria.

Objectives: The authors sought to analyze any possible correlation between satisfaction level and surgery outcome. Read More

J Plast Reconstr Aesthet Surg 2019 Sep 22;72(9):1576-1606. Epub 2019 May 22.

Research Group of Head and Neck at Catholic University San Antonio, United States; Head of Otorhinolaryngology Department, HULAMM, San Javier, Spain.

Ann Plast Surg 2019 07;83(1):7-14

From the Plastic Reconstructive and Aesthetic Surgery Department, Jimer Hospital, Bursa, Turkey.

Prominent ear deformity is a common congenital deformity of the external ear affecting 5% of the general population. Although this is a harmless deformity, several publications demonstrate the psychological distress, emotional trauma, and behavioral problems that this deformity can inflict on children. As a result of these concerns, corrective prominent ear surgery is now widely performed as a prophylactic surgery. Read More

Med Glas (Zenica) 2019 Aug 1;16(2). Epub 2019 Aug 1.

Department of Otorhinolaryngology and Maxillofacial Surgery, Mostar University Hospital, Mostar; School of Medicine, University of Mostar, Mostar, Bosnia and Herzegovina.

Aim To determine whether there has been a change in frequency of selected otorhinolaryngology - head and neck surgical procedures during a 5-year period. Methods Comparative cross-sectional analyses of surgical candidates and procedures performed at the Department of Otorhinolaryngology and Maxillofacial Surgery during the period 2013‒2017 were done. Data on patients' demographics and cases of selected surgical procedures were extracted from the operating room log books. Read More

Aesthetic Plast Surg 2019 10 3;43(5):1228-1232. Epub 2019 Apr 3.

Department of Plastic and Reconstructive Surgery, Eulji University School of Medicine, Eulji General Hospital, 280-1 Hagae-dong, Nowon-gu, Seoul, 139-872, Korea.

Background: In contrast to prominent ear, lying ear can be defined when the antihelix of the ear is excessively folded, i.e., the conchoscaphal angle is much less than 90°. Read More

Plast Reconstr Surg 2019 04;143(4):1283

Eur Arch Otorhinolaryngol 2019 May 18;276(5):1533-1539. Epub 2019 Mar 18.

Department of Plastic Surgery, Derince Training and Research Hospital, University of Health Sciences, Kocaeli, Turkey.

Objective: This prospective study investigated changes in psychosocial status following otoplasty.

Methods: All patients who participated in the study filled a sociodemographic form that included age, gender, educational status and job preoperatively. Body Image Scale (BIS), Social Appearance Anxiety Scale (SAAS) and Rosenberg Self-Esteem scale (RSES) were completed prior to surgery and 6 months postoperatively. Read More

J Plast Reconstr Aesthet Surg 2019 Jul 2;72(7):1219-1243. Epub 2019 Mar 2.

Head of the Maxillofacial Surgery Unit, University of Campania "Luigi Vanvitelli," Naples, Italy.

J Craniofac Surg 2019 May/Jun;30(3):e255-e257

Division of Plastic and Reconstructive Surgery, Department of Surgery, Mayo Clinic, Rochester, MN.

An 8-year-old boy with oculo-auriculo-vertebral syndrome presented to the authors' clinic for multidisciplinary management of his condition. His congenital ear deformity included bilateral protrusion as well as atypical Microtia affecting the left side. He underwent bilateral otoplasty combined with left canaloplasty at the first stage to address prominent ears and canal atresia and. Read More

Handchir Mikrochir Plast Chir 2019 Feb 12. Epub 2019 Feb 12.

Klinikum Klagenfurt Plastische, Ästhetische und Rekonstruktive Chirurgie.

Background: Congenital ear deformities occur in 5 % of all newborns. Molding of the ear is possible during the first six weeks of life because of the maternal hormones which are still circulating in the newborns. For several years we have been using the EarWell™ Correction System, which allows us to correct ear deformities within the first weeks of life. Read More

J Oral Maxillofac Surg 2019 Apr 24;77(4):834-842. Epub 2018 Oct 24.

