Pinnaplasty: improved access to the antihelical fold

2017 ◽  
Vol 43 (2) ◽  
pp. 772-773
Author(s):  
J. Tahery ◽  
G.H. Jones ◽  
S. Shah
Keyword(s):  
2020 ◽  
Vol 2 (1) ◽  
Author(s):  
Giacomo Bellinvia ◽  
Pietro Bellinvia

Abstract Background The otoplasty technique, independently conceived by Kaye and Lewis, is a simple and effective method for correcting prominent ears with an underdeveloped antihelical fold, but it is inappropriate for correcting ears with conchal hypertrophy. Objectives To describe an anterior approach to otoplasty that can correct prominent ears, even for those with conchal hypertrophy. Methods The 100 most recent otoplasty interventions to correct prominent ears were analyzed retrospectively. Indications, aesthetic results, complications and corrections were evaluated. Results The 100 patients who underwent otoplasty included 40 males and 60 females with a mean age of 18 years (range, 8–62 years). Sixty-five patients underwent correction of an underdeveloped antihelical fold, 30 underwent correction of conchal hypertrophy and 5 required resection of a conchal cartilage crescent. Intervention was bilateral in 96 patients and monolateral in 4 patients. Two patients required secondary corrections, including 1 requiring monolateral correction for a trauma after 10 days. No patient experienced hematomas or infections, despite the absence of antibiotic coverage. Conclusions This minimally invasive otoplasty technique is a simple, quick, and effective method, even in patients with conchal hypertrophy. Level of Evidence: 4


1983 ◽  
Vol 91 (4) ◽  
pp. 404-406 ◽  
Author(s):  
Markus Wolfensberger ◽  
Peter A. Hilger ◽  
Jerome A. Hilger

Two techniques for reconstructing the external auditory canal are presented; to our knowledge they have not been described previously. The first technique can be used for disease that does not affect the conchal bowl. The canal is reconstructed with an inferiorly based conchal bowl flap. A second inferiorly based postauricular flap, tunneled through the conchal cartilage, resurfaces the conchal bowl. The postauricular defect is closed primarily. The second technique can be used for disease affecting the conchal bowl. A posteriorly based flap that includes skin overlying the mastoid and posterior surface of the pinna is tunneled through the conchal cartilage and resurfaces the conchal bowl and external auditory canal. The defect on the posterior surface of the pinna is closed with tissue advanced from the anterior surface of the pinna at the conchal bowl-antihelical fold junction. The remainder of the retroauricular defect is closed primarily. The advantages of these techniques over current methods are described and illustrative cases presented.


1994 ◽  
Vol 33 (4) ◽  
pp. 371-376 ◽  
Author(s):  
Norman Weinzweig ◽  
Lilly Chen ◽  
Walter G. Sullivan
Keyword(s):  

Author(s):  
Choong Jae Kim ◽  
Hoon Choi ◽  
Chan Ho Na ◽  
Bong Seok Shin ◽  
Min Sung Kim

Background and Objectives Keloids are benign dermal fibrous growth and excessive collagen deposition that occur usually after trauma or surgery. In the treatment of keloids, the recurrence rate is relatively high after surgical excision. Fillet flap is known to be a good surgical method for keloid lesions. The purpose of this study is to find out manifestation and compare the results of ear keloids after the surgery by fillet flap.Subjects and Method We retrospectively evaluated 22 patients with ear keloids (n=31) who underwent core excision with fillet flap at the Department of Dermatology, Chosun University Hospital from May 2010 to June 2018.Results With the 22 of treated patients and 31 ear keloid lesions, the average size of keloid lesions was 0.75×1.05 cm2 . The frequencies of occurrence with respect to the location of keloids according to the anatomical structure of the ear were 12 lobule (38.7%), 17 helix (54.8%), 1 antihelical fold (3.2%), and 1 postauricle (3.2%), respectively. There were 14 lobular types (45.2%), 9 dumbbell types (29.0%), 5 button types (16.1%), and 3 wrap-around type (9.7%). Recurrence was found in 8 keloid lesions (25.8%) and 5 patients (22.7%) after the surgery. Earlobe lesions and dumbbell shaped recurred with the highest recurrence rate. Among the 5 patients who relapsed, 4 had family history of keloids.Conclusion The earlobe and dumbbell shaped types showed the highest recurrence rate and family history was also an important risk factor for recurrence. Also, surgical excision with fillet flap can be very effective and is a good way to treat ear keloids.


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