subject: Otoplasty; The Ear Lift, Repairs Ears [print this page] Otoplasty known as an Ear Lift is a procedure used to pin back protruding ears and reconstruct deformed ears. Otoplasty is one of the few cosmetic procedures that are in demand from men. Also Otoplasty is on of the few cosmetic procedures that the age limit is four and up. Otoplasty has a robust history much like most cosmetic surgery procedures. This article will discuss a brief history on Otoplasty.
Otoplasty was first developed by Sushruta; a cosmetic surgeon often considered as the "father of surgery" He lived in ancient India around 600 BC, which he first described in his text Susrutha Samhita. He and his later students and disciples used otoplasty to reconstruct ears that were amputated as punishment for crimes. The techniques of otoplasty he developed form the basis of surgical cosmetic procedures that are practiced to this day. The knowledge of plastic surgery existed in India up to the 18th century
In 1845, a cosmetic surgeon Dieffenbach described correction of a posttraumatic auricular deformity. In 1881, Ely first described cosmetic otoplasty. He performed a wedge excision of full-thickness skin and cartilage from the conchal bowl to reduce the size of the ear. During the 1890s, numerous skin and cartilage excision techniques, aimed at reducing noticeable scarring, were used by many cosmetic surgeons. These procedures were further advanced during the first 2 decades of the 20th century by Morestin, who excised elliptical pieces of skin and cartilage; Luckett, who attempted to reconstruct the antihelical fold; and Kolle, who contributed to mobilizing the "springy shell of the ear" by linear incisions.
Over the course of the next 20 years, tissue grafting became a popular practice; however, according to cosmetic surgeons during th3e 1920s and 1930s, most of whom used conchal excisions, sharp cartilaginous protrusions and wrinkling of the skin often remained.
By the 1940s, Erich a plastic surgeon used mattress sutures to maintain the stability of the antihelix and found that shaving the cartilage was just as adequate as excising whole fragments. The Mustarde technique, which uses permanent mattress sutures to maintain the superior crus, gained popularity in the 1970s because of its efficiency. The use of permanent mattress sutures to re-create the antihelix remains in practice, as does postauricular soft-tissue excision for the correction of deformed auricles. Most surgeons now perform cartilage-sparing otoplasty, in which cartilage is left undisturbed to achieve the natural folding of the cartilage.
Otoplasty has evolved over the past 2000 years into a reputable, safe, effective procedure. Now men and woman with physical defects on their ears can speak to a plastic surgeon and repair their look. With the advancements in technology and procedures Otoplasty will only become more effective and even safer then ever.
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