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Erschienen in: Aesthetic Plastic Surgery 5/2019

09.07.2019 | Original Article

Aesthetic Otoplasty: Principles, Techniques and an Integrated Approach to Patient-Centric Outcomes

verfasst von: Andrew Ordon, Erik Wolfswinkel, Orr Shauly, Daniel J. Gould

Erschienen in: Aesthetic Plastic Surgery | Ausgabe 5/2019

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Abstract

Background

Otoplasty is a century-old procedure that, through continued modifications, now has over two hundred different procedures described in the literature. In this article, we seek to describe the anatomy and principles of aesthetic otoplasty, as well as some of the key contributions to aesthetic otoplasty. This article will also outline some of the most commonly used techniques today and associated patient outcomes.

Methods

We present a review of the literature of relevant anatomy, pathophysiology and common techniques and outcomes. We also provide a discussion of several patients with associated techniques and outcomes.

Results

The treatment of prominent ear has developed through manipulation and experimentation. The outcomes are defined by the native anatomy, the surgical technique and the attention to patient-centered outcomes.

Conclusion

Aesthetic otoplasty remains one of the most important surgical techniques and common procedures in plastic surgery. Using an integrated approach guided by known principles as well as patient goals allows for optimal outcome in aesthetic otoplasty.

Level of Evidence V

This journal requires that authors assign a level of evidence to each article. For a full description of these Evidence-Based Medicine ratings, please refer to the Table of Contents or the online Instructions to Authors www.​springer.​com/​00266.
Literatur
1.
Zurück zum Zitat Adamson JE, Hortox CE, Crawford HH (1965) The growth pattern of the external ear. Plast Reconstr Surg 36(4):466–470PubMedCrossRef Adamson JE, Hortox CE, Crawford HH (1965) The growth pattern of the external ear. Plast Reconstr Surg 36(4):466–470PubMedCrossRef
2.
Zurück zum Zitat Kelley P, Hollier L, Stal S (2003) Otoplasty: evaluation, technique, and review. J Craniofac Surg 14(5):643–653PubMedCrossRef Kelley P, Hollier L, Stal S (2003) Otoplasty: evaluation, technique, and review. J Craniofac Surg 14(5):643–653PubMedCrossRef
3.
Zurück zum Zitat Janz BA, Cole P, Hollier LH Jr, Stal S (2009) Treatment of prominent and constricted ear anomalies. Plast Reconstr Surg 124(1):27e–37ePubMedCrossRef Janz BA, Cole P, Hollier LH Jr, Stal S (2009) Treatment of prominent and constricted ear anomalies. Plast Reconstr Surg 124(1):27e–37ePubMedCrossRef
4.
5.
Zurück zum Zitat Pawar SS, Koch CA, Murakami C (2015) Treatment of prominent ears and otoplasty: a contemporary review. JAMA Facial Plast Surg 17(6):449–454PubMedCrossRef Pawar SS, Koch CA, Murakami C (2015) Treatment of prominent ears and otoplasty: a contemporary review. JAMA Facial Plast Surg 17(6):449–454PubMedCrossRef
6.
Zurück zum Zitat Alexander KS, Stott DJ, Sivakumar B, Kang N (2011) A morphometric study of the human ear. J Plast Reconstr Aesthet Surg 64(1):41–47PubMedCrossRef Alexander KS, Stott DJ, Sivakumar B, Kang N (2011) A morphometric study of the human ear. J Plast Reconstr Aesthet Surg 64(1):41–47PubMedCrossRef
7.
Zurück zum Zitat Spira M (1999) Otoplasty: what I do now—a 30-year perspective. Plast Reconstr Surg 104(3):834–840PubMedCrossRef Spira M (1999) Otoplasty: what I do now—a 30-year perspective. Plast Reconstr Surg 104(3):834–840PubMedCrossRef
8.
Zurück zum Zitat Tanzer RC (1962) The correction of prominent ears. Plast Reconstr Surg 30(2):236–246CrossRef Tanzer RC (1962) The correction of prominent ears. Plast Reconstr Surg 30(2):236–246CrossRef
