Research Article| Volume 60, ISSUE 2, P201-204, February 2007

Repositioning of posterior auricular muscle combined with conventional otoplasty: A personal technique


      Prominent ears are the most common deformity of the external ear in children. Since 1881 various treatments have been described but the choice of procedure still remains at the surgeon's preference. A posterior auricular muscle malposition is frequently present in prominent ear deformity even though this muscle shows only a rudimentary function in man.
      This article presents a technique to reposition the posterior auricular muscle as an adjunct to conventional otoplasty. A quadrangular cartilage paddle, where the muscle inserts, is raised with the muscle as a chondro-muscular flap that can be advanced and reset more peripherally. Eighty consecutive patients, followed up for at least 12 months, have been reviewed. The posterior auricular muscle repositioning combined with a lozenge shaped conchectomy has been successfully performed in 103 ears. The cartilage paddle proved to be a strong support which facilitates the re-insertion of the muscle. Repositioning of posterior auricular muscle allows a more anatomical correction of both ear's projection and slope improving symmetry with the contralateral side.


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        • Guyuron B.
        • DeLuca L.
        Ear projection and the posterior auricular muscle insertion.
        Plast Reconstr Surg. 1997; 100: 457-460
        • Lucket W.H.
        A new operation for prominent ears based on the anatomical deformity.
        Surg Gynecol Obstet. 1910; 10: 635
      1. Gray's anatomy.
        Gramercy books Edition, London1977
        • Smith D.W.
        • Takashima H.
        Protruding auricle: a neuromuscular sign.
        Lancet. 1978; 1: 747
      2. Siragò P, Zigiotti GL, Stracuzzi G, et al., Chirurgia correttiva delle orecchie prominenti. Giornale di chirurgia plastica ed estetica, 1 vol. IV, 139; 1989.

        • Nicoletis C.
        • Guerin-Surveille H.
        Prominent ears. Transposition of the posterior auricular muscle on the scapha. A new technique.
        Aesthetic Plast Surg. 1978; 2: 295
        • Furnas D.W.
        Otoplasty in prominent ears.
        Clin Plast Surg. 2002 Apr; 29: 273-288
        • Kelley P.
        • Hollier L.
        • Stal S.
        Otoplasty: evaluation, technique, and review.
        J Craniofac Surg. 2003 Sept; 14: 643-653
        • Aygit A.C.
        Molding the ears after anterior scoring and concha repositioning: a combined approach for protruding ear correction.
        Aesthetic Plast Surg. 2003 Jan–Feb; 27: 77-81
        • Ohlsen L.
        • Vedung S.
        Reconstructing the antihelix of protruding ears by perichondrioplasty: a modified technique.
        Plast Reconstr Surg. 1980; : 753-762
        • Yugueros P.
        • Friedland J.A.
        Otoplasty: the experience of 100 consecutive patients.
        Plast Reconstr Surg. 2001; 108: 1045-1051
        • Spira M.
        Otoplasty: what I do now – a 30-year perspective.
        Plast Reconstr Surg. 1999; 104: 834-840
        • Horlock N.
        • Misra A.
        • Gault D.T.
        The postauricular fascial flap as an adjunct to Mustardè and Furnas type otoplasty.
        Plast Reconstr Surg. 2001; 108: 1487-1490
        • Azad S.
        • Edwin A.
        • Kumar P.V.
        Posterior auricular muscle – a useful adjunct in otoplasty.
        Br J Plast Surg. 2003 Oct; 56: 722-723