{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,2,24]],"date-time":"2026-02-24T11:03:58Z","timestamp":1771931038918,"version":"3.50.1"},"reference-count":32,"publisher":"Georg Thieme Verlag KG","issue":"02","content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["Facial Plast Surg"],"published-print":{"date-parts":[[2025,4]]},"abstract":"<jats:title>Abstract<\/jats:title><jats:p>\n          Background\u2003Prominent ears negatively impact the psychological and social health of individuals. Despite the availability of different surgical correction methods for this congenital condition, many of these techniques might result in significant risks of complications and the condition often reappears. Herein, we present log-term outcomes of our suture-free method that employs various strategies to reduce these risks and prevent recurrences.<\/jats:p><jats:p>\n          Methods\u2003We analyzed the results of patients who had a bilateral double triangular cartilage excision otoplasty as an outpatient procedure. This previously described technique is designed to correct prominent ears by precisely removing sections of cartilage to reshape the ear mechanically without the need for sutures through the cartilage. We documented any complications after surgery and gathered feedback from patients over an extended follow-up period.<\/jats:p><jats:p>\n          Results\u2003A total of 146 patients (292 ears) met the inclusion criteria. The mean age was 23.2\u2009\u00b1\u20095.3 years. The mean follow-up period was 22 months. Complications were as follows: 3 ears (1.02%) showed superficial skin tissue necrosis at the front of the ear and 17 ears (5.8%) needed further surgery due to unsatisfactory ear rotation. Additionally, 2.73% experienced wound dehiscence, 0.68% had hematomas, 1.02% had external ear infections that were treated with local and systemic antibiotics, 4.1% developed hypertrophic scars, and 8.2% experienced temporary paresthesias. Patients reported being satisfied with the final outcomes at follow-up.<\/jats:p><jats:p>\n          Conclusion\u2003Double triangular cartilage excision otoplasty is a safe procedure with few complications, low recurrence rates, and good patients' satisfaction at long-term follow-up. This sutureless technique should be included as an alternative to the existing surgical techniques and added to the skill set of surgeons.<\/jats:p><jats:p>\n          Level of Evidence\u2003IV.<\/jats:p>","DOI":"10.1055\/a-2447-8589","type":"journal-article","created":{"date-parts":[[2024,11,24]],"date-time":"2024-11-24T23:34:57Z","timestamp":1732491297000},"page":"159-165","source":"Crossref","is-referenced-by-count":1,"title":["Double Triangular Cartilage Excision in Otoplasty Revisited"],"prefix":"10.1055","volume":"41","author":[{"given":"Alessandro","family":"Gualdi","sequence":"additional","affiliation":[{"name":"Department of Plastic Surgery, Milan Face Institute, Milan, Italy"},{"name":"Department of Plastic Surgery, University Vita-Salute San Raffaele, Milan, Italy"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Janos","family":"Cambiaso-Daniel","sequence":"additional","affiliation":[{"name":"Department of Plastic Surgery, Milan Face Institute, Milan, Italy"},{"name":"Division of Plastic, Aesthetic and Reconstructive Surgery, Department of Surgery, Medical University of Graz, Graz, Austria"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Filippo Contessi","family":"Negrini","sequence":"additional","affiliation":[{"name":"Department of Plastic Surgery, Santa Maria della Misericordia Hospital, University of Udine, Udine, Italy"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0000-0001-5981-6870","authenticated-orcid":false,"given":"Salvatore","family":"Giordano","sequence":"additional","affiliation":[{"name":"Department of Plastic Surgery, Milan Face Institute, Milan, Italy"},{"name":"Division of Plastic Surgery, Department of Surgery, Satakunta Wellbeing Services County, Pori, Turku, Finland"},{"name":"University of Turku, Turku, Finland"}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"194","published-online":{"date-parts":[[2024,11,24]]},"reference":[{"issue":"01","key":"ref1","doi-asserted-by":"crossref","first-page":"27e","DOI":"10.1097\/PRS.0b013e3181aa0e9d","article-title":"Treatment of prominent and constricted ear anomalies","volume":"124","author":"B A Janz","year":"2009","journal-title":"Plast Reconstr Surg"},{"issue":"04","key":"ref2","doi-asserted-by":"crossref","first-page":"377","DOI":"10.1055\/s-0039-1693745","article-title":"Otoplasty and auricular reconstruction","volume":"35","author":"R Siegert","year":"2019","journal-title":"Facial Plast Surg"},{"issue":"12","key":"ref3","doi-asserted-by":"crossref","first-page":"2111","DOI":"10.1016\/j.bjps.2020.05.075","article-title":"The psychological, social and educational impact of prominent ears: a systematic review","volume":"73","author":"E S Jones","year":"2020","journal-title":"J Plast Reconstr Aesthet 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