9.
Zurück zum Zitat Matsuo K, Hirose T, Tomono T et al (1984) Nonsurgical correction of congenital auricular deformities in the early neonate: a preliminary report. Plast Reconstr Surg 73(1):38–50PubMedCrossRef Matsuo K, Hirose T, Tomono T et al (1984) Nonsurgical correction of congenital auricular deformities in the early neonate: a preliminary report. Plast Reconstr Surg 73(1):38–50PubMedCrossRef
10.
Zurück zum Zitat Matsuo K, Hayashi R, Kiyono M, Hirose T, Netsu Y (1990) Nonsurgical correction of congenital auricular deformities. Clin Plast Surg 17(2):383–395PubMed Matsuo K, Hayashi R, Kiyono M, Hirose T, Netsu Y (1990) Nonsurgical correction of congenital auricular deformities. Clin Plast Surg 17(2):383–395PubMed
11.
Zurück zum Zitat Rogers BO (1968) Microtic, lop, cup and protruding ears: four directly inheritable deformities? Plast Reconstr Surg 41(3):208–231PubMedCrossRef Rogers BO (1968) Microtic, lop, cup and protruding ears: four directly inheritable deformities? Plast Reconstr Surg 41(3):208–231PubMedCrossRef
12.
Zurück zum Zitat Daniali LN, Rezzadeh K, Shell C, Trovato M, Ha R, Byrd HS (2017) Classification of newborn Ear malformations and their treatment with the EarWell Infant Ear Correction System. Plast Reconstr Surg 139(3):681–691PubMedCrossRef Daniali LN, Rezzadeh K, Shell C, Trovato M, Ha R, Byrd HS (2017) Classification of newborn Ear malformations and their treatment with the EarWell Infant Ear Correction System. Plast Reconstr Surg 139(3):681–691PubMedCrossRef
13.
Zurück zum Zitat Park C, Yoo YS, Hong ST (2010) An update on auricular reconstruction: three major auricular malformations of microtia, prominent ear and cryptotia. Curr Opin Otolaryngol Head Neck Surg 18(6):544–549PubMedCrossRef Park C, Yoo YS, Hong ST (2010) An update on auricular reconstruction: three major auricular malformations of microtia, prominent ear and cryptotia. Curr Opin Otolaryngol Head Neck Surg 18(6):544–549PubMedCrossRef
14.
Zurück zum Zitat Guyuron B, DeLuca L (1997) Ear projection and the posterior auricular muscle insertion. Plast Reconstr Surg 100(2):457–460PubMedCrossRef Guyuron B, DeLuca L (1997) Ear projection and the posterior auricular muscle insertion. Plast Reconstr Surg 100(2):457–460PubMedCrossRef
15.
Zurück zum Zitat Kurozumi N, Ono S, Ishida H (1982) Non-surgical correction of a congenital lop ear deformity by splinting with Reston foam. Br J Plast Surg 35(2):181–182PubMedCrossRef Kurozumi N, Ono S, Ishida H (1982) Non-surgical correction of a congenital lop ear deformity by splinting with Reston foam. Br J Plast Surg 35(2):181–182PubMedCrossRef
16.
Zurück zum Zitat Byrd HS, Langevin CJ, Ghidoni LA (2010) Ear molding in newborn infants with auricular deformities. Plast Reconstr Surg 126(4):1191–1200PubMedCrossRef Byrd HS, Langevin CJ, Ghidoni LA (2010) Ear molding in newborn infants with auricular deformities. Plast Reconstr Surg 126(4):1191–1200PubMedCrossRef
17.
Zurück zum Zitat Ju DM (1963) The psychological effect of protruding ears. Plast Reconstr Surg 31(5):424–427PubMedCrossRef Ju DM (1963) The psychological effect of protruding ears. Plast Reconstr Surg 31(5):424–427PubMedCrossRef
18.
Zurück zum Zitat McEVITT WG (1947) The problem of the protruding ear. Plast Reconstr Surg 2(5):481–496CrossRef McEVITT WG (1947) The problem of the protruding ear. Plast Reconstr Surg 2(5):481–496CrossRef
19.
Zurück zum Zitat Gosain AK, Kumar A, Huang G (2004) Prominent ears in children younger than 4 years of age: what is the appropriate timing for otoplasty? Plast Reconstr Surg 114(5):1042–1054PubMedCrossRef Gosain AK, Kumar A, Huang G (2004) Prominent ears in children younger than 4 years of age: what is the appropriate timing for otoplasty? Plast Reconstr Surg 114(5):1042–1054PubMedCrossRef
