gms | German Medical Science

78th Annual Meeting of the German Society of Oto-Rhino-Laryngology, Head and Neck Surgery

German Society of Oto-Rhino-Laryngology, Head and Neck Surgery

16.05. - 20.05.2007, Munich

Combined technique for children otoplasty

Meeting Abstract

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  • corresponding author Petar Rouev - Uni-HNO-Klinik Stara Zagora, Stara Zagora, Bulgaria

Deutsche Gesellschaft für Hals-Nasen-Ohren-Heilkunde, Kopf- und Hals-Chirurgie. 78. Jahresversammlung der Deutschen Gesellschaft für Hals-Nasen-Ohren-Heilkunde, Kopf- und Hals-Chirurgie e.V.. München, 16.-20.05.2007. Düsseldorf: German Medical Science GMS Publishing House; 2007. Doc07hnod506

The electronic version of this article is the complete one and can be found online at:

Published: April 24, 2007

© 2007 Rouev.
This is an Open Access article distributed under the terms of the Creative Commons Attribution License ( You are free: to Share – to copy, distribute and transmit the work, provided the original author and source are credited.



Protruding ears are the most common auricular deformities for which patients seek consultation. These deformities belong to the first degree dysplasias and result from an overdeveloped concha, an underdeveloped anthelix or a prominent lobule. In this cases the ear surgery, or otoplasty/ auriculoplasty, is usually done to set prominent ears back closer to the head or to reduce the size of large ears. A great number of surgical techniques for the correction of protruding ears have been developed. For the most part, the operation is done on children between the ages of four and 18. We present our combined technique, based on cartilage incision and mattress suture technique for the treatment of protruding ears. This new combined method was used to correct 33 protruding ears in 17 patients and it is a reproductible, versatile, and safe procedure. The technique improves the protrusion, symmetry, and form of the ear by addressing the poorly developed or absent antihelical fold and the abnormally large concha. It has been used for many years and has produced consistently good long-term results. Surgical complications and their treatment are also discussed.