Correction of auricle deformities after failed otoplasty

Background: Failed otoplasty can result in deformities which are more annoying than the preoperative state of prominent ears, especially if aggressive cutting or scoring techniques are used. This article describes how such deformities can be corrected successfully.

Methods: Ugly creases and edges can be corrected through readapting the cartilage edges followed by revision otoplasty using suture techniques. If cartilage defects are present, porous polyethylene implants can restore an aesthetic form of the auricle.

Results: The author has successfully treated 16 severe ear deformities after failed otoplasty in the last 3 years with the procedures described.

Conclusions: The author recommends reconstructing the cartilaginous skeleton and redoing otoplasty with suture techniques rather than merely camouflaging creases with fascia or preserved materials. Porous polyethylene implants can successfully be used instead of autogenous cartilage to reconstruct a missing ear cartilage skeleton.