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ears, and about the same number reported attempting to cover their
protrudingearswithvarious hairstyles or headwear. They founda sig-
nificant increase in the HRQOL following otoplasty in approximately
95% of both adults and children. In addition, both groups (including
parents)reportedahighsatisfactionratefollowingtheprocedure.Since
Braunetal29 publishedtheirinitialstudy,otherauthorshavefoundvery
similar QOL results after otoplasty. 30,31
Future Trends
Recently, electromechanical reshaping (EMR) has been studied as
away to reshapeauricular cartilage. Usingan invivo rabbit earmodel,
Yau et al 32studied the degree of shape change and histological find-
ings after EMR and splinting. They found a dose-dependent rela-
tionship between the voltage applied and the degree of shape
change and histologic findings showing areas of tissue injury, which
were limited to a small area around the needle insertion sites. This
type of technology has potential application as a minimally inva-
sive technology that could be used for office-based otoplasty; how-
ever, further clinical studies in humans will be necessary.
Conclusions
Prominent ears are frequently treated by facial plastic surgeons. An
intricate knowledge of normal auricular anatomy is required to de-
velop an appropriate operative plan to address the deformed ear.
The trend in otoplasty techniques has consistently moved toward
less invasive options, ranging from nonsurgical newborn ear mold-
ing to cartilage-sparing surgical techniques andeven incisionless, of-
fice-basedprocedures.Whilemost surgeonswho treat auricular de-
formitieswill developpreferences andexpertise ina fewtechniques,
theymust remain flexible in order to deal with the variety and com-
plexity of deformities that exist. Both surgical and nonsurgical oto-
plasty techniques continue to evolve and future advancements in
minimally invasive technologies and tissueengineeringwill likely cre-
ate even more possibilities to address auricular deformities.
ARTICLE INFORMATION
Accepted for Publication: May 18, 2015.
Published Online: July 9, 2015.
doi
Author Affiliations: Division of Facial Plastic and
Reconstructive Surgery, Department of
Otolaryngology and Communication Sciences,
Medical College of Wisconsin, Milwaukee (Pawar);
Koch Facial Plastic Surgery and Spa, West Des
Moines, Iowa (Koch); Division of Facial Plastic
Surgery, Department of Otolaryngology–Head and
Neck Surgery, Virginia Mason Medical Center,
Seattle, Washington (Murakami).
Author Contributions: Dr Pawar had full access to
all of the data in the study and takes responsibility
for the integrity of the data and the accuracy of the
data analysis.
Study concept and design: Koch, Murakami.
Acquisition, analysis, or interpretation of data:
Pawar, Koch.
Drafting of the manuscript: Koch, Murakami.
Critical revision of the manuscript for important
intellectual content: Pawar, Koch.
Administrative, technical, or material support:Pawar.
Study supervision: Pawar, Murakami.
Conflict of Interest Disclosures:None reported.
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Clinical Review & Education Review Treatment of Prominent Ears and Otoplasty
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