Private Practice, Cosmetic Facial Surgery, Midlothian, VA. Electronic address:

Purpose: Pyoderma gangrenosum (PG) is an uncommon autoimmune, neutrophilic, ulcerative skin condition of uncertain etiology believed to result from dysregulation of the immune system. Although this entity is well recognized by dermatologists, other specialists are less familiar with diagnosis and treatment. This report describes a severe PG reaction to an elective cosmetic facelift, which is believed to be the second reported case of PG after facelift surgery. Read More

J Stomatol Oral Maxillofac Surg 2019 Apr 12;120(2):157-159. Epub 2018 Nov 12.

Dijon university hospital, department of plastic reconstructive and hand surgery, department of oral and maxillofacial surgery, boulevard de Lattre de Tassigny 21000, Dijon, France. Electronic address:

Corrective surgery of prominent ears may be justified for social or aesthetic reasons during childhood or adulthood. Post-operative complications occur in approximately 0 to 8.4% of cases. Read More

J Craniofac Surg 2019 Jan;30(1):228-230

Children's Hospital of Pittsburgh, University of Pittsburgh Pediatric Plastic and Reconstructive Surgery, Pittsburgh, PA.

Background: Candidates for otoplasty have variable anatomy that may result in an aesthetically suboptimal appearance. The authors describe an algorithm to obtain ideal aesthetic position of the ear using a standardized suturing only technique.

Methods: A retrospective review was conducted at a major children's hospital. Read More

Plast Reconstr Surg Glob Open 2018 Sep 6;6(9):e1892. Epub 2018 Sep 6.

The Royal London Hospital, Barts Health NHS, London, United Kingdom.

Supplemental Digital Content is available in the text. Read More

Laryngorhinootologie 2018 Oct 19;97(10):672-677. Epub 2018 Oct 19.

According to our now quite large experience, minimally invasive otoplasty (MIO) is a reliable technique to correct protruding ears. With the correct indication its results are aesthetically pleasing, natural and lasting. The limitations of minimally invasive otoplasty techniques have though to be seen and respected. Read More

Aesthet Surg J 2019 07;39(8):908-918

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

Background: The utility of Google Trends (GT) in analyzing worldwide and regional patient interest for plastic surgery procedures is becoming invaluable to plastic surgery practices. GT data may offer practical information to plastic surgeons pertaining to seasonal and geographic trends in interest in facial cosmetic procedures.

Objectives: The authors sought to analyze geographic and temporal trends between GT search volumes and US surgery volumes using univariate analysis. Read More

Asian J Surg 2019 May 22;42(5):621-627. Epub 2018 Sep 22.

Plastic Surgery Unit, Surgery Department, Zagazig University, Egypt.

Background: Prominent or bat ear is not uncommon deformity as it affecting 5% of population. Plenty of procedures were reported for its correction. Being plenty means it is still a subject of research. Read More

JAMA Facial Plast Surg 2018 Sep;20(5):424-425

Division of Facial Plastic and Reconstructive Surgery, Department of Otolaryngology-Head & Neck Surgery, University of Toronto, Toronto, Ontario, Canada.

Clin Otolaryngol 2018 12 14;43(6):1513-1521. Epub 2018 Aug 14.

Faculty of Medicine, University of Porto, Porto, Portugal.

Objective: The GBI (Glasgow Benefit Inventory) and the GCBI (Glasgow Children's Benefit Inventory) are used to evaluate patient-reported Health-Related Quality of Life (HRQoL) following otoplasty for prominent ears. The aim of this study was to validate them through patients' and caregivers' perspectives and in Portuguese language versions.

Study Design: After translation to Portuguese, the GBI and the GCBI were applied to patients (n = 255) who underwent otoplasty throughout a five-year span and to their caregivers, respectively. Read More

Ann Maxillofac Surg 2018 Jan-Jun;8(1):42-50

Department of Oral and Maxillofacial Surgery, A.C.P.M. Dental College and Hospital, Dhule, Maharashtra, India.

Purpose: Knowledge of anthropometric measurements of the external ear is important as variations exist based on gender, age and ethnicity. This study has derived anthropometric data pertaining to the external ear in the Maharashtrian population.

Materials And Methods: Nine variables of the external ear were measured in 505 Maharashtrian adults (aged 18-64 years) using photoanthropometric methods. Read More

Aesthet Surg J 2018 07;38(8):NP120

SBU Sultan Abdulhamid Han Training and Research Hospital, Department of Plastic, Reconstructive, and Aesthetic Surgery, Uskudar, Istanbul, Turkey.