Abstract
Otoplasty is a century-old procedure that has undergone many modifications over the years. Over 200 different procedures have been described in the literature to treat patients with prominent ears, and this plenty of surgical techniques show that no simple “best” technique exists. Our approach to otoplasty includes partial-thickness posterior scoring of the auricular cartilage using monopolar cutting diathermy. Négrevergne otoplasty technique is first described in 2003 and adopted in the Georges Portmann Institute in France. Preoperative issues are discussed; perioperative routine and the surgical technique are described in step-by-step detail. The Négrevergne otoplasty technique is a simple method of cartilage weakening that maintains the natural contours of the auricle with very little morbidity and few complications. Using this highly effective technique, otoplasty can be performed in a rapid fashion with a low incidence of complications. Our controllable and intrinsically safe technique can be applied to a wide variety of prominent ear deformities, reproducible in the hands of other surgeons and in our hands, and consistently reveal excellent results.
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References
Songu M, Négrevergne M, Portmann D. The Négrevergne otoplasty technique. Ann Otol Rhinol Laryngol. 2010;119(1):27–31.
Mayaleh HA, Khalil HS, Portmann D, Négrevergne M. Otoplasty for prominent ears in children. The technique adopted in the Portmann Institute. Rev Laryngol Otol Rhinol (Bord). 2003;124(2):13513–6.
McDowell AJ. Goals in otoplasty for protruding ears. Plast Reconstr Surg. 1968;41(1):17–27.
Skiles MS, Randall P. The anesthetics of ear placement: an experimental study. Plast Reconstr Surg. 1983;72(2):133–40.
Farkas LG. Anthropometry of normal and anomalous ears. Clin Plast Surg. 1978;5(3):401–12.
Farkas LG. Anthropometry of the normal and defective ear. Clin Plast Surg. 1990;17(2):213–21.
Tolleth H. A hierarchy of values in the design and construction of the ear. Clin Plast Surg. 1990;17(2):193–207.
Smith HW. Calibrated otoplasty. Laryngoscope. 1979;89(4):657–65.
Janis JE, Rohrich RJ, Gutowski KA. Otoplasty. Plast Reconstr Surg. 2005;115(4):60e–72.
Horlock N, Vogelin E, Bradbury ET, Grobbelaar AO, Gault DT. Psychosocial outcome of patients after ear reconstruction: a retrospective study of 62 patients. Ann Plast Surg. 2005;54(5):517–24.
Keery H, Boutelle K, van den Berg P, Thompson JK. The impact of appearance-related teasing by family members. J Adolesc Health. 2005;37(2):120–7.
Kelley P, Hollier L, Stal S. Otoplasty: evaluation, technique, and review. J Craniofac Surg. 2003;14(5):643–53.
Songu M, Adibelli H. Otoplasty in children younger than 5 years of age. Int J Pediatr Otorhinolaryngol. 2010;74(3):292–6.
Adamson JE, Horton CE, Crawford HH. The growth pattern of the external ear. Plast Reconstr Surg. 1965;36(4):466–70.
Farkas LG. Growth of normal and re-constructed auricles. In: Tanzer RC, Edgerton MT, editors. Symposium on reconstruction of the auricle. Mosby: St. Louis; 1974. p. 24–31.
Balogh B, Millesi H. Are growth alterations a consequence of surgery for prominent ears? Plast Reconstr Surg. 1992;90(2):192–9.
Gosain AK, Recinos RF. Otoplasty in children less than four years of age: surgical technique. J Craniofac Surg. 2002;13(4):505–9.
Gosain AK, Kumar A, Huang G. Prominent ears in children younger than 4 years of age: what is the appropriate timing for otoplasty? Plast Reconstr Surg. 2004;114(5):1042–54.
Spira M. Otoplasty: what I do now – a 30-year perspective. Plast Reconstr Surg. 1999;104(3):834–41.
Becker W, Deutsch E, Knappen FJ, Nussgens K. Panel discussion: problems of the specialist’s duty to inform the patient. HNO. 1976;24(6):181–96.
Cregg N, Conway F, Casey W. Analgesia after otoplasty: regional nerve blockade vs local anaesthetic infiltration of the ear. Can J Anaesth. 1996;43(2):141–7.
Pavlin DJ, Chen C, Penaloza DA, Polissar NL, Buckley FP. Pain as a factor complicating recovery and discharge after ambulatory surgery (table of contents). Anesth Analg. 2002;95(3):627–34.
Caouette-Laberge L, Guay N, Bortoluzzi P, Belleville C. Otoplasty: anterior scoring technique and results in 500 cases (review). Plast Reconstr Surg. 2000;105(2):504–15.
Wood-Smith D. Otoplasty. In: Rees T, editor. Aesthetic plastic surgery. Philadelphia: Saunders; 1980. p. 833.
Gosain AK, Recinos RF. A novel approach to correction of the prominent lobule during otoplasty. Plast Reconstr Surg. 2003;112(2):575–83.
Spira M, McCrea R, Gerow FJ, Hardy SB. Correction of the principal deformities causing protruding ears. Plast Reconstr Surg. 1969;44(2):150–4.
Adamson PA, Strecker HD. Otoplasty techniques. Facial Plast Surg. 1995;11(4):284–300.
Maurice PF, Eisbach KJ. Aesthetic otoplasty: wedge excision of a flattened helix to create a helical curl. Arch Facial Plast Surg. 2005;7(3):195–7.
Aygit AC. Molding the ears after anterior scoring and concha repositioning: a combined approach for protruding ear correction. Aesthetic Plast Surg. 2003;27(1):77–81.
Stenstroem SJ. A “natural” technique for correction of congenitally prominent ears. Plast Reconstr Surg. 1963;32:509.
Adamson PA, McGraw BL, Tropper GJ. Otoplasty: critical review of clinical results. Laryngoscope. 1991;101(8):883–8.
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Songu, M. (2013). The Négrevergne Otoplasty Technique. In: Shiffman, M. (eds) Advanced Cosmetic Otoplasty. Springer, Berlin, Heidelberg. https://doi.org/10.1007/978-3-642-35431-1_16
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