Purpose of review: We present basic concepts and current trends in otoplasty, through a review of the recent literature.
Recent findings: Over 200 otoplasty techniques have been described, yet most technical advances are minor modifications of techniques described 40-50 years ago. These techniques can be categorized as cartilage-cutting or cartilage-sparing techniques. Many approaches described today seem to combine elements of both. Recent retrospective analyses of several popular techniques show each to be effective and reliable, with low morbidity. Several technical updates and advances have also been described within the last few years.
Summary: Otoplasty technique is constantly being modified and refined, with its basis in historically reliable techniques. The use of a graduated approach, combining elements of various techniques, is a common trend in otoplasty today.