Upper-third ear reduction with a posterior approach

Anomalies in the complex topography of the pinna are often associated with disproportionate distances between the dimensions of its thirds, even with respect to the middle third of the face, forming macrotias that must be identified. If such correction is not carried out properly, the original deformation may even worsen in the postoperative period. For the reconstruction of auricular defects, different techniques have been described, involving excisions of the skin and cartilage with advancements, in order to regain a proportionate morphology. In the present work, we report a specific technique for the reduction of the upper third with a posterior approach, based on resection of the scapha and remodeling of the posterior skin surplus, associated with combined techniques of otoplasty to prevent the stigmata from previous surgery.

Level of Evidence: Level V, therapeutic study.