Surgical Technique
September 2005

Antihelix Plasty Without Modeling Sutures

Author Affiliations

Author Affiliations: Dr Raunig is in private practice and is an Ear, Nose, and Throat consultant at Spittal an der Drau Hospital (Krankenhaus Spittal an der Drau), Spittal an der Drau, Austria.

Correspondence: Hermann Raunig, MD, Bahnhofstrasse 13, A-9800 Spittal an der Drau, Austria (


Copyright 2005 American Medical Association. All Rights Reserved. Applicable FARS/DFARS Restrictions Apply to Government Use.2005

Arch Facial Plast Surg. 2005;7(5):334-341. doi:10.1001/archfaci.7.5.334

Many techniques have been described for the surgical correction of protruding ears. A novel modification of a cartilage-sparing otoplastic technique is provided herein. In this modification, a diamond-coated file is used to abrade the anterior surface of the antihelical cartilage to create biomechanical remodeling with resultant formation of a new antihelix. A case series of 302 ears, operated on over a 3½-year period, is presented in support of this technique. This procedure is appropriate for patients having firm or soft auricular cartilage, an underdeveloped antihelical ridge, and a prominent or moderate hypertrophic conchal wall.