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Die erweiterte Nahttechnik zur Korrektur abstehender Ohren

Extended suture technique for correction of protruding ears

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Journal für Ästhetische Chirurgie Aims and scope

Zusammenfassung

Abstehende Ohren finden sich bei etwa 5 % der deutschen Bevölkerung. Vor allem bei Kindern führt dies oft zu Belastungen mit emotionalen Folgen. Die Verfahren zur Korrektur abstehender Ohren lassen sich in drei Grundtechniken einteilen: die reine Nahttechnik, die Schnitt-/Ritztechnik und die Schnitt-/Nahttechnik. Die große Anzahl der weit über 100 beschriebenen Modifikationen zeigt jedoch, dass eine einzige ideale Technik zur Lösung aller Probleme abstehender Ohren offenbar nicht existiert. Der Beitrag beschreibt ein Vorgehen, das sich zur Korrektur aller Probleme abstehender Ohren bewährt hat. Dabei werden die Vorteile einzelner Schritte der oben beschriebenen Grundtechniken genutzt. Gleichzeitig sollen durch sinnvolle Ergänzungen typische Nachteile und Komplikationen vermieden werden.

Abstract

Protruding ears are found as a minor ear abnormality in approximately 5 % of the German population. Apart from being aesthetically displeasing protruding ears are a frequent source of ridicule in children who can subsequently have psychological problems. The surgical treatment of protruding ears can be divided into three standard techniques: the suture technique, the cutting and scoring technique and the cutting and suture technique. The large number of well over 100 modifications described indicates that there is obviously no single ideal technique capable of solving all problems associated with protruding ears. This article describes our approach, which has proven to be successful in correcting all problems of typical protruding ears. On the one hand the apparently advantageous steps of the standard techniques described are used and on the other hand adequate amendments are made in order to avoid characteristic pitfalls and complications.

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Literatur

  1. Adamson PA, Litner JA (2006) Otoplasty technique. Facial Plast Surg Clin North Am 14:79–87

    Article  PubMed  Google Scholar 

  2. Berghaus A (2012) Correction of auricle deformities after failed otoplasty. HNO 60:862–867

    Article  PubMed  CAS  Google Scholar 

  3. Berghaus A, Braun T, Hempel JM (2012) Revision otoplasty: how to manage the disastrous result. Arch Facial Plast Surg 14:205–210

    Article  PubMed  Google Scholar 

  4. Chongchet V (1963) A method of antihelix reconstruction. Br J Plast Surg 16:268–272

    Article  PubMed  CAS  Google Scholar 

  5. Converse JM, Nigro A, Wilson FA, Johnson N (1955) A technique for surgical correction of lop ears. Plast Reconstr Surg 15:411–418

    Article  CAS  Google Scholar 

  6. Converse JM, Wood-Smith D (1963) Technical details in the surgical correction of the lop ear deformity. Plast Reconstr Surg 31:118–128

    Article  PubMed  CAS  Google Scholar 

  7. Crikelair G, Cosman B (1963) Another solution for the problem of the prominent ear. Ann Surg 160:314–323

    Article  Google Scholar 

  8. Furnas DW (1968) Correction of prominent ears by conchamastoid sutures. Plast Reconstr Surg 42:189–193

    Article  PubMed  CAS  Google Scholar 

  9. Mattheis S, Siegert R (2006) Techniques in otoplasty. HNO 54:643–652

    Article  PubMed  CAS  Google Scholar 

  10. Mustarde JC (1963) The correction of prominent ears using simple mattress sutures. Br J Plast Surg 16:170–178

    Article  PubMed  CAS  Google Scholar 

  11. Naumann A (2007) Otoplasty – techniques, characteristics and risks. GMS Curr Top Otorhinolaryngol Head Neck Surg 6:1–14

    Google Scholar 

  12. Raunig H (2005) Antihelix plasty without modeling sutures. Arch Facial Plast Surg 7:334–341

    Article  PubMed  Google Scholar 

  13. Siegert R (2004) Correction of the lobule. Facial Plast Surg 20:293–298

    Article  PubMed  Google Scholar 

  14. Stenström SJ (1963) A „natural“ technique for correction of congenitally prominent ears. Past Reconstr Surg 32:509–518

    Article  Google Scholar 

  15. Walter C (1984) Correction of the auricle. HNO 31:381–386

    Google Scholar 

  16. Weerda H, Siegert R (1994) Complications of otoplasty and their treatment. Laryngorhinootologie 73:394–399

    Article  PubMed  CAS  Google Scholar 

  17. Werda H (2004) Chirurgie der Ohrmuschel. Thieme, Stuttgart

Download references

Einhaltung ethischer Richtlinien

Interessenkonflikt. J. Wurm gibt an, dass kein Interessenkonflikt besteht. Dieser Beitrag beinhaltet keine Studien an Menschen oder Tieren.

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Wurm, J. Die erweiterte Nahttechnik zur Korrektur abstehender Ohren. J. f. Ästhet. Chirurgie 6, 194–202 (2013). https://doi.org/10.1007/s12631-013-0262-z

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  • DOI: https://doi.org/10.1007/s12631-013-0262-z

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