By Jeremiah C. Tracy M.D., Arnold S. Lee M.D., Andrew R. Scott M.D. (auth.), Melvin A. Shiffman (eds.)
In this ebook, overseas specialists current updated thoughts of otoplasty within which they've got large own event. either new and transformed systems are defined due to a wealth of top quality illustrations. as well as those exact descriptions, ear embryology and anatomy, mental concerns, postoperative care, attainable dangers and issues, and results are generally lined on the way to give you the reader with a state-of-the-art account of all features of beauty otoplasty. all through, the members are artistic and eloquent in guiding the reader to a greater realizing that optimum result of otoplasty should be accomplished in simple terms with a extra sophisticated process than the regimen use of simplified ideas. This ebook may be of worth to either scholars (residents and fellows) and skilled beauty, plastic, maxillofacial, and common surgeons.
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Additional info for Advanced Cosmetic Otoplasty: Art, Science, and New Clinical Techniques
M. D. net M. D. nz of ear cartilage and growth, the psychosocial functioning of the child, and the practical considerations of surgery. Anatomical Cartilage remains pliable for a short time after birth, probably due to the influence of maternal estrogens [1, 2]. This allows effective splinting to correct protruding ears within the first 3–6 weeks but ideally within the first week of life [3–6]. Some authors advocate splinting beyond this age but before 3 months [1, 7]. Splints have to be applied for longer, and outcomes are less favorable in older patients as cartilage becomes progressively less pliable [1, 5].
Neeff 38 with at least 39 months follow-up. No growth restriction was observed in the bilateral cases with median 41 months follow-up. These authors comment that cartilage at young age is more pliable, so repositioning techniques rather than cartilage weakening and cutting techniques are utilized, and an incision rather than excision of postauricular skin is made. These factors may explain why there is no significant change in growth characteristics following this minimally “destructive” surgery, if there is an influence of surgery on cartilage growth at all.
Adamson et al.  studied the growth of normal ears and found that 85 % of full size had been achieved by the age of 3 years. In contrast Farkas  reported that 85 % of full size was achieved only by 6 years of age. Balogh and Milesi  examined ear growth after otoplasty in a cohort of 76 cases using cartilage-cutting techniques including children aged 5–8 years: They identified no significant growth differences between the operated ears and controls. Songu  reported satisfactory outcomes in 10 children undergoing otoplasty aged 4–5 years with no observed growth restriction at 1 year follow-up.