20.
Zurück zum Zitat Hao W, Chorney JM, Bezuhly M, Wilson K, Hong P (2013) Analysis of health-related quality-of-life outcomes and their predictive factors in pediatric patients who undergo otoplasty. Plast Reconstr Surg 132(5):811e–817ePubMedCrossRef Hao W, Chorney JM, Bezuhly M, Wilson K, Hong P (2013) Analysis of health-related quality-of-life outcomes and their predictive factors in pediatric patients who undergo otoplasty. Plast Reconstr Surg 132(5):811e–817ePubMedCrossRef
21.
Zurück zum Zitat Harris DL, Carr AT (2001) The Derriford Appearance Scale (DAS59): a new psychometric scale for the evaluation of patients with disfigurements and aesthetic problems of appearance. Br J Plast Surg 54(3):216–222CrossRefPubMed Harris DL, Carr AT (2001) The Derriford Appearance Scale (DAS59): a new psychometric scale for the evaluation of patients with disfigurements and aesthetic problems of appearance. Br J Plast Surg 54(3):216–222CrossRefPubMed
22.
Zurück zum Zitat Crerand CE, Franklin ME, Sarwer DB (2008) MOC-PS (SM) CME Article: patient safety: body dysmorphic disorder and cosmetic surgery. Plast Reconstr Surg 122(4S):1–15CrossRef Crerand CE, Franklin ME, Sarwer DB (2008) MOC-PS (SM) CME Article: patient safety: body dysmorphic disorder and cosmetic surgery. Plast Reconstr Surg 122(4S):1–15CrossRef
23.
Zurück zum Zitat Taş SJ (2018) Prominent ear correction: a comprehensive review of fascial flaps in otoplasty. Aesthetic Surg J 38(7):695–704CrossRef Taş SJ (2018) Prominent ear correction: a comprehensive review of fascial flaps in otoplasty. Aesthetic Surg J 38(7):695–704CrossRef
24.
Zurück zum Zitat Luckett WH (1910) A new operation for prominent ears based on the anatomy of the deformity. Surg Gynecol Obstet 10(635):83–89 Luckett WH (1910) A new operation for prominent ears based on the anatomy of the deformity. Surg Gynecol Obstet 10(635):83–89
25.
Zurück zum Zitat Pitanguy I, Fiazza G, Calixto CA et al (1985) Prominent ears—Pitanguy’S island technique: long-term results. Head Neck Surg 7(5):418–426PubMedCrossRef Pitanguy I, Fiazza G, Calixto CA et al (1985) Prominent ears—Pitanguy’S island technique: long-term results. Head Neck Surg 7(5):418–426PubMedCrossRef
26.
Zurück zum Zitat Shiffman MA (2013) Advanced cosmetic otoplasty: art, science, and new clinical techniques. Springer, BerlinCrossRef Shiffman MA (2013) Advanced cosmetic otoplasty: art, science, and new clinical techniques. Springer, BerlinCrossRef
27.
Zurück zum Zitat Stenstrom S, Heftner J (1978) The Stenstrom otoplasty. Clin Plast Surg 5(3):465PubMed Stenstrom S, Heftner J (1978) The Stenstrom otoplasty. Clin Plast Surg 5(3):465PubMed
28.
Zurück zum Zitat Walter C (1986) Correction and reconstruction of the malformed auricle. Facial Plast Surg 3(3):175–189CrossRef Walter C (1986) Correction and reconstruction of the malformed auricle. Facial Plast Surg 3(3):175–189CrossRef
29.
Zurück zum Zitat Weerda HJL (1979) Remarks about otoplasty and avulsion of the auricle (author’s transl). Rhinol Otol 58(3):242–251 Weerda HJL (1979) Remarks about otoplasty and avulsion of the auricle (author’s transl). Rhinol Otol 58(3):242–251
30.
Zurück zum Zitat Songu M (2013) The Négrevergne otoplasty technique. In: Shiffman MA (ed) Advanced cosmetic otoplasty. Springer, Berlin, pp 149–161CrossRef Songu M (2013) The Négrevergne otoplasty technique. In: Shiffman MA (ed) Advanced cosmetic otoplasty. Springer, Berlin, pp 149–161CrossRef
31.
