Published in:
01-08-2006 | Discussion
Otoplasty Discussion
Published in: Aesthetic Plastic Surgery | Issue 4/2006
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A variety of techniques have been published advocating various ways to accomplish an aesthetically pleasing otoplasty. This operation aims to-
Position the ellipse of retroauricular skin such that the final scar is hidden in the retroauricular sulcus
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Score the cartilage anteriorly to allow the newly formed antehelical fold to become a permanent contour by erasing the memory of stiff cartilage
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Create a smooth antehelical fold avoiding sharp edges
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Avoid the hidden helix appearance observed in overly aggressive development of an antehelical fold
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Reduce conchal hypertrophy when indicated in select cases
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Control the position of the lobule, which frequently remains anterior when the ear is set back
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Set the concha to the mastoid fascia after removal of the auricularis posterior muscle to create a concavity in which to suture the concha.