Modified Posterior Triple Scoring as a Refinement Technique in Creating Aesthetic Antihelical Fold in Otoplasty

Abstract

Objective: To develop a precise and reliable technique in addressing underdevelopment of antihelical fold in patients with prominent ears. Background: Prominent ears remain to be a common presentation in aesthetic surgery. Multiple otoplasty techniques addressing the antihelical fold have been developed, but no standard technique is globally adopted. Creating a uniformly even, defined and smooth-edged antihelical fold without retropulsion of helix can be at times challenging and difficult to achieve. This study describes a modified way of refining a desirable antihelical fold by posterior triple scoring technique. Methods: A posterior approach was developed to access the posterior surface of antihelix and apply strategic triple linear scoring in conjunction with conchal repositioning. Ten patients underwent this procedure and followed up in 1-month and 1-year periods. Results: All patients were satisfied with the procedure. None of the patients developed complication or require secondary otoplasty. Conclusion: This novel technique provides a simple yet reliable and precise technique in conjunction with conchal setback or as a standalone procedure in selected patients to achieve the aesthetic curves of the external ear. We suggest this technique as an option to address the underdevelopment of antihelical fold in patients with prominent ears.