Zurück zum Zitat Lam SM (2004) Edward Talbot Ely: father of aesthetic otoplasty. Arch Facial Plast Surg 6(1):64PubMedCrossRef Lam SM (2004) Edward Talbot Ely: father of aesthetic otoplasty. Arch Facial Plast Surg 6(1):64PubMedCrossRef
32.
Zurück zum Zitat Santoni-Rugiu P, Sykes PJ (2007) Ear reconstruction. In: Santoni-Rugiu P, Sykes PJ (eds) A history of plastic surgery. Springer, Berlin, pp 277–286 Santoni-Rugiu P, Sykes PJ (2007) Ear reconstruction. In: Santoni-Rugiu P, Sykes PJ (eds) A history of plastic surgery. Springer, Berlin, pp 277–286
33.
Zurück zum Zitat Rogers BO (1968) ELY’S 1881 operation for correction of protruding ears: a medical “first”. Plast Reconstr Surg 42(6):584–586PubMedCrossRef Rogers BO (1968) ELY’S 1881 operation for correction of protruding ears: a medical “first”. Plast Reconstr Surg 42(6):584–586PubMedCrossRef
34.
Zurück zum Zitat Lavy J, Stearns MJCO (1997) Otoplasty: techniques, results and complications—a review. Clin Otolaryngol Allied Sci 22(5):390–393PubMedCrossRef Lavy J, Stearns MJCO (1997) Otoplasty: techniques, results and complications—a review. Clin Otolaryngol Allied Sci 22(5):390–393PubMedCrossRef
35.
36.
Zurück zum Zitat Gibson T, Brian Davis W (1957) The distortion of autogenous cartilage grafts: its cause and prevention. Br J Plast Surg 10:257–274CrossRef Gibson T, Brian Davis W (1957) The distortion of autogenous cartilage grafts: its cause and prevention. Br J Plast Surg 10:257–274CrossRef
37.
Zurück zum Zitat Sommer K, Meyer S, Weerda H (1998) Otoplasty: converse technique. In: Weerda H, Siegert R (eds) Auricular and middle ear malformations, ear defects and their reconstruction. Kugler Publications, Amsterdam Sommer K, Meyer S, Weerda H (1998) Otoplasty: converse technique. In: Weerda H, Siegert R (eds) Auricular and middle ear malformations, ear defects and their reconstruction. Kugler Publications, Amsterdam
38.
Zurück zum Zitat Converse JM, Nigro A, Wilson FA, Johnson NJ (1955) A technique for surgical correction of lop ears. Plast Reconstr Surg 15(5):411–418CrossRef Converse JM, Nigro A, Wilson FA, Johnson NJ (1955) A technique for surgical correction of lop ears. Plast Reconstr Surg 15(5):411–418CrossRef
39.
Zurück zum Zitat Converse JM, Wood-smith D (1963) Technical details in the surgical correction of the lop ear deformity. Plast Reconstr Surg 31(2):118–128PubMedCrossRef Converse JM, Wood-smith D (1963) Technical details in the surgical correction of the lop ear deformity. Plast Reconstr Surg 31(2):118–128PubMedCrossRef
40.
Zurück zum Zitat Mustarde J (1963) The correction of prominent ears using simple mattress sutures. Br J Plast Surg 16:170–176PubMedCrossRef Mustarde J (1963) The correction of prominent ears using simple mattress sutures. Br J Plast Surg 16:170–176PubMedCrossRef
41.
Zurück zum Zitat Furnas DW (1968) Correction of prominent ears by concha-mastoid sutures. Plast Reconstr Surg 42(3):189–194PubMedCrossRef Furnas DW (1968) Correction of prominent ears by concha-mastoid sutures. Plast Reconstr Surg 42(3):189–194PubMedCrossRef
42.
Zurück zum Zitat Stal S, Spira M (1985) Long-term results in otoplasty. Facial Plast Surg 2(02):153–165CrossRef Stal S, Spira M (1985) Long-term results in otoplasty. Facial Plast Surg 2(02):153–165CrossRef
43.
Zurück zum Zitat Naumann A (2007) Otoplasty—techniques, characteristics and risks. GMS Curr Top Otorhinolaryngol Head Neck Surg 6 Naumann A (2007) Otoplasty—techniques, characteristics and risks. GMS Curr Top Otorhinolaryngol Head Neck Surg 6
44.
Zurück zum Zitat Sinno S, Chang JB, Thorne CH (2015) Precision in otoplasty: combining reduction otoplasty with traditional otoplasty. Plast Reconstr Surg 135(5):1342–1348PubMedCrossRef Sinno S, Chang JB, Thorne CH (2015) Precision in otoplasty: combining reduction otoplasty with traditional otoplasty. Plast Reconstr Surg 135(5):1342–1348PubMedCrossRef
