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Scaphal reduction with traditional otoplasty can help correct macrotia deformities

The use of scaphal reduction, which can modify the upper auricle contour and decrease the overall ear size, can be a useful supplement to traditional otoplasty and may be indicated in a larger number of cases than previously expected, according to study findings.

Researchers retrospectively reviewed data from 84 otoplasty procedures performed at a single center from 2010 to 2013. The researchers analyzed patient demographics, preoperative assessments, the surgical technique used, reported complications and any reported need for revision.

Charles Thorne

Results showed some degree of scaphal reduction was included as a component of the procedure in 30 patients, and five patients had shortening of the earlobes in addition to scaphal reduction. Of the patients included in the study, 19 had undergone previous otoplasty by a different surgeon without complete satisfaction.

For patients with prominent ears only, the surgeon performed the otoplasty through an incision in the depth of the retroauricular sulcus. For those with macrotia and protuberant ears, incisions were made in the retroauricular sulcus, just inside the helical rim on the lateral surface of the ear.

Upon follow-up, which ranged from 6 months to 1 year, all patients were highly satisfied with their results. No major complications were reported, and the one minor complication reported was a case of suture protrusion behind the ear. According to the researchers, at the time the study was published, none of the patients had required reoperation.

The researchers concluded the result of the combined procedures is consistent and natural-looking with a minimal visible scar. - by Abigail Sutton

Disclosure: The researchers report no relevant financial disclosures.