{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,8,17]],"date-time":"2026-08-17T15:18:33Z","timestamp":1786979913832,"version":"build-2736575974"},"reference-count":11,"publisher":"Springer Science and Business Media LLC","issue":"11","license":[{"start":{"date-parts":[[2024,3,4]],"date-time":"2024-03-04T00:00:00Z","timestamp":1709510400000},"content-version":"tdm","delay-in-days":0,"URL":"https:\/\/creativecommons.org\/licenses\/by\/4.0"},{"start":{"date-parts":[[2024,3,4]],"date-time":"2024-03-04T00:00:00Z","timestamp":1709510400000},"content-version":"vor","delay-in-days":0,"URL":"https:\/\/creativecommons.org\/licenses\/by\/4.0"}],"funder":[{"name":"Izmir Katip Celebi University"}],"content-domain":{"domain":["link.springer.com"],"crossmark-restriction":false},"short-container-title":["Aesth Plast Surg"],"published-print":{"date-parts":[[2024,6]]},"abstract":"Abstract<\/jats:title>\n \n Background<\/jats:title>\n Protruding ears are the most common auricular abnormalities seen in children (1). Protruding ears are a condition that has social and psychological consequences due to its physical appearance and one of the main causes of peer bullying at young ages (2). While various surgical methods exist to address prominent ears, the options for correcting the lobule are relatively scarce. In this study, we are aimed to present the modified fish-tail technique that we have developed and to compare it with other techniques in the literature.<\/jats:p>\n <\/jats:sec>\n \n Methods<\/jats:title>\n The patients were selected from the cases that underwent otoplasty for prominent ear correction in our clinic between 2020 and 2022. A total of 21 cases that required protruded lobule correction during otoplasty were included in our study. Keloid and hypertrophic scar formation, wound dehiscence, hematoma, infection and recurrence in the lobule were evaluated. The patients were followed up for at least 1 year for early and late complications.<\/jats:p>\n <\/jats:sec>\n \n Results<\/jats:title>\n Each patient in the study underwent bilateral prominent ear correction, including bilateral modified fish-tail technique. All cases were followed for at least 12 months. There was no wound dehiscence, infection, recurrence in lobule prominence or hematoma during the follow-up period. No hypertrophic scar or keloid was observed in any case.<\/jats:p>\n <\/jats:sec>\n \n Conclusions<\/jats:title>\n Our method stands out for its ability to achieve both adjustable vertical height and effective lobule correction with a reduced need for skin excision. We recommend the modified fish-tail technique as an alternative technique for prominent lobule surgery.<\/jats:p>\n <\/jats:sec>\n \n Level of Evidence IV<\/jats:title>\n \n 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\n www.springer.com\/00266<\/jats:ext-link>\n .\n <\/jats:p>\n <\/jats:sec>","DOI":"10.1007\/s00266-024-03912-7","type":"journal-article","created":{"date-parts":[[2024,3,4]],"date-time":"2024-03-04T17:01:15Z","timestamp":1709571675000},"page":"2011-2017","update-policy":"https:\/\/doi.org\/10.1007\/springer_crossmark_policy","source":"Crossref","is-referenced-by-count":4,"title":["A Different Approach for Protruding Earlobe Correction\u2014Modified Fish-tail Technique"],"prefix":"10.1007","volume":"48","author":[{"given":"Batuhan","family":"Sert","sequence":"first","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Meltem Ayhan","family":"Oral","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Ozgur","family":"Turan","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-2724-0456","authenticated-orcid":false,"given":"Ilker","family":"Uyar","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"297","published-online":{"date-parts":[[2024,3,4]]},"reference":[{"issue":"4","key":"3912_CR1","doi-asserted-by":"publisher","first-page":"377","DOI":"10.1055\/s-0039-1693745","volume":"35","author":"R Siegert","year":"2019","unstructured":"Siegert R, Magritz R (2019) Otoplasty and Auricular Reconstruction. Facial Plast Surg 35(4):377\u2013386","journal-title":"Facial Plast Surg"},{"issue":"12","key":"3912_CR2","doi-asserted-by":"publisher","first-page":"2111","DOI":"10.1016\/j.bjps.2020.05.075","volume":"73","author":"ES Jones","year":"2020","unstructured":"Jones ES, Gibson JAG, Dobbs TD, Whitaker IS (2020) The psychological, social and educational impact of prominent ears: A systematic review. J Plast Reconstr Aesthet Surg 73(12):2111\u20132120","journal-title":"J Plast Reconstr Aesthet Surg"},{"key":"3912_CR3","doi-asserted-by":"publisher","first-page":"170","DOI":"10.1016\/S0007-1226(63)80100-9","volume":"16","author":"JC Mustarde","year":"1963","unstructured":"Mustarde JC (1963) Correction of prominent ears using simple mattress sutures. Br J Plast Surg 16:170\u2013178","journal-title":"Br J Plast