45.
Zurück zum Zitat Brent B (2008) Hydrodissection as key to a natural-appearing otoplasty. Plast Reconstr Surg 122(4):1055–1058PubMedCrossRef Brent B (2008) Hydrodissection as key to a natural-appearing otoplasty. Plast Reconstr Surg 122(4):1055–1058PubMedCrossRef
46.
48.
Zurück zum Zitat Bauer BS, Song DH, Aitken ME (2002) Combined otoplasty technique: chondrocutaneous conchal resection as the cornerstone to correction of the prominent ear. Plast Reconstr Surg 110(4):1033–1040 (discussion 1041) PubMed Bauer BS, Song DH, Aitken ME (2002) Combined otoplasty technique: chondrocutaneous conchal resection as the cornerstone to correction of the prominent ear. Plast Reconstr Surg 110(4):1033–1040 (discussion 1041) PubMed
49.
Zurück zum Zitat Iljin A, Lewandowicz E, Antoszewski B, Durko M, Zieliński TJ (2016) Results of auricular conchal bowl reconstructions following cancer resections with Postauricular Island Flap. Pol J Surg 88(6):315–320 Iljin A, Lewandowicz E, Antoszewski B, Durko M, Zieliński TJ (2016) Results of auricular conchal bowl reconstructions following cancer resections with Postauricular Island Flap. Pol J Surg 88(6):315–320
50.
Zurück zum Zitat Cho BC, Kim JY, Byun JS (2007) Two-stage reconstruction of the auricle in congenital microtia using autogenous costal cartilage. J Plast Reconstr Aesthet Surg 60(9):998–1006PubMedCrossRef Cho BC, Kim JY, Byun JS (2007) Two-stage reconstruction of the auricle in congenital microtia using autogenous costal cartilage. J Plast Reconstr Aesthet Surg 60(9):998–1006PubMedCrossRef
51.
Zurück zum Zitat Cho BC, Lee SH (2006) Surgical results of two-stage reconstruction of the auricle in congenital microtia using an autogenous costal cartilage alone or combined with canaloplasty. Plast Reconstr Surg 117(3):936–947PubMedCrossRef Cho BC, Lee SH (2006) Surgical results of two-stage reconstruction of the auricle in congenital microtia using an autogenous costal cartilage alone or combined with canaloplasty. Plast Reconstr Surg 117(3):936–947PubMedCrossRef
52.
Zurück zum Zitat Burstein FD (2003) Cartilage-sparing complete otoplasty technique: a 10-year experience in 100 patients. J Craniofac Surg 14(4):521–525PubMedCrossRef Burstein FD (2003) Cartilage-sparing complete otoplasty technique: a 10-year experience in 100 patients. J Craniofac Surg 14(4):521–525PubMedCrossRef
54.
Zurück zum Zitat Nikkhah D, Farid M, Sadri A, Shibu M (2018) A scaphomastoid sutures technique for prominent ear otoplasty. Plast Reconstr Surg Global Open 6(9):e1892CrossRef Nikkhah D, Farid M, Sadri A, Shibu M (2018) A scaphomastoid sutures technique for prominent ear otoplasty. Plast Reconstr Surg Global Open 6(9):e1892CrossRef
55.
Zurück zum Zitat Cihandide E, Kayiran O, Aydin EE, Uzunismail A (2016) A new approach for the correction of prominent ear deformity: the distally based perichondrio-adipo-dermal flap technique. J Craniofac Surg 27(4):892–897PubMedCrossRef Cihandide E, Kayiran O, Aydin EE, Uzunismail A (2016) A new approach for the correction of prominent ear deformity: the distally based perichondrio-adipo-dermal flap technique. J Craniofac Surg 27(4):892–897PubMedCrossRef
56.
Zurück zum Zitat Frascino LF (2009) The use of a retroauricular fascioperichondrial flap in the recreation of the antihelical fold in prominent ear surgery. Ann Plast Surg 63(5):536–540PubMedCrossRef Frascino LF (2009) The use of a retroauricular fascioperichondrial flap in the recreation of the antihelical fold in prominent ear surgery. Ann Plast Surg 63(5):536–540PubMedCrossRef
58.
