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Understanding the Unfavorable Result after Otoplasty: An Integrated Approach to Correction

Lentz, Ashley K. M.D.; Plikaitis, Christina M. M.D.; Bauer, Bruce S. M.D.

Plastic & Reconstructive Surgery: August 2011 - Volume 128 - Issue 2 - pp 536-544
doi: 10.1097/PRS.0b013e31821e7113
Cosmetic: Special Topic

Summary: The correction of an unfavorable outcome after otoplasty requires a thorough understanding of the anatomy of prominent ear and recognition of the spectrum of secondary deformities and their origin. The goal of this article is to describe the causes of postotoplasty deformity, including both undercorrection and overcorrection. The latter presents the more complicated reconstructive problem, as both skin shortage and permanent cartilage disruption need to be addressed. The authors propose an algorithm for revision otoplasty based on clinical findings and patient concerns. Finally, a case with overcorrection secondary to both skin deficiency and cartilage disruption is illustrated showing the sequential steps needed for optimal correction.

Gainesville, Fla.; St. Louis, Mo.; and Northbrook, Ill.

From the Department of Surgery, Division of Plastic and Reconstructive Surgery, University of Florida; Department of Surgery, Division of Plastic and Reconstructive Surgery, St. Louis University; and the University of Chicago, Pritzker School of Medicine.

Received for publication September 13, 2010; accepted February 17, 2011.

Presented at the 2010 Aesthetic Facial Reconstruction Symposium, in Tucson, Arizona, February 18 through 20, 2010.

Disclosure: The authors have no financial interest to declare in relation to the content of this article.

Ashley K. Lentz, M.D., Department of Surgery, Division of Plastic and Reconstructive Surgery, University of Florida College of Medicine, P.O. Box 100138, Gainesville, Fla. 32610, lentz@surgery.ufl.edu

©2011American Society of Plastic Surgeons