Otoplasty Surgical Technique

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2025-03-08

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Open Access Atlas of Otolaryngology, Head & Neck Operative Surgery

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University of Cape Town

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Abstract
Otoplasty is defined as surgical correction of external auricular deformities. Correction of the prominent ear, or prominauris, the most common auricular deformity with an estimated incidence of 0.5% to 15% in newborns, and is the focus of this chapter. Children and adults with auricular deformities may suffer significant social and psychological trauma. Dramatic psychosocial improvements after otoplasty are well-documented. Surgical correction of the prominent ear requires a thorough understanding of the complex anatomy of the auricle. The external ear is composed of fibroelastic cartilage covered by perichondrium. The skin is adherent to the perichondrium anteriorly. Posteriorly the skin is less adherent due to a loose layer of areolar connective tissue above the perichondrium. The lobule does not contain cartilage and is composed of thicker skin and connective tissue.
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