Klinger Marco, Di Giuli Riccardo, Cardone Federica, Capuano Silvio, Vaccari Stefano, Klinger Francesco, Vinci Valeriano
Plastic Surgery Unit, Department of Medical Biotechnology and Translational Medicine BIOMETRA, Reconstructive and Aesthetic Plastic Surgery School, Humanitas Clinical and Research Hospital, University of Milan, Via Manzoni 56, 20090, Rozzano, Milan, Italy.
Department of Health Sciences, Ospedale San Paolo, University of Milan, Milan, Italy.
Aesthetic Plast Surg. 2025 Apr;49(8):2211-2217. doi: 10.1007/s00266-024-04653-3. Epub 2025 Jan 6.
Prominent ears are a prevalent aesthetic concern, with numerous surgical techniques utilized in otoplasty procedures, without a widely approved gold standard. Traditional methods often leave residual deformities, reducing patient satisfaction.
We conducted a retrospective case series analysis involving 38 patients (30 Female, 8 Male) who underwent otoplasty to correct prominent ears for aesthetic purposes from January 2019 to December 2022. Our surgical technique combines mattress sutures to create an antihelical fold with needle scoring along the new helix and antihelix curve in a supra-cartilaginous plane.
Outcomes were evaluated in 38 patients with a minimum follow-up period of 12 months. No major or minor complications were reported. No prominence relapses were identified. Patient satisfaction was consistently high, with aesthetic outcomes rated as 8.7 by the surgical team and 9.2 by the patients on average.
Needle scoring proves to be an effective adjunctive technique in otoplasty, addressing residual ear deformities and mitigating tissue tension that may arise during the procedure. Consequently, needle scoring emerges as a valuable approach to optimize patient satisfaction in both short-term and long-term follow-up.
This journal requires that authors assign a level of evidence to each article. For a full description of these Evidence-Based Medicine ratings, please refer to the Table of Contents or the online Instructions to Authors www.springer.com/00266 .
招风耳是一种常见的美学问题，在耳整形手术中有多种手术技术被应用，但尚无广泛认可的金标准。传统方法常常会留下残余畸形，降低患者满意度。
我们进行了一项回顾性病例系列分析，纳入了2019年1月至2022年12月期间因美学目的接受耳整形手术以矫正招风耳的38例患者（30例女性，8例男性）。我们的手术技术结合了褥式缝合以形成对耳轮皱襞，并在软骨上平面沿着新的耳轮和对耳轮曲线进行针状划痕。
对38例患者进行了结果评估，最短随访期为12个月。未报告任何重大或轻微并发症。未发现突出复发情况。患者满意度一直很高，手术团队对美学效果的平均评分为8.7分，患者评分为9.2分。
针状划痕被证明是耳整形术中一种有效的辅助技术，可解决残余耳部畸形并减轻手术过程中可能出现的组织张力。因此，针状划痕成为在短期和长期随访中优化患者满意度的一种有价值的方法。
证据级别IV：本期刊要求作者为每篇文章指定证据级别。有关这些循证医学评级的完整描述，请参阅目录或作者在线指南www.springer.com/00266 。
