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Aesthetic Plast Surg. 2018 Feb;42(1):159-164. doi: 10.1007/s00266-017-1034-5. Epub 2017 Dec 12.

Modified Island Technique for Prominent Ears.

Author information

1
Plastic Surgery Department, Hospital Italiano de Buenos Aires, University of Buenos Aires, School of Medicine, Hospital Italiano de Buenos Aires University Institute, Buenos Aires, Argentina. horacio.mayer@hospitalitaliano.org.ar.
2
Plastic Surgery Department, Hospital Italiano de Buenos Aires, University of Buenos Aires, School of Medicine, Hospital Italiano de Buenos Aires University Institute, Buenos Aires, Argentina.

Abstract

There have been several methods described for the correction of prominent ears, including techniques that excise, bend, suture, score, or cut the auricular cartilage. The Island Technique, proposed by Pitanguy, is based on the creation of a cartilage island to define the antihelix and correct the conchoscaphal angle. Visibility of sharp edges has been the main criticism of this technique. To avoid them, we advise performing an internal bevel incision to round off the edges and achieve a more natural look. Also, sometimes prominent ears are asymmetric with different conchoscaphal angles, determining a residual but protruding upper pole, thus requiring different treatment on each side. For such cases, we propose the additional excision of a cartilage strip from the lower border of the auricular scapha, with a greater conchoscaphal angle. In this way, cartilage islands of similar width and identical antihelixes for both ears are created and a symmetric result is achieved. Level of Evidence IV This journal requires that authors assign a level of evidence to each article. For a full description of these evidence-based medicine ratings, please refer to the Table of Contents or the online Instructions to Authors www.springer.com/00266 .

KEYWORDS:

Asymmetric ears; Island Technique; Pitanguy technique; Prominent ears

PMID:
29234856
DOI:
10.1007/s00266-017-1034-5
[Indexed for MEDLINE]

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