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Question 54#

Prominent ear correction:

a. Should ensure the antihelix marginally projects more than the helix
b. Can often be corrected with splitage at 2-3 years of age
c. Is best undertaken at age 5
d. Using the Mustardé and Chongchet (anterior scoring) techniques were both described in 1963 in the British Journal of Plastic Surgery
e. Should never be undertaken unless definite psychological trauma can be demonstrated in a child

Correct Answer is D

Comment:

Using the Mustardé and Chongchet (anterior scoring) techniques were both described in 1963 in the British Journal of Plastic Surgery. It is best undertaken after age 5 when the ear has achieved 80% of its adult size. To avoid an ‘overcorrected’ look the antihelix should not be more prominent than the helix. Otoplasty is a relatively simple operation in experienced hands, and if parents and child are keen for surgery, this is entirely reasonable.  

References:

  1. Chongchet V. A method of antihelix reconstruction. Br J Plast Surg 1963; 16: 268- 72.
  2. Mustardé C.The correction of prominent ears using simple mattress sutures. Br J Plast Surg 1963; 16: 170-8.
  3. Shokrollahi K, Kaney SJ. Psychological considerations in patient selection for pinnaplasty. J Plast Reconstr Aesthet Surg 2009; 62(1): 118.