1999, Number 3
Protruding ear: minimally invasive surgery
Cuenca-Guerra R
Full text
Language: Spanish
References: 9
Page: 120-125
PDF size: 1041.59 Kb.
ABSTRACT
From Ely (1881) to Tramier (1997), surgery to correct prominent or protruding ears, or absence of the antihelix fold has had many modifications, yielding good to excellent results; however, the large incisions and massive dressing are uncomfortable for the patients. The goal of this paper is to present minimally invasive surgical technique to form and enhance the antihelix fold, reducing patient’s discomfort. Twenty patients who were 28 years old average were operated on, 18 bilateral and two unilateral. The surgical technique begins with an antihelix fold marking, infiltration with 2% lidocaine with epinephrine, an incision is done on the most cephalic edge of the helix, dissecting an anterior tunnel, weakening the anterior surface of the cartilage by scoring its surface, dissecting the posterior surface rasping the cartilage, thus making the antihelix fold, leaving the skin of the fold out side, and placing surgical fascia staples on the skin over the new fold to keep it in place. Two ears showed regression of 30-40%, one ear had epidermolysis with cartilage exposure which epithelized spontaneously, and the other patients were satisfied with the results. This technique is safe, simple, painless and easily reproductible in outpatient setting.REFERENCES