{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,1,21]],"date-time":"2026-01-21T04:40:33Z","timestamp":1768970433530,"version":"3.49.0"},"reference-count":106,"publisher":"Ovid Technologies (Wolters Kluwer Health)","issue":"1","license":[{"start":{"date-parts":[[2026,1,1]],"date-time":"2026-01-01T00:00:00Z","timestamp":1767225600000},"content-version":"unspecified","delay-in-days":0,"URL":"http:\/\/creativecommons.org\/licenses\/by-nc-nd\/4.0\/"}],"content-domain":{"domain":["lww.com","ovid.com"],"crossmark-restriction":true},"short-container-title":[],"abstract":"<jats:sec>\n                    <jats:title>Background:<\/jats:title>\n                    <jats:p>Otoplasty corrects auricular deformities, which affect 5%\u201310% of the global population and can significantly impact psychological well-being, especially in children. This review examined various otoplasty surgical techniques, clinical outcomes, complications, and emerging innovations, with a focus on prominent ear correction.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Methods:<\/jats:title>\n                    <jats:p>A literature search was conducted in November 2024 on PubMed\/MEDLINE and Web of Science using the query \u201cotoplasty,\u201d identifying 1397 studies from 1915 to 2024. Studies were included if they detailed operative techniques, patient data (population &gt;30), and mastoid-to-helical rim measurements. Exclusions included nonhuman studies, case reports, and incomplete data. Data extracted study characteristics, operative techniques, and complication rates. The Oxford Centre for Evidence-Based Medicine framework classified studies by evidence level.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Results:<\/jats:title>\n                    <jats:p>Eighteen studies with 1590 patients and 3060 ears were included. The average patient age was 16.0 years, with a mean follow-up of 24.5 months. The average preoperative mastoid-to-helical rim measurement was 27.1\u2009mm, reduced to 15.4\u2009mm postoperatively. Suture extrusion (5.4%) was the most common complication. Meta-analysis showed a pooled recurrence rate of 2.8% and revision rate of 2.1%. Cartilage-sparing techniques, as well as 4-0 polypropylene (Prolene) and 4-0 braided polyester (Ethibond) cartilage fixation sutures, showed favorable outcomes.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Conclusions:<\/jats:title>\n                    <jats:p>This review summarizes decades of research, highlighting effective techniques such as modified Mustard\u00e9\u2013Furnas methods and cartilage-sparing approaches. Innovations and advancements in otoplasty, such as lasers, minimally invasive surgery, and postoperative care, demonstrate the field\u2019s evolution. Future research should focus on refining techniques and exploring animal models to improve otoplasty procedures.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.1097\/gox.0000000000007404","type":"journal-article","created":{"date-parts":[[2026,1,20]],"date-time":"2026-01-20T16:00:29Z","timestamp":1768924829000},"page":"e7404","update-policy":"https:\/\/doi.org\/10.1097\/lww.0000000000001000","source":"Crossref","is-referenced-by-count":0,"title":["Otoplasty Surgical Techniques and Clinical Outcomes: A Practical Review"],"prefix":"10.1097","volume":"14","author":[{"given":"Joseph D.","family":"Kaleeny","sequence":"first","affiliation":[{"name":"From the Department of Plastic & Reconstructive Surgery, College of Medicine, The Ohio State University Wexner Medical Center, Columbus, OH."}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Jeffrey E.","family":"Janis","sequence":"additional","affiliation":[{"name":"From the Department of Plastic & Reconstructive Surgery, College of Medicine, The Ohio State University Wexner Medical Center, Columbus, OH."}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"276","published-online":{"date-parts":[[2026,1]]},"reference":[{"key":"R1-20260120","doi-asserted-by":"crossref","first-page":"643","DOI":"10.1097\/00001665-200309000-00008","article-title":"Otoplasty: evaluation, technique, and review.","volume":"14","author":"Kelley","year":"2003","journal-title":"J Craniofac Surg"},{"key":"R2-20260120","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":"Jones","year":"2020","journal-title":"J Plast Reconstr Aesthet Surg"},{"key":"R3-20260120","doi-asserted-by":"crossref","first-page":"768","DOI":"10.1017\/S0022215114001662","article-title":"Long-term psychosocial impact of otoplasty performed on children with prominent ears.","volume":"128","author":"Songu","year":"2014","journal-title":"J Laryngol Otol"},{"key":"R4-20260120","doi-asserted-by":"crossref","first-page":"1481","DOI":"10.1007\/s12070-023-04296-x","article-title":"Otoplasty in adults: psychological impacts on quality of life.","volume":"76","author":"Aliyeva","year":"2024","journal-title":"Indian J Otolaryngol Head Neck Surg"},{"key":"R5-20260120","doi-asserted-by":"crossref","first-page":"60e","DOI":"10.1097\/01.PRS.0000156218.93855.C9","article-title":"Otoplasty.","volume":"115","author":"Janis","year":"2005","journal-title":"Plast Reconstr Surg"},{"key":"R6-20260120","doi-asserted-by":"crossref","first-page":"27e","DOI":"10.1097\/PRS.0b013e3181aa0e9d","article-title":"Treatment of prominent and constricted ear anomalies.","volume":"124","author":"Janz","year":"2009","journal-title":"Plast Reconstr Surg"},{"key":"R7-20260120","doi-asserted-by":"crossref","first-page":"1","DOI":"10.4103\/njms.NJMS_33_17","article-title":"Sushruta: The father of surgery.","volume":"8","author":"Singh","year":"2017","journal-title":"Natl J Maxillofac Surg"},{"key":"R8-20260120","doi-asserted-by":"crossref","first-page":"646","DOI":"10.1111\/j.1469-7580.2010.01294.x","article-title":"Anatomy in ancient India: a focus on the Susruta Samhita.","volume":"217","author":"Loukas","year":"2010","journal-title":"J Anat"},{"key":"R9-20260120","doi-asserted-by":"crossref","first-page":"366","DOI":"10.1177\/22925503211064377","article-title":"The reconstruction of plastic surgery: a historical perspective on the etymology of plastic and reconstructive surgery.","volume":"31","author":"Bouhadana","year":"2023","journal-title":"Plast Surg (Oakv)"},{"key":"R10-20260120","doi-asserted-by":"crossref","first-page":"e5715","DOI":"10.1097\/GOX.0000000000005715","article-title":"Sushruta: the father of Indian surgical history.","volume":"12","author":"Dave","year":"2024","journal-title":"Plast Reconstr Surg Glob Open"},{"key":"R11-20260120","first-page":"285","article-title":"The operative surgery of J. 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