ABSTRACT
Many techniques have been described for the correction of protruding ears. Most of
them concentrate on correcting the form and position of auricular cartilage. The lobule
is a soft tissue structure. Skin resections of its posterior surface have been propagated
for the correction of its position; however, these cause tension on the wound and
might increase the already relatively high risk for the development of keloids. We
have modified the technique for correcting the protruding lobule for its exact positioning
and minimizing the risk for relapse and keloids. Starting from the incision performed
for the anthelix plasty, a subcutaneous pocket is prepared between the anterior and
posterior sides of the lobule. Afterwards, the subcutaneous layer of the postlobular
skin is adjusted and fixed to the cartilage of the conchal cavum with a special mattress
suture. This technique is a refinement of otoplasty for bat ears. It is indicated
for precise modification of form and position of protruding lobules.
KEYWORDS
Protruding ear - protruding lobule - suture technique
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