Aesthetic correction of prominent ears

The ear carries out different functions, among which are that of transmitting and reflecting sounds, a function which is reduced in man, and , extremely important, that is related to an aesthetic and harmonious form of the ear. The prominent ear, which is the most common auricle defect, can be also the cause of considerable psychological implications, especially in cases concerning children. The surgical correction of prominent ears is strictly related to a correct morphometric evaluation. The exact diagnosis must evaluate the bi-laterality of the defect and morphometry of the ear with the aim of addressing the choice towards the most suitable surgical technique. The choice is often conditioned by the situation according to the type of malformation, the cartilage characteristics, the familiarity of surgeon with the technique. Medications and post-operative follow up need also special attention. The results of such surgery should be considered positive when, besides the patient’s satisfaction, the operation has attained successful results with regards to the symmetry of both ears, the modeling of the ear in a natural way and few other parameters such as a proper frontal view of the helix behind the anti-helix. From a personal experience, failures have been relatively scarce; where these existed, they were rarely due to complications, and more frequently to relapses, slight morphomeric blemishes of the ear and, last but not least, to the patients requests.