Surg"},{"key":"3912_CR4","doi-asserted-by":"publisher","first-page":"189","DOI":"10.1097\/00006534-196809000-00001","volume":"42","author":"DW Furnas","year":"1968","unstructured":"Furnas DW (1968) Correction of prominent ears by concha-mastoid sutures. Plast Reconstr Surg 42:189\u2013193","journal-title":"Plast Reconstr Surg"},{"key":"3912_CR5","doi-asserted-by":"publisher","first-page":"575","DOI":"10.1097\/01.PRS.0000071000.80092.2A","volume":"112","author":"AK Gosain","year":"2003","unstructured":"Gosain AK, Recinos RF (2003) A novel approach to correction of the prominent lobule during otoplasty. Plast Reconstr Surg 112:575\u2013583","journal-title":"Plast Reconstr Surg"},{"issue":"1","key":"3912_CR6","doi-asserted-by":"publisher","first-page":"189","DOI":"10.1007\/s00266-022-02838-2","volume":"47","author":"I Uyar","year":"2023","unstructured":"Uyar I, Aksam E, Kopal C, Kap\u0131 E (2023) Comparison of Transcutaneous Fixation-Assisted Method with Classical Needle-Assisted Method in Prominent Ear Surgery. Aesthetic Plast Surg 47(1):189\u2013198","journal-title":"Aesthetic Plast Surg"},{"issue":"3","key":"3912_CR7","doi-asserted-by":"publisher","first-page":"287","DOI":"10.1055\/s-2008-1064579","volume":"10","author":"H Weerda","year":"1994","unstructured":"Weerda H, Siegert R (1994) Complications in otoplastic surgery and their treatment. Facial Plast Surg 10(3):287\u2013297","journal-title":"Facial Plast Surg"},{"issue":"1","key":"3912_CR8","first-page":"19","volume":"62","author":"GC Limandjaja","year":"2009","unstructured":"Limandjaja GC, Breugem CC, Mink van der Molen AB, Kon M (2009) Complications of otoplasty: a literature review. J Plast ReconstrAesthet Surg 62(1):19\u201327","journal-title":"J Plast ReconstrAesthet Surg"},{"issue":"3","key":"3912_CR9","doi-asserted-by":"publisher","first-page":"152","DOI":"10.1055\/s-0037-1604241","volume":"31","author":"K Ali","year":"2017","unstructured":"Ali K, Meaike JD, Maricevich RS, Olshinka A (2017) The Protruding Ear: Cosmetic and Reconstruction. Semin Plast Surg 31(3):152\u2013160","journal-title":"Semin Plast Surg"},{"key":"3912_CR10","doi-asserted-by":"publisher","first-page":"150","DOI":"10.1097\/00006534-196944020-00007","volume":"44","author":"M Spira","year":"1969","unstructured":"Spira M, McCrea R, Gerow FJ, Hardy SB (1969) Correction of the principal deformities causing protruding ears. Plast Reconstr Surg 44:150","journal-title":"Plast Reconstr Surg"},{"key":"3912_CR11","first-page":"833","volume-title":"Aesthetic Plastic Surgery","author":"W-S Otoplasty","year":"1980","unstructured":"Otoplasty W-S (1980). In: Rees T (ed) Aesthetic Plastic Surgery. Saunders, Philadelphia, p 833"}],"container-title":["Aesthetic Plastic Surgery"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/link.springer.com\/content\/pdf\/10.1007\/s00266-024-03912-7.pdf","content-type":"application\/pdf","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/link.springer.com\/article\/10.1007\/s00266-024-03912-7\/fulltext.html","content-type":"text\/html","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/link.springer.com\/content\/pdf\/10.1007\/s00266-024-03912-7.pdf","content-type":"application\/pdf","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2024,6,4]],"date-time":"2024-06-04T16:17:53Z","timestamp":1717517873000},"score":1,"resource":{"primary":{"URL":"https:\/\/link.springer.com\/10.1007\/s00266-024-03912-7"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2024,3,4]]},"references-count":11,"journal-issue":{"issue":"11","published-print":{"date-parts":[[2024,6]]}},"alternative-id":["3912"],"URL":"https:\/\/doi.org\/10.1007\/s00266-024-03912-7","relation":{},"ISSN":["0364-216X","1432-5241"],"issn-type":[{"value":"0364-216X","type":"print"},{"value":"1432-5241","type":"electronic"}],"subject":[],"published":{"date-parts":[[2024,3,4]]},"assertion":[{"value":"19 December 2023","order":1,"name":"received","label":"Received","group":{"name":"ArticleHistory","label":"Article History"}},{"value":"5 February 2024","order":2,"name":"accepted","label":"Accepted","group":{"name":"ArticleHistory","label":"Article History"}},{"value":"4 March 2024","order":3,"name":"first_online","label":"First Online","group":{"name":"ArticleHistory","label":"Article History"}},{"order":1,"name":"Ethics","group":{"name":"EthicsHeading","label":"Declarations"}},{"value":"The authors declare that they have no conflicts of interest to disclose.","order":2,"name":"Ethics","group":{"name":"EthicsHeading","label":"Conflict of interest"}},{"value":"All procedures performed in studies involving human participants were in accordance with the ethical standards of the institutional and\/or national research committee and with the 1964 Helsinki declaration and its later amendments or comparable ethical standards.Informed consent:<\/b> All patients were informed of their consent.<\/b>","order":3,"name":"Ethics","group":{"name":"EthicsHeading","label":"Ethical approval"}}]}}