ARTICLE | BEST PRACTICE |


Fortunately, otoplasty leads to huge increases in


happiness, self-confidence and social experience, reduced psychological anxiety or depression, as well as the cessation of teasing and bullying in the majority of cases8–13


.


. Studies using validated tools show that in nearly


all patients, significant and long-lasting improvements in health-related quality of life are found when using suture techniques14, 15


Innovative otoplasty surgeons The American surgeon Edward Talbot Ely can be considered as the father of aesthetic otoplasty16


. In 1881


he described the first otoplasty in the medical literature, closing with the words17


48 ❚ : April/May 2012 | prime-journal.com


Figure 1 An 11-year-old girl with protruding ears, preoperatively (A, B, C) and 5 months postoperatively (D, E, F). All corrections of the antihelix, concha cavum and the lobule were carried out using suture techniques only, and without any cartilage or skin resections


ÔI do not know whether this is a new operation for the deformity in question or not, but, if allowed to judge from a single case, I can highly recommend it.Õ


ElyÕs otoplasty was discussed in the local surgical


society, and he was derided with the remark that he probably would be very busy in some years when all of his patients wanted him to bring their ears back into the old form. Initially, the excision of postauricular skin played a


significant role in otoplasty, although the famous German plastic surgeon Jacques Joseph combined this simple method with additional cartilage excisions18 Joseph, initially a bone surgeon, was expelled from


.


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