Our Summary

This research paper discusses the importance of accurately assessing ear deformities before surgery. It divides the ear into four parts: the helical and scaphal region (A), antihelical region (B), conchal region (C), and lobule region (D). The authors suggest that surgeons should start by examining region A and then proceed to region D, following a concentric pattern. When deformities in region A need to be corrected, a front-facing approach is recommended.

The paper emphasizes that a proper evaluation of ear defects before surgery is crucial. It points out that defects in region A are often overlooked and that the techniques for correcting these are not frequently considered. However, correcting these defects requires a front-facing approach, which impacts the techniques used to correct defects in regions B and C. The authors recommend fixing defects in region B before moving on to region C to prevent overcorrection of ear protrusion.

The authors acknowledge that there are many different surgical techniques for correcting ear defects. However, based on their years of experience, they propose a systematic approach that ensures all areas of the ear are treated, providing the best outcome for the patient. The paper is categorized as a level IV evidence-based medicine rating, based on the journal’s classification system.

FAQs

  1. What are the four regions of the ear as identified in the research paper?
  2. What is the recommended sequence for examining the regions of the ear before surgery?
  3. What is the importance of a front-facing approach when correcting deformities in region A of the ear?

Doctor’s Tip

Overall, the key takeaway from this paper is the importance of a thorough evaluation of ear deformities before undergoing otoplasty surgery. By following a systematic approach and addressing all areas of the ear, surgeons can achieve the best possible results for their patients. Patients considering otoplasty should discuss these evaluation techniques with their doctor to ensure a comprehensive treatment plan.

Suitable For

Patients who are typically recommended for otoplasty include those with prominent ears, asymmetrical ears, or ear deformities such as constricted ears, lop ears, or cup ears. Otoplasty can also be performed on patients who have experienced trauma to the ear or have congenital ear abnormalities. The procedure is often recommended for children as young as five years old, as well as adults who are unhappy with the appearance of their ears.

Timeline

Before otoplasty:

  • Patient consults with a plastic surgeon to discuss concerns about ear appearance
  • Surgeon evaluates the ear deformities, particularly focusing on regions A, B, C, and D
  • Surgeon discusses surgical options and expected outcomes with the patient
  • Patient schedules surgery and receives pre-operative instructions

After otoplasty:

  • Patient undergoes otoplasty surgery, which may involve correcting deformities in regions A, B, C, and D
  • Patient recovers from surgery, experiencing some swelling and discomfort
  • Patient follows post-operative care instructions provided by the surgeon
  • Patient attends follow-up appointments to monitor healing progress and address any concerns
  • Patient enjoys improved ear appearance and increased confidence following successful otoplasty surgery

What to Ask Your Doctor

Some questions a patient should ask their doctor about otoplasty based on this research paper could include:

  1. Can you explain to me the different regions of the ear that may need to be corrected during otoplasty, and the importance of assessing each area accurately before surgery?
  2. How do you typically approach correcting defects in region A, and why is it important to address these before moving on to regions B and C?
  3. What are the potential risks or complications associated with overcorrection of ear protrusion, and how do you ensure this does not happen during surgery?
  4. Can you explain the systematic approach you use for otoplasty surgery, and how it ensures all areas of the ear are treated effectively for the best outcome?
  5. Based on your experience and the research presented in this paper, what are the most common techniques you use for otoplasty surgery, and why do you believe they provide the best results for patients?

Reference

Authors: Siliprandi M, Battistini A, Agnelli B, Bandi V, Vinci V, Lisa A, Maione L, Siliprandi L. Journal: Aesthetic Plast Surg. 2022 Feb;46(1):207-219. doi: 10.1007/s00266-021-02368-3. Epub 2021 Jun 8. PMID: 34105004