Abstract

A lot ofotoplasty techniques have been developed during the past years. However, there is no single perfect technique which is worldwide accepted. We present our assessment of a Chong-Chet anterior scoring technique for the correction of prominent ears which we applied in 30 patients between 2005 and 2010. This study is a report of creating a natural fold of cartilage using Chong-Chet anterior scoring technique by cartilage incision at the border between the antihelix and scapha, with medial scoring of the scapha and lateral scoring of the antihelix. Sutures were used to maintain the created fold. There were no major complications at the 1-year follow-up evaluation. None of the patients developed a recurrence, or retro protrusion of the helix which required a second operation for correction. The procedure is a simple surgical technique. The reconstructed ear shows reliable results in stability, size and normal convolutions. Furthermore, sharp cartilaginous ridges and hidden helix are avoided.

Highlights

  • A prominent ear, so called a protruding or “lop” ear, is the most common congenital deformity of the external ear

  • We present our assessment of a Chong-Chet anterior scoring technique for the correction of prominent ears which we applied in 30 patients between 2005 and 2010

  • The external ear is a complex structure with great variation between individuals and even between the two sides of the same individual

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Summary

Introduction

A prominent ear, so called a protruding or “lop” ear, is the most common congenital deformity of the external ear. It is relatively common among the Caucasian population, with an incidence of about 5%. Prominent ear is characterized by an increase in the cephaloauricular angle, which occurs because of an immature antihelical fold; an excessive conchal cartilage; or abnormal attachment of the auricle to the side of the head, alone or in combination. 4e22 among otoplasty techniques we can divide them into two groups: the cartilage-incision and the suture-placement procedures. Scoring of the anterior surface of the auricular cartilage is one of the most commonly used procedures in otoplasty, and we believe it is a very safe technique

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