Otoplasty in children less than four years of age: Surgical technique

Arun K. Gosain*, René F. Recinos

*Corresponding author for this work

Research output: Contribution to journalArticlepeer-review

20 Scopus citations

Abstract

The appropriate age for otoplasty remains controversial. Most surgeons wait until the child is aged 5 years or older to perform otoplasty. In this article, the results are reported in a series of 12 patients in whom otoplasty was performed before the age of 4 years. The approach used consists of a logical sequence for recreation of the antihelical fold, conchal reduction, reduction of the conchomastoid angle, and lobule setback. Follow-up in these patients ranges from 1 to 7 years, with a median follow-up interval of 3 years. No auricular growth disturbances were noted as a result of the surgery. Recurrent auricular prominence was noted in only 1 (8%) of the 12 patients, comprising 4.8% of the operated ears. Experience using this approach demonstrates that otoplasty can be performed from the age of 9 months or older with safety, reliability, and a high level of satisfaction on the part of the affected families.

Original languageEnglish (US)
Pages (from-to)505-509
Number of pages5
JournalJournal of Craniofacial Surgery
Volume13
Issue number4
DOIs
StatePublished - Jul 2002

Keywords

  • Lobule setback
  • Otoplasty

ASJC Scopus subject areas

  • Surgery
  • Otorhinolaryngology

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