Otoplasty using the postauricular skin flap technique

Arch Otolaryngol Head Neck Surg. 1994 Oct;120(10):1146-50. doi: 10.1001/archotol.1994.01880340086015.


Objective: To evaluate the efficacy of the postauricular skin flap technique in otoplasty.

Design: We conducted a case series study of 25 patients who underwent bilateral otoplasty for prominent ears over a 4-year period. Follow-up ranged from 6 months to 4 years.

Setting: Academic tertiary care referral center.

Patients: Twenty-five patients with congenitally prominent bilateral ears, aged 5 to 38 years of age.

Intervention: Cartilage-sparing otoplasties were performed with access using the postauricular skin flap technique. The specifics of cartilage correction were determined by the surgeon based on the patients' anatomic deformity.

Outcome measure: Clinically noted aesthetic results, complications, and patient satisfaction.

Results: No complications, such as hypertrophic scarring, keloid formation, scar migration, ear deformity, or obliteration of the postauricular sulcus, were noted. Patient satisfaction with the procedure was generally high.

Conclusion: We conclude that the postauricular skin flap approach to otoplasty is safe, provides excellent exposure, is amenable to most cartilage surgical techniques, and is a valuable addition to otoplasty techniques.

MeSH terms

  • Adolescent
  • Adult
  • Child
  • Child, Preschool
  • Dermatologic Surgical Procedures*
  • Dissection
  • Ear, External / abnormalities*
  • Ear, External / surgery*
  • Follow-Up Studies
  • Hemostasis, Surgical
  • Humans
  • Patient Satisfaction
  • Surgical Flaps / methods*
  • Suture Techniques