Traditional big ear surgeries

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Traditional or conventional otopexy operations (see also Otopexy ) are procedures in which the ear is opened with a long incision. They are therefore also referred to as open otopexia. The skin incision is usually made on the back of the auricle (rear access), in rare cases also on the front of the auricle (anterior access). Then the cartilage of the poorly curved anthelix is exposed over a large area and thinned with a milling cutter, rasp, scalpel or diamond drill and fixed with hidden mattress sutures. The thinning of the cartilage aims to reduce the restoring forces of the cartilage.

If the concha is too large, a spindle-shaped piece of cartilage must be removed from the cavum conchae in order to reduce it. Or the concha is turned towards the head by being attached to the periosteum of the wart bone ( mastoid ) with sutures (so-called concharotation or cavum rotation ). Concha reduction or concharotation causes the lower and middle third of the ear to be applied.

The standard procedures of the traditional methods are the otoplasty according to Mustardé , Converse and the otoplasty according to Stenström . With the Mustardé method, the cartilage is left intact, but the ear is also cut open and the antihelical cartilage is exposed over a large area and folded with sutures.

Derived from the standard procedures, numerous similar traditional otoplasty operations have been developed (see Weerda).

With all traditional methods, a head bandage is applied for 1 to two weeks after the operation. It is then recommended to wear a headband for a few weeks.

In contrast to the open otopexia, there are also closed otopex operations in which the ear is no longer cut open and which are therefore not assigned to the traditional methods. According to Weerda, they are called special types of otoplasty operations . The best known of the special forms is the "Incisionless otoplasty" in the English literature and the "thread method" in the German literature.

Risks and possible complications

Traditional otomy operations are associated with a higher number of possible complications than special types of otoplasty (see complication options in the article on otopexy ).

Individual evidence

  1. ↑ a b c d Hilko Weerda: Surgery of the auricle. Georg Thieme Verlag, 2004, ISBN 3-13-130181-3 .
  2. ↑ JM CONVERSE, A. NIGRO and a .: A technique for surgical correction of lop ears. In: Plastic and reconstructive surgery (1946). Volume 15, Number 5, May 1955, pp. 411-418, PMID 14384519 .
  3. ↑ SJ STENSTROEM: A "NATURAL" TECHNIQUE FOR CORRECTION OF CONGENITALLY PROMINENT EARS. In: Plastic and reconstructive surgery. Volume 32, November 1963, pp. 509-518, PMID 14078273 .
  4. ↑ JC Mustardé: The treatment of prominent ears by buried mattress sutures: a ten-year survey. In: Plastic and reconstructive surgery. Volume 39, Number 4, April 1967, pp. 382-386, PMID 5336910 .
  5. ↑ MH Fritsch: Incisionless otoplasty. In: Facial plastic surgery: FPS. Volume 20, Number 4, November 2004, pp. 267-270, doi: 10.1055 / s-2005-865384 , PMID 15778913 .
  6. ↑ MH Fritsch: Incisionless otoplasty. In: Otolaryngologic clinics of North America. Volume 42, Number 6, December 2009, pp. 1199-1208, Table of Contents, doi: 10.1016 / j.otc.2009.09.003 , PMID 19962016 .
  7. ↑ WH Merck: The thread method according to Dr. Merck. J. Aesth. Chir. , 6, 209-220, 2013.