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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.
Ears were satisfactorily corrected with this technique. This corresponds to the conventional Furnas Method, but without the large vertical access incision. [5] Fritsch also sometimes combined with a technique of the traditional methods for correcting protruding earlobes, by opening the back of the earlobe and removing soft tissue from it.
The posterior auricular muscle is found behind the auricle of the outer ear. [1] It consists of two or three fleshy fasciculi. These arise from the mastoid part of the temporal bone by short aponeurotic fibers. [1] They insert into the lower part of the cranial surface of the auricle of the outer ear. [1]
The method is not suitable for all patients. If their ears have a large, deep Cavum conchae, which in combination with a poorly formed antihelix is often the cause of a protruding ear, ear pinning in the lower half of the ear is not possible or the ear-pinning result is unsatisfactory. Protruding earlobes can’t be pinned.
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 ...
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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.
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