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Prominent Lobule Correction in Otoplasty: With Step-by-Step Description of the “Y to V Setback” Technique

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Advanced Cosmetic Otoplasty

Abstract

One of the most common long-term complications of the operation is an unnatural “operated” look of the ear. Our current aim in otoplasty must be further refinement of the surgical technique in order to address finer details such as Stahl’s ear, prominent Darwin’s tubercle, and lobule prominence. Some surgeons prefer skin excisions and others suggest correction of cartilage framework for correction of the lobule deformity. The authors preferred technique is Y to V setback of the lobule. It may be used as the last step of a routine otoplasty operation or for correction of isolated or secondary prominent lobule deformities. The technique is described.

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References

  1. Siegert R. Correction of the lobule. Facial Plast Surg. 2004;20(4):293–8.

    Article  PubMed  Google Scholar 

  2. Gosain AK, Recinos RF. A novel approach to correction of the prominent lobule during otoplasty. Plast Reconstr Surg. 2003;112(2):575–83.

    Article  PubMed  Google Scholar 

  3. Ellis DA, Keohane JD. A simplified approach to otoplasty. J Otolaryngol. 1992;21(1):66–9.

    PubMed  CAS  Google Scholar 

  4. Schwentner I, Schmutzhard J, Deibl M, Sprinzl GM. Health-related quality of life outcome of adult patients after otoplasty. J Craniofac Surg. 2006;17(4):629–35.

    Article  PubMed  Google Scholar 

  5. Becker DG, Lai SS, Wise JB, Steiger JD. Analysis in otoplasty. Facial Plast Surg Clin North Am. 2006;14(2):63–71.

    Article  PubMed  Google Scholar 

  6. Nuara MJ, Mobley SR. Nuances of otoplasty: a comprehensive review of the past 20 years. Facial Plast Surg Clin North Am. 2006;14(2):89–102.

    Article  PubMed  Google Scholar 

  7. Yuen A, Coombs CJ. Reduction otoplasty: correction of the large or asymmetric ear. Aesthetic Plast Surg. 2006;30(6):675–8.

    Article  PubMed  Google Scholar 

  8. Mattheis S, Siegert R. Techniques in otoplasty. HNO. 2006;54(8):643–52.

    Article  PubMed  CAS  Google Scholar 

  9. Bajaj Y, Rokade A, De PR. Otoplasty: experience with a modification using a drill, and literature review. J Laryngol Otol. 2007;121(1):61–4.

    Article  PubMed  CAS  Google Scholar 

  10. Emery BE. Otoplasty. Facial Plast Surg Clin North Am. 2001;9(1):147–57.

    PubMed  CAS  Google Scholar 

  11. Sevin K, Sevin A. Otoplasty with Mustarde suture, cartilage rasping, and scratching. Aesthetic Plast Surg. 2006;30(4):437–41.

    Article  PubMed  Google Scholar 

  12. Gosain AK, Recinos RF. Otoplasty in children less than four years of age: surgical technique. J Craniofac Surg. 2002;13(4):505–9.

    Article  PubMed  Google Scholar 

  13. Gomulinski L, Mauduy M, Saterre J. Our experience of otoplasty based on the study of the cartilaginous frame, especially the tail of the helix (about 244 cases and 22 anatomical dissections). Ann Chir Plast Esthet. 2005;50(3):206–15.

    Article  PubMed  CAS  Google Scholar 

  14. Adamson PA, Litner JA. Otoplasty technique. Facial Plast Surg Clin North Am. 2006;14(2):79–87.

    Article  PubMed  Google Scholar 

  15. Elliott Jr RA. Otoplasty: a combined approach. Clin Plast Surg. 1990;17(2):373–81.

    PubMed  Google Scholar 

  16. Furnas DW. Correction of prominent ears with multiple sutures. Clin Plast Surg. 1978;5(3):491–5.

    PubMed  CAS  Google Scholar 

  17. Bilkay U, Tiftikcioglu YO, Kapi E, Ozek C. Y-to-V setback for prominent lobule correction in otoplasty. Ann Plast Surg. 2011;66(6):623–6.

    Article  PubMed  CAS  Google Scholar 

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Correspondence to Yigit Ozer Tiftikcioglu M.D. .

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Tiftikcioglu, Y.O., Bilkay, U. (2013). Prominent Lobule Correction in Otoplasty: With Step-by-Step Description of the “Y to V Setback” Technique. In: Shiffman, M. (eds) Advanced Cosmetic Otoplasty. Springer, Berlin, Heidelberg. https://doi.org/10.1007/978-3-642-35431-1_46

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  • DOI: https://doi.org/10.1007/978-3-642-35431-1_46

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  • Publisher Name: Springer, Berlin, Heidelberg

  • Print ISBN: 978-3-642-35430-4

  • Online ISBN: 978-3-642-35431-1

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