Zurück zum Zitat Gualdi A, Cambiaso-Daniel J, Gatti J et al (2018) Double triangular cartilage excision otoplasty. Plast Reconstr Surg 141(3):348e–356ePubMedCrossRef Gualdi A, Cambiaso-Daniel J, Gatti J et al (2018) Double triangular cartilage excision otoplasty. Plast Reconstr Surg 141(3):348e–356ePubMedCrossRef
59.
Zurück zum Zitat Smittenberg MN, Marsman M, Veeger NJ, Moues CM (2018) Comparison of cartilage-scoring and cartilage-sparing otoplasty: a retrospective analysis of complications and aesthetic outcome of 1060 ears. Plast Reconstr Surg 141(4):500e–506ePubMedCrossRef Smittenberg MN, Marsman M, Veeger NJ, Moues CM (2018) Comparison of cartilage-scoring and cartilage-sparing otoplasty: a retrospective analysis of complications and aesthetic outcome of 1060 ears. Plast Reconstr Surg 141(4):500e–506ePubMedCrossRef
60.
Zurück zum Zitat Strychowsky JE, Moitri M, Gupta MK, Sommer DD (2013) Incisionless otoplasty: a retrospective review and outcomes analysis. Int J Pediatr Otorhinolaryngol 77(7):1123–1127PubMedCrossRef Strychowsky JE, Moitri M, Gupta MK, Sommer DD (2013) Incisionless otoplasty: a retrospective review and outcomes analysis. Int J Pediatr Otorhinolaryngol 77(7):1123–1127PubMedCrossRef
61.
Zurück zum Zitat Gantous A (2018) The incisionless otoplasty technique. JAMA Facial Plast Surg 20(5):424–425PubMedCrossRef Gantous A (2018) The incisionless otoplasty technique. JAMA Facial Plast Surg 20(5):424–425PubMedCrossRef
62.
Zurück zum Zitat Mehta S, Gantous A (2014) Incisionless otoplasty: a reliable and replicable technique for the correction of prominauris. JAMA Facial Plast Surg 16(6):414–418PubMedCrossRef Mehta S, Gantous A (2014) Incisionless otoplasty: a reliable and replicable technique for the correction of prominauris. JAMA Facial Plast Surg 16(6):414–418PubMedCrossRef
63.
Zurück zum Zitat Ersen B, Sarialtin Y, Cihantimur B, Ozyurtlu M (2018) A new otoplasty procedure: combination of perichondrio-adipo-dermal flap, posterior auricular muscle transpositioning and cartilage suturing to decrease the post-operative complication rates. Eur J Plast Surg 41:1–6CrossRef Ersen B, Sarialtin Y, Cihantimur B, Ozyurtlu M (2018) A new otoplasty procedure: combination of perichondrio-adipo-dermal flap, posterior auricular muscle transpositioning and cartilage suturing to decrease the post-operative complication rates. Eur J Plast Surg 41:1–6CrossRef
64.
Zurück zum Zitat Graham ME, Bezuhly M, Hong P (2013) A long-term morphometric analysis of auricular position post-otoplasty. J Plast Reconstr Aesthet Surg 66(11):1482–1486PubMedCrossRef Graham ME, Bezuhly M, Hong P (2013) A long-term morphometric analysis of auricular position post-otoplasty. J Plast Reconstr Aesthet Surg 66(11):1482–1486PubMedCrossRef
65.
Zurück zum Zitat StenstrÖm SJ (1963) A “natural” technique for correction of congenitally prominent ears. Plast Reconstr Surg 32(5):509–518CrossRef StenstrÖm SJ (1963) A “natural” technique for correction of congenitally prominent ears. Plast Reconstr Surg 32(5):509–518CrossRef
66.
Zurück zum Zitat Tan K (1986) Long-term survey of prominent ear surgery: a comparison of two methods. Br J Plast Surg 39(2):270–273PubMedCrossRef Tan K (1986) Long-term survey of prominent ear surgery: a comparison of two methods. Br J Plast Surg 39(2):270–273PubMedCrossRef
Metadaten
Titel
Aesthetic Otoplasty: Principles, Techniques and an Integrated Approach to Patient-Centric Outcomes
verfasst von
Andrew Ordon
Erik Wolfswinkel
Orr Shauly
Daniel J. Gould
Publikationsdatum
09.07.2019
Verlag
Springer US
Erschienen in
Aesthetic Plastic Surgery / Ausgabe 5/2019
Print ISSN: 0364-216X
Elektronische ISSN: 1432-5241
DOI
https://doi.org/10.1007/s00266-019-01441-2

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