There is no one technique that is suitable for the correction of all types and degrees of protrusion of the external ear.* One must select a technique for the individual case, which in view of the bewildering array of possible techniques recommended in the literature is a difficult task.
Reconstruction of the antihelix and scapha is indicated where an underdevelopment or absence of both is the main cause of the ear deformity.
Where the concha is overdeveloped or the mastoid bulla pushes the ear outward, Sercer's technique of resecting the anterior spine of the helix, thinning the back of the concha, and excision of an ellipse or myrtle-leaf piece of retroauricular skin is well worth consideration. One should, in such a case of ear protrusion also consider Robin and Berlendis' approach to the cartilage incision in the incisura and also consider the possible reduction of the outer plate of the
TAMERIN JA, MIREHOUSE O. Reconstruction of the Antihelix and Scapha in: Selected Cases of Protruding Ears. AMA Arch Otolaryngol. 1959;70(5):597–606. doi:10.1001/archotol.1959.00730040609011
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