Chong-Chet Anterior Scoring Technique for the Correction of Prominent Ears: Results in 30 Patients

Abstract

A lot ofotoplasty techniques have been developed during the past years. However, there is no single perfect technique which is worldwide accepted. We present our assessment of a Chong-Chet anterior scoring technique for the correction of prominent ears which we applied in 30 patients between 2005 and 2010. This study is a report of creating a natural fold of cartilage using Chong-Chet anterior scoring technique by cartilage incision at the border between the antihelix and scapha, with medial scoring of the scapha and lateral scoring of the antihelix. Sutures were used to maintain the created fold. There were no major complications at the 1-year follow-up evaluation. None of the patients developed a recurrence, or retro protrusion of the helix which required a second operation for correction. The procedure is a simple surgical technique. The reconstructed ear shows reliable results in stability, size and normal convolutions. Furthermore, sharp cartilaginous ridges and hidden helix are avoided.

Share and Cite:

N. Sivrioglu, S. Irkoren, B. Aksoy and E. Copcu, "Chong-Chet Anterior Scoring Technique for the Correction of Prominent Ears: Results in 30 Patients," Modern Plastic Surgery, Vol. 2 No. 2, 2012, pp. 39-42. doi: 10.4236/mps.2012.22010.

Conflicts of Interest

The authors declare no conflicts of interest.

References

[1] H. Tolleth, “Artistic Anatomy, Dimensions and Proportions of the External Ear,” Clinics in Plastic Surgery, Vol. 5, No. 3, 1978, pp. 337-345.
[2] U. T. Hinderer, J. L. Del Rio and F. J. Fregenal, “Otoplasty for Prominent Ears,” Aesthetic Plastic Surgery, Vol. 11, No. 2, 1987, pp. 63-69.
[3] J. M. Converse, A. Nigro, F. A. Wilson, et al., “A Technique for Surgical Correction of Lop Ears,” Plastic and Reconstructive Surgery, Vol. 15, No. 5, 1955, pp. 411-418. doi:10.1097/00006534-195505000-00004
[4] A. J. McDowell, “Goals in Otoplasty for Protruding Ears,” Plastic and Reconstructive Surgery, Vol. 41, No. 1, 1968, pp. 17-27. doi:10.1097/00006534-196801000-00004
[5] M. Spira, “Otoplasty What I Do Now—A 30-Year Perspective,” Plastic and Reconstructive Surgery, Vol. 104, No. 3, 1999, pp. 834-841.
[6] D. Furnas, “Correction of Prominent Ears with Multiple Sutures,” Clinics in Plastic Surgery, Vol. 5, No. 3, 1978, pp. 491-495.
[7] P. E. Johnson, “Otoplasty: Shaping the Antihelix,” Aesthetic Plastic Surgery, Vol. 18, No. 1, 1994, pp. 71-74.
[8] D. W. Furnas, “Correction of Prominent Ears by Concha-Mastoid Sutures,” Plastic and Reconstructive Surgery, Vol. 42, No. 3, 1968, pp. 189-193. doi:10.1097/00006534-196809000-00001
[9] L. Caouette-Laberge, N. Guay, P. Bortoluzzi, et al., “Otoplasty: Anterior Scoring Techniques and Results in 500 Cases,” Plastic and Reconstructive Surgery, Vol. 105, No. 2, 2000, pp. 504-515. doi:10.1097/00006534-196809000-00001
[10] A. Minderjahn, W. Huttl and H. Hildmann, “Mustarde’s otoplasty: Evaluation of Correlation between Clinical and Statistical Findings,” Journal of Maxillofacial Surgery, Vol. 8, No. 3, 1980, pp. 241-250. doi:10.1016/S0301-0503(80)80107-X
[11] A. H. Messner and W. S. Crysdale, “Otolplasty: Clinical Protocol and Long-Term Results,” Archives of Otolaryngology—Head & Neck Surgery, Vol. 122, No. 7, 1996, pp. 773-777. doi:10.1001/archotol.1996.01890190069016
[12] M. Spira, “Reduction Otoplasty,” In: R. M. Goldwyn, Ed., The Unfavorable Result in Plastic Surgery, Little Brown, Boston, 1984, pp. 307-323.
[13] O. J. Becker, “Surgical Correction of the Abnormally Protruding Ear,” Archives of Otolaryngology—Head & Neck Surgery, Vol. 50, No. 5, 1949, pp. 541-560. doi:10.1001/archotol.1949.00700010555002
[14] V. Chongchet, “A Method of Antihelix Reconstruction,” British Journal of Plastic Surgery, Vol. 16, 1963, pp. 268-272. doi:10.1016/S0007-1226(63)80120-4
[15] J. C. Mustarde, “The Correction of Prominent Ears Using Simple Mattress Sutures,” British Journal of Plastic Surgery, Vol. 16, 1963, pp. 170-178. doi:10.1016/S0007-1226(63)80100-9
[16] P. Yugueros, J. A. Friedland and D. W. Furnas, “Otoplasty: The Experienceof 100 Consecutive Patients,” Plastic and Reconstructive Surgery, Vol. 108, No. 4, 2001, pp. 1045-1053. doi:10.1097/00006534-200109150-00038
[17] N. Horlock, A. Misra and D. Gault, “The Post Auricular Flap as an Adjunct to Mustarde and Furnas Type Otoplasty,” Plastic and Reconstructive Surgery, Vol. 108, No. 6, 2001, pp. 1487-1491. doi:10.1097/00006534-200111000-00005
[18] S. Jeffery, “Complications Following Correction of Prominent Ears: An Audit Review of 122 Cases,” British Journal of Plastic Surgery, Vol. 52, No. 7, 1999, pp. 588-590. doi:10.1054/bjps.1999.3183
[19] J. C. Mustarde, “Correction of Prominent Ears Using Buried Mattress Sutures,” Clinics in Plastic Surgery, Vol. 5, No. 3, 1978, pp. 459-464.
[20] S. J. Stenstrom, “A Simple Operation for Prominent Ears,” Acta Otolaryngologia, Vol. 224, 1966, p. 393.
[21] F. Peker and B. Celikoz, “Otoplasty: Anterior Scoring and Posterior Rolling Techniques in Adults,” Aesthetic Plastic Surgery, Vol. 26, No. 4, 2002, pp. 267-273. doi:10.1007/s00266-002-2028-4
[22] S. J. Stenstrom, “A Natural Technique for Correction of Congenitally Prominent Ears,” Plastic and Reconstructive Surgery, Vol. 32, 1963, pp. 509-518. doi:10.1097/00006534-196311000-00003
[23] P. A. Adamson, “Complications of Otoplasty,” Ear, Nose & Throat Journal, Vol. 64, No. 12, 1985, pp. 668-574.
[24] B. W. Powell, “The Value of Head Dressings in the Postoperative Management of the Prominentear,” British Journal of Plastic Surgery, Vol. 42, No. 6, 1989, pp. 692-694. doi:10.1016/0007-1226(89)90083-0

Copyright © 2024 by authors and Scientific Research Publishing Inc.

Creative Commons License

This work and the related PDF file are licensed under a Creative Commons Attribution 4.0 International License.