A novel approach to correction of the prominent lobule during otoplasty

Otoplasty techniques historically have concerned themselves with the principle structures of the ear including the helix and concha, but comparatively few techniques have been described to adequately position the lobule during otoplasty. Inadequate attention to proper lobule placement can contribute to "telephone-ear" or "reverse telephone-ear" deformities as a result of otoplasty. We present a technique for correction of the prominent lobule as an adjunct to standard otoplasty techniques. This technique is simple, easily adjustable, reproducible, and durable. We have used this technique in 14 patients, 10 of whom have been followed for 1 year or more. Maximum length of follow-up in these patients is 41 months, with a median follow-up of 29 months. No appreciable recurrence of lobule prominence has been demonstrated in any patient.