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Protruding ear, otapostasis or bat ear is an abnormally prominent human ear. It may be unilateral or bilateral. The concha is large with poorly developed antihelix and scapha. It is the result of malformation of cartilage during primitive ear development in intrauterine life. [1] The deformity can be corrected anytime after five years of age.
It belongs to the closed ear pinning surgeries because the ear is not cut open for the placement of the sutures. According to the experience of the author the Stitch Method is suitable for all protruding ears. The stitch method is the most frequently performed otoplasty among the minimally invasive methods. [citation needed]
Otoplasty (surgery of the ear) was developed in ancient India and is described in the medical compendium, the Sushruta Samhita (Sushruta's Compendium, c. 500 AD).The book discussed otoplastic and other plastic surgery techniques and procedures for correcting, repairing and reconstructing ears, noses, lips, and genitalia that were amputated as criminal, religious, and military punishments.
The technique is used for protuberant "lop" ears to correct the problem in the least invasive way. From the back of the ear, permanent, non-absorbable sutures (called by Fritsch "retention sutures") are placed invisibly into the cartilage of the external ear pinna with a unique technique, whereby the stitch passes in and out of the same needle hole achieve the desired pathway for the suture to ...
In Western societies, protruding ears (present in about 5% of ethnic Europeans) have been considered unattractive, particularly if asymmetric. [52] The first surgery to reduce the projection of prominent ears was published in the medical literature by Ernst Dieffenbach in 1845, and the first case report in 1881. [53]
Protruding earlobes can’t be pinned. In comparison to the conventional ear-pinning operations (see traditional ear surgery and otoplasty) and the Stitch method, there are no publications available on long-term results. The authors of the Earfold method point out that late complications, such as relapse, secondary deformations, defects, shifts ...
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A long incision is made on the back of the ear and a strip of skin is removed. Through an incision in the cartilage in the cauda helicis (lower end of the ear cartilage) or in the scapha the skin, together with the perichondrium is raised on the anterior surface of the antihelix. A rasp is inserted in the resulting skin-perichondrium